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Record W4412555418 · doi:10.1136/bmjph-2024-001965

Housing tenure and early-life acute lower respiratory tract infection admissions in two national Scottish birth cohorts

2025· article· en· W4412555418 on OpenAlexaff
Caroline Hart, Samantha Hajna, Bianca De Stavola, Ai Milojevic, Steve Cunningham, Jonathon Taylor, Pia Hardelid

Bibliographic record

VenueBMJ Public Health · 2025
Typearticle
Languageen
FieldHealth Professions
TopicPediatric health and respiratory diseases
Canadian institutionsBrock University
FundersMedical Research Council
KeywordsMedicineOdds ratioOddsRespiratory tract infectionsCohortPediatricsLower respiratory tract infectionLogistic regressionResidenceCohort studyAsthmaDemographyRespiratory systemInternal medicine

Abstract

fetched live from OpenAlex

Introduction: Early-life acute lower respiratory tract infections (LRTIs) have been associated with subsequent wheezing, asthma and mortality. Despite infants and young children spending much of their time at home, the association of housing circumstances, including housing ownership status, on acute LRTI hospital admissions is not well explored. Objective: To assess the association between housing tenure and the odds of hospital admission for acute LRTIs in children aged <2 years in Scotland. Methods: Scottish birth records were linked to maternal census data (2001 and 2011) to construct two birth cohorts: cohort 1 (C1; born 2000-2002) and cohort 2 (C2; 2010-2012). Linkage to hospital records provided information on acute LRTI admissions. Using multivariable logistic regression models, we estimated the association of housing tenure with the odds of ≥1 hospital admission for LRTI before the second birthday with adjustment for area of residence (urban/rural), maternal highest qualification level and maternal age. Results: There were 14 833 LRTI admissions in 12 527 children across both cohorts. 4.0% and 5.3% children in C1 and C2, respectively, had ≥1 LRTI admission. Compared with living in owned housing, the odds of LRTI admission were higher in children living in social rented housing (C1: OR 1.40, 95% CI 1.31 to 1.49; C2: 1.23, 1.16 to 1.31), private rented (C1: 1.24, 1.11 to 1.39; C2: 1.14, 1.06 to 1.21) and rent-free housing (C1: 1.53, 1.35 to 1.74; C2: 1.04, 0.80 to 1.36). Conclusion: Children living in rented housing had higher odds of early-childhood LRTI admission compared with those living in owned housing in Scotland. Further linkage to residential-level data could inform the design of LRTI prevention policies.

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How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.005
metaresearch head score (Gemma)0.005
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.187
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0050.005
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0020.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.087
GPT teacher head0.480
Teacher spread0.392 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations2
Published2025
Admission routes1
Has abstractyes

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