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Table 3 Incident rate ratio (IRR) of household incidence - summary table for influenza-like -illness (ILI), lower respiratory infection (LRTI) and upper respiratory infection (URTI). Registered Population of the RCGP RSC Surveillance Network of primary care practices in UK. 2013/14 Season to 2017/18 Season. Children under 5-years in the household and increasing size were the only statistically significant incident differences across all three conditions· The IRR changed significantly between years for ILI but not for the other groups of conditions

From: Household presentation of influenza and acute respiratory illnesses to a primary care sentinel network: retrospective database studies (2013–2018)

Variable type

Variable detail

Reference group:

ILI (IRR) (95% C.I)

LRTI (IRR) (95% C.I)

URTI (IRR) (95% C.I)

Gender

Female: male ratio

Positive female>male

1.096 (0·98–1·22)

1·069 (0·96–1·19)

1·159 (1·04–1·29)

Socioeconomic status (SES)

IMD Quintile

Change with improved SES

0.964 (0·90–1·04)

0·993 (0·92–1·07)

0·926 (0·86–1·00)

Ethnicity

Asian

White ethnicity

2·933 (2·20–3·90)

1·207 (0·91–1·61)

1·871 (1·41–2·49)

Black

 

0·549 (0·30–1·01)

0·563 (0·30–1·04)

0·796 (0·43–1·47)

Mixed

 

1·368 (0·89–2·10)

0·922 (0·60–1·41)

1·020 (0·67–1·56)

Other

 

1·295 (0·54–3·08)

1·081 (0·46–2·57)

1·355 (0·57–3·22)

Preschool child

Under 5 in Household

No under 5

1·616 (1·38–1·89)

2·404 (2·04–2·83)

4·461 (3·79–5·25)

Household size

Household size

For each increase in size

1·399 (1·31–1·49)

1·182 (1·11–1·26)

1·563 (1·47–1·67)

High risk groups

Asthma

Not present in household

0·994 (0·78–1·27)

2·041 (1·60–2·60)

1·581 (1·52–1·64)

Immuno-supressed

 

1·224 (0·80–1·87)

1·559 (1·02–2·39)

0·781 (0·72–0·85)

Respiratory disease

 

0·940 (0·58–1·53)

2·433 (1·50–3·95)

0·737 (0·67–0·81)

Morbidly obese (BMI > 35)

 

1·580 (1·15–2·18)

1·464 (1·06–2·02)

1·360 (1·28–1·44)

Coronary heart disease (CHD)

 

0·960 (0·71–1·30)

2·051 (1·52–2·78)

0·917 (0·87–0·97)

Chronic kidney disease (CKD)

 

1·051 (0·69–1·61)

2·196 (1·43–3·37)

0·718 (0·65–0·79)

Chronic liver disease

 

1·295 (0·98–1·72)

1·792 (1·35–2·38)

0·956 (0·91–1·01)

Diabetes

 

1·859 (0·91–3·82)

1·399 (0·68–2·88)

1·063 (0·91–1·24)

Asplenia

 

1.521 (0·78–2·95)

1·323 (0·68–2·57)

1·252 (1·11–1·42)

Pregnancy

 

0·437 (0·21–0·92)

1·097 (0·52–2·32)

1·564 (1·48–1·66)

ONS rural-urban conurbation

Conurbation

City and Town

0·937 (0·65–1·35)

1·018 (0·70–1·47)

0·957 (0·66–1·38)

Rural

 

1·613 (1·25–2·08)

1·096 (0·85–1·41)

0·886 (0·69–1·14)

NHS Region

Midlands and East

London

0·670 (0·44–1·03)

1·594 (1·06–2·50)

0·678 (0·44–1·04)

North

 

0·621 (0·43–0·90)

1·507 (1·04–2·18)

0·827 (0·57–1·20)

South

 

0·778 (0·51–1·18)

1·116 (0·74–1·69)

0·709 (0·47–1·08)

Season

2014–2015

Reference 2013–2014

3·282 (2·20–4·89)

1·261 (0·85–1·88)

1·115 (0·75–1·66)

2015–2016

 

2·751 (1·84–4·12)

1·033 (0·69–1·55)

0·920 (0·61–1·38)

2016–2017

 

1·966 (1·29–3·00)

1·055 (0·69–1·61)

0·799 (0·52–1·22)

2017–2018

 

5·385 (3·68–7·89)

1·058 (0·72–1·55)

0·826 (0·56–1·21)

  1. IRR incident rate ratio, ILI influenza like illness, LRTI lower respiratory infection, URTI upper respiratory infection, C.I confidence interval, IMD index of multiple deprivation, ONS office of the national statistics, NHS national health service, sig significance, SES socioeconomic status, BMI body mass index, CHD coronary heart disease, CKD:chronic kidney disease