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A small-area index of socioeconomic deprivation to capture health inequalities in France

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  • Havard, Sabrina
  • Deguen, Séverine
  • Bodin, Julie
  • Louis, Karine
  • Laurent, Olivier
  • Bard, Denis

Abstract

In the absence of individual data, ecological or contextual measures of socioeconomic level are frequently used to describe social inequalities in health. This work focuses on the methodological aspects of the development and validation of a French small-area index of socioeconomic deprivation and its application to the evaluation of the socioeconomic differentials in health outcomes. This index was derived from a principal component analysis of 1999 national census data from the Strasbourg metropolitan area in eastern France, at the census block level. Composed of 19 variables that reflect the multiple aspects of socioeconomic status (income, employment, housing, family and household, and educational level), it can discriminate disadvantaged urban centres from more privileged rural and suburban areas. Several statistical tests (Cronbach's alpha coefficient, convergent validity tests with other deprivation indices from the literature) provided internal and external validation. Its successful application to another French metropolitan area (Lille, in northern France) confirmed its transposability. Finally, its capacity to capture the social inequalities in health when applied to myocardial infarction data shows its potential value. This study thus provides a new tool in French public health research for characterising neighbourhood deprivation and detecting socioeconomic disparities in the distribution of health outcomes at the small-area level.

Suggested Citation

  • 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.
    • Handle: RePEc:eee:socmed:v:67:y:2008:i:12:p:2007-2016
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    1. Tello, Juan Eduardo & Jones, Julia & Bonizzato, Paola & Mazzi, Mariangela & Amaddeo, Francesco & Tansella, Michele, 2005. "A census-based socio-economic status (SES) index as a tool to examine the relationship between mental health services use and deprivation," Social Science & Medicine, Elsevier, vol. 61(10), pages 2096-2105, November.
    2. Winkleby, M.A. & Jatulis, D.E. & Frank, E. & Fortmann, S.P., 1992. "Socioeconomic status and health: How education, income, and occupation contribute to risk factors for cardiovascular disease," American Journal of Public Health, American Public Health Association, vol. 82(6), pages 816-820.
    3. 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.
    4. Gilthorpe, Mark S. & Wilson, Richard C., 2003. "Rural/urban differences in the association between deprivation and healthcare utilisation," Social Science & Medicine, Elsevier, vol. 57(11), pages 2055-2063, December.
    5. Juhn, Young J. & Sauver, Jennifer St. & Katusic, Slavica & Vargas, Delfino & Weaver, Amy & Yunginger, John, 2005. "The influence of neighborhood environment on the incidence of childhood asthma: a multilevel approach," Social Science & Medicine, Elsevier, vol. 60(11), pages 2453-2464, June.
    6. Nordstrom, Cheryl K. & Diez Roux, Ana V. & Jackson, Sharon A. & Gardin, Julius M., 2004. "The association of personal and neighborhood socioeconomic indicators with subclinical cardiovascular disease in an elderly cohort. The cardiovascular health study," Social Science & Medicine, Elsevier, vol. 59(10), pages 2139-2147, November.
    7. Lembke B., 1918. "√ a. p," Journal of Economics and Statistics (Jahrbuecher fuer Nationaloekonomie und Statistik), De Gruyter, vol. 111(1), pages 709-712, February.
    8. Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1998. "Context, composition and heterogeneity: Using multilevel models in health research," Social Science & Medicine, Elsevier, vol. 46(1), pages 97-117, January.
    9. Diez-Roux, A.V., 1998. "Bringing context back into epidemiology: Variables and fallacies in multilevel analysis," American Journal of Public Health, American Public Health Association, vol. 88(2), pages 216-222.
    10. Linda Lasbeur & Monique Kaminski & Pierre-Yves Ancel & Christiane Du Mazaubrun & Jennifer Zeitlin & Jennifer Zeitlin, 2006. "Analyser les inégalités socio-économiques de santé à partir des données du recensement. L'exemple de la grande prématurité à Paris-Petite couronne," Population (french edition), Institut National d'Études Démographiques (INED), vol. 61(4), pages 567-584.
    11. Niggebrugge, Aphrodite & Haynes, Robin & Jones, Andrew & Lovett, Andrew & Harvey, Ian, 2005. "The index of multiple deprivation 2000 access domain: a useful indicator for public health?," Social Science & Medicine, Elsevier, vol. 60(12), pages 2743-2753, June.
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