Could gastrointestinal disorders differ in two close but divergent social environments?
BACKGROUND
Many public health problems in modern society affect the gastrointestinal area. Knowledge of the disease occurrence in populations is better understood if viewed in a psychosocial context including indicators of the social environment where people spend their lives. The general aim of this study was to estimate the occurrence in the population and between sexes of common gastrointestinal conditions in two neighborhood cities representing two different social environments defined as a "white-collar" and a "blue-collar" city.


METHODS
We conducted a retrospective register study using data of diagnosed gastrointestinal disorders (cumulative incidence rates) derived from an administrative health care register based on medical records assigned by the physicians at hospitals and primary care.


RESULTS
Functional gastrointestinal diseases and peptic ulcers were more frequent in the white-collar city, while diagnoses in the gallbladder area were significantly more frequent in the blue-collar city. Functional dyspepsia, irritable bowel syndrome, and unspecified functional bowel diseases, and celiac disease, were more frequent among women while esophageal reflux, peptic ulcers, gastric and rectal cancers were more frequent among men regardless of social environment.


CONCLUSIONS
Knowledge of the occurrence of gastrointestinal problems in populations is better understood if viewed in a context were the social environment is included. Indicators of the social environment should therefore also be considered in future studies of the occurrence of gastrointestinal problems.
Dept of Medicine and Health Sciences, Linköping University, SE-581 83 Linköping, Sweden.
Ewa
E
Grodzinsky
Claes
C
Hallert
Tomas
T
Faresjö
Elisabet
E
Bergfors
Ashild Olsen
AO
Faresjö
D000328:Adult; D000368:Aged; D005260:Female; D005767:Gastrointestinal Diseases / Q000191:economics* / Q000453:epidemiology* / Q000523:psychology; D006801:Humans; D007182:Income; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012931:Social Environment; D013548:Sweden / Q000453:epidemiology; D055815:Young Adult