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Area deprivation predicts lung function independently of education and social class

¹ Institute of Public Health, University of Cambridge, and ² MRC Dunn Nutrition Unit, Cambridge, UK

CORRESPONDENCE: K-T. Khaw, Clinical Gerontology Unit, University of Cambridge, Addenbrookes Hospital, Box 2E, Cambridge, CB2 2QQ. Fax: 44 1223336928. E-mail: kk101@medschl.cam.ac.uk

Keywords: Education, forced expiratory volume in one second, lung function, residential deprivation, social class

Received: July 30, 2003
Accepted February 16, 2004

The cross-sectional association between socioeconomic status (at both the individual and area-based level) and lung function, as measured by forced expiratory volume in one second, in a large population-based cohort was investigated.

The study population consisted of 22,675 males and females aged 39–79 yrs. They were recruited from the general community in Norfolk, UK using general practice age/sex registers, as part of the European Prospective Investigation into Cancer (EPIC-Norfolk).

It was found that being in a manual occupational social class, having no educational qualifications and living in a deprived area all independently predicted significantly lower lung function, even after controlling for smoking habit.

The influence of area-deprivation on lung function, independent of individual socioeconomic status and of individual smoking habit, suggests that apart from targeting individuals who are at high-risk, such as smokers, environmental determinants also need to be examined when considering measures to improve respiratory health.

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