2023-09-28 14:46:10 +00:00
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abstract: 'Gastrointestinal infections are an important global public health issue.
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In the UK, one in four people experience a gastrointestinal infection
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each year and epidemiological research highlights inequalities in the
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burden of disease. Specifically, poorer children are at greater risk of
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infection and the consequences of illness, such as symptom severity and
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time off work/school, are greater for less privileged groups of all
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ages. Gastrointestinal infections are, however, largely `hidden'' within
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the home and little is known about the lived experience and practices
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surrounding these illnesses, how they vary across contrasting
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socioeconomic contexts, or how inequalities in the disease burden across
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socioeconomic groups might come about. This paper presents data from an
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ethnographic study which illuminate how socioeconomic inequalities in
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the physical and material management and consequences of
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gastrointestinal infections are generated in families with young
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children. The study shows how the `work'' needed to manage
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gastrointestinal infections is more laborious for people living in more
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`disadvantaged'' conditions, exacerbated by: more overcrowded homes with
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fewer washing and toilet facilities; inflexible employment; low
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household incomes; and higher likelihood of co-morbidities which can be
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made worse by having a gastrointestinal infection. Our findings call
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into question the current approach to prevention of gastrointestinal
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infections which tend to focus almost exclusively on individual
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behaviours, which are not adapted to reflect differences in
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socioeconomic context. Public health agencies should also consider how
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wider social, economic and policy contexts shape inequalities in the
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management and consequences of illness. Our findings are also pertinent
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to the COVID-19 pandemic response in the UK. They highlight how research
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and policy approaches to acute infectious diseases need to take into
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consideration the differing lived experiences of contrasting households
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if they wish to address (and avoid exacerbating) inequalities in the
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future.'
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affiliation: 'Rotheram, S (Corresponding Author), Univ Liverpool, Natl Inst Hlth Res,
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Hlth Protect Res Unit Gastrointestinal Infect, Waterhouse Bldg,2nd Floor,Block F,1-5
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Brownlow St, Liverpool L69 3GL, Merseyside, England.
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Rotheram, Suzanne; Barr, Ben; Whitehead, Margaret, Univ Liverpool, Natl Inst Hlth
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Res, Hlth Protect Res Unit Gastrointestinal Infect, Waterhouse Bldg,2nd Floor,Block
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F,1-5 Brownlow St, Liverpool L69 3GL, Merseyside, England.
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Rotheram, Suzanne; Barr, Ben; Whitehead, Margaret, Univ Liverpool, Dept Publ Hlth
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Policy \& Syst, Whelan Bldg, Liverpool L68 3GB, Merseyside, England.
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Cooper, Jessie, City Univ London, Sch Hlth Sci, Div Hlth Serv Res \& Management,
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Myddelton St Bldg, London EC1R 1UW, England.'
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article-number: '114131'
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author: Rotheram, Suzanne and Cooper, Jessie and Barr, Ben and Whitehead, Margaret
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author-email: 'suzanne.rotheram@liverpool.ac.uk
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Jessie.Cooper@city.ac.uk
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benbarr@liverpool.ac.uk
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mmw@liverpool.ac.uk'
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author_list:
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- family: Rotheram
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given: Suzanne
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- family: Cooper
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given: Jessie
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- family: Barr
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given: Ben
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- family: Whitehead
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given: Margaret
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da: '2023-09-28'
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doi: 10.1016/j.socscimed.2021.114131
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earlyaccessdate: JUN 2021
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eissn: 1873-5347
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files: []
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issn: 0277-9536
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journal: SOCIAL SCIENCE \& MEDICINE
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keywords: 'Gastrointestinal infection; Health inequalities; Behavioural
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interventions; Ethnography; COVID-19'
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keywords-plus: HEALTH; DISEASE
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language: English
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month: AUG
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number-of-cited-references: '49'
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orcid-numbers: 'Barr, Ben R/0000-0002-4208-9475
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Rotheram, Suzanne/0000-0002-4444-9796'
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papis_id: 7e8ae940b1759bf462ae7089be4e477e
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ref: Rotheram2021howare
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researcherid-numbers: 'Barr, Ben R/W-9989-2018
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'
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times-cited: '3'
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title: How are inequalities generated in the management and consequences of gastrointestinal
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infections in the UK? An ethnographic study
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000679176400010
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usage-count-last-180-days: '0'
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usage-count-since-2013: '10'
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volume: '282'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Social Sciences,
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Biomedical'
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year: '2021'
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