IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v62y2006i2p348-359.html
   My bibliography  Save this article

US-based indices of area-level deprivation: Results from HealthCare for Communities

Author

Listed:
  • Eibner, Christine
  • Sturm, Roland

Abstract

In this analysis we create census-tract level indices of area deprivation for the US that parallel similar indices developed in Britain, and we determine whether these indices are related to physical and mental health outcomes. Data for the indices come from the 2000 Census Summary File Tapes and the 2001 Zip Code Business Patterns Files. These indices are then linked by census tract to cross-sectional data from the HealthCare for Communities (HCC) study, and equations are estimated using multi-level models with census-tract random effects. We find that area-level deprivation predicts poor mental and physical health outcomes, but different components of deprivation have different effects. When we measure deprivation using three factor scores that emerged from our analysis (rather than combining all measures of deprivation into a single index), we find that access to services has a more pronounced association with physical health, whereas racial composition and local language barriers are more strongly correlated with mental health. These findings suggest that grouping all variables into a single index may mask important heterogeneity in the ways in which area characteristics affect health outcomes.

Suggested Citation

  • Eibner, Christine & Sturm, Roland, 2006. "US-based indices of area-level deprivation: Results from HealthCare for Communities," Social Science & Medicine, Elsevier, vol. 62(2), pages 348-359, January.
    • Handle: RePEc:eee:socmed:v:62:y:2006:i:2:p:348-359
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277-9536(05)00300-X
    Download Restriction: Full text for ScienceDirect subscribers only
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Boyle, Paul & Norman, Paul & Rees, Philip, 2004. "Changing places. Do changes in the relative deprivation of areas influence limiting long-term illness and mortality among non-migrant people living in non-deprived households?," Social Science & Medicine, Elsevier, vol. 58(12), pages 2459-2471, June.
    2. Deaton, Angus & Lubotsky, Darren, 2003. "Mortality, inequality and race in American cities and states," Social Science & Medicine, Elsevier, vol. 56(6), pages 1139-1153, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Messer, Lynne C. & Vinikoor, Lisa C. & Laraia, Barbara A. & Kaufman, Jay S. & Eyster, Janet & Holzman, Claudia & Culhane, Jennifer & Elo, Irma & Burke, Jessica G. & O'Campo, Patricia, 2008. "Socioeconomic domains and associations with preterm birth," Social Science & Medicine, Elsevier, vol. 67(8), pages 1247-1257, October.
    2. Peter Congdon, 2011. "The Spatial Pattern of Suicide in the US in Relation to Deprivation, Fragmentation and Rurality," Urban Studies, Urban Studies Journal Limited, vol. 48(10), pages 2101-2122, August.
    3. Seaman, Rosie & Riffe, Tim & Leyland, Alastair H. & Popham, Frank & van Raalte, Alyson, 2019. "The increasing lifespan variation gradient by area-level deprivation: A decomposition analysis of Scotland 1981–2011," Social Science & Medicine, Elsevier, vol. 230(C), pages 147-157.
    4. Weden, Margaret M. & Carpiano, Richard M. & Robert, Stephanie A., 2008. "Subjective and objective neighborhood characteristics and adult health," Social Science & Medicine, Elsevier, vol. 66(6), pages 1256-1270, March.
    5. Ophélie Merville & Ludivine Launay & Olivier Dejardin & Quentin Rollet & Joséphine Bryère & Élodie Guillaume & Guy Launoy, 2022. "Can an Ecological Index of Deprivation Be Used at the Country Level? The Case of the French Version of the European Deprivation Index (F-EDI)," IJERPH, MDPI, vol. 19(4), pages 1-15, February.
    6. Debrand, Thierry & Pierre, Aurélie & Allonier, Caroline & Lucas-Gabrielli, Véronique, 2012. "Critical urban areas, deprived areas and neighbourhood effects on health in France," Health Policy, Elsevier, vol. 105(1), pages 92-101.
    7. Havard, Sabrina & Deguen, Séverine & Bodin, Julie & Louis, Karine & Laurent, Olivier & Bard, Denis, 2008. "A small-area index of socioeconomic deprivation to capture health inequalities in France," Social Science & Medicine, Elsevier, vol. 67(12), pages 2007-2016, December.
    8. Carpiano, Richard M. & Lloyd, Jennifer E.V. & Hertzman, Clyde, 2009. "Concentrated affluence, concentrated disadvantage, and children's readiness for school: A population-based, multi-level investigation," Social Science & Medicine, Elsevier, vol. 69(3), pages 420-432, August.
    9. Lumbwe Chola & Olufunke Alaba, 2013. "Association of Neighbourhood and Individual Social Capital, Neighbourhood Economic Deprivation and Self-Rated Health in South Africa – a Multi-Level Analysis," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-9, July.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Francesco Andreoli & Eugenio Peluso, 2016. "So close yet so unequal: Reconsidering spatial inequality in U.S. cities," Working Papers 21/2016, University of Verona, Department of Economics.
    2. Alaimo, Leonardo Salvatore & Ivaldi, Enrico & Landi, Stefano & Maggino, Filomena, 2022. "Measuring and evaluating socio-economic inequality in small areas: An application to the urban units of the Municipality of Genoa," Socio-Economic Planning Sciences, Elsevier, vol. 83(C).
    3. Vellore Arthi & James Fenske, 2018. "Polygamy and child mortality: Historical and modern evidence from Nigeria’s Igbo," Review of Economics of the Household, Springer, vol. 16(1), pages 97-141, March.
    4. Irakli Japaridze & Nagham Sayour, 2021. "Dying from envy: The role of inequality," Health Economics, John Wiley & Sons, Ltd., vol. 30(6), pages 1374-1392, June.
    5. Zhang, Xin & Zhang, Xiaobo & Chen, Xi, 2017. "Happiness in the air: How does a dirty sky affect mental health and subjective well-being?," Journal of Environmental Economics and Management, Elsevier, vol. 85(C), pages 81-94.
    6. Coast, Joanna, 2018. "A history that goes hand in hand: Reflections on the development of health economics and the role played by Social Science & Medicine, 1967–2017," Social Science & Medicine, Elsevier, vol. 196(C), pages 227-232.
    7. Samuel Bowles & Rajiv Sethi, 2006. "Social Segregation and the Dynamics of Group Inequality," UMASS Amherst Economics Working Papers 2006-02, University of Massachusetts Amherst, Department of Economics.
    8. Angus S. Deaton & Christina Paxson, 2004. "Mortality, Income, and Income Inequality over Time in Britain and the United States," NBER Chapters, in: Perspectives on the Economics of Aging, pages 247-286, National Bureau of Economic Research, Inc.
    9. Samuel Bowles & Glenn C. Loury & Rajiv Sethi, 2014. "Group Inequality," Journal of the European Economic Association, European Economic Association, vol. 12(1), pages 129-152, February.
    10. Beaudry, Paul & Green, David A. & Sand, Benjamin M., 2014. "Spatial equilibrium with unemployment and wage bargaining: Theory and estimation," Journal of Urban Economics, Elsevier, vol. 79(C), pages 2-19.
    11. Ethan Lewis, 2004. "How did the Miami labor market absorb the Mariel immigrants?," Working Papers 04-3, Federal Reserve Bank of Philadelphia.
    12. Angus Deaton, 2003. "Health, Inequality, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 113-158, March.
    13. Paul Beaudry & David A. Green & Ben M. Sand, 2018. "In Search of Labor Demand," American Economic Review, American Economic Association, vol. 108(9), pages 2714-2757, September.
    14. Amitabh Chandra, 2009. "Comment on "Health and Well-Being in Udaipur and South Africa"," NBER Chapters, in: Developments in the Economics of Aging, pages 350-358, National Bureau of Economic Research, Inc.
    15. Lee, Matthew R., 2010. "The protective effects of civic communities against all-cause mortality," Social Science & Medicine, Elsevier, vol. 70(11), pages 1840-1846, June.
    16. Böckerman, Petri & Johansson, Edvard & Helakorpi, Satu & Uutela, Antti, 2007. "Economic Inequality and Health: Looking Beyond Aggregate Indicators," Discussion Papers 1104, The Research Institute of the Finnish Economy.
    17. Chen, Zhuo & Gotway Crawford, Carol A., 2012. "The role of geographic scale in testing the income inequality hypothesis as an explanation of health disparities," Social Science & Medicine, Elsevier, vol. 75(6), pages 1022-1031.
    18. Wencong Cai & Yuanjie Deng & Qiangqiang Zhang & Haiyu Yang & Xuexi Huo, 2021. "Does Income Inequality Impair Health? Evidence from Rural China," Agriculture, MDPI, vol. 11(3), pages 1-18, March.
    19. Raffaele Lagravinese & Paolo Liberati & Giuliano Resce, 2017. "Exploring health outcomes by stochastic multi-objective acceptability analysis: an application to Italian regions," Working Papers. Collection B: Regional and sectoral economics 1703, Universidade de Vigo, GEN - Governance and Economics research Network.
    20. Ram, Rati, 2005. "Income inequality, poverty, and population health: Evidence from recent data for the United States," Social Science & Medicine, Elsevier, vol. 61(12), pages 2568-2576, December.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:62:y:2006:i:2:p:348-359. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.