IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i23p12275-d685618.html
   My bibliography  Save this article

Inequalities in Health: Methodological Approaches to Spatial Differentiation

Author

Listed:
  • Dana Hübelová

    (Department of Social Studies, Faculty of Regional Development and International Studies, Mendel University in Brno, 613 00 Brno, Czech Republic)

  • Martina Kuncová

    (Department of Economic Studies, College of Polytechnics Jihlava, 586 01 Jihlava, Czech Republic)

  • Hana Vojáčková

    (Department of Technical Studies, College of Polytechnics Jihlava, 586 01 Jihlava, Czech Republic)

  • Jitka Coufalová

    (Department of Development, City Municipality of Břeclav, 690 02 Břeclav, Czech Republic)

  • Alice Kozumplíková

    (Department of Environmental Studies, Faculty of Regional Development and International Studies, Mendel University in Brno, 613 00 Brno, Czech Republic)

  • Francois Stefanus Lategan

    (Department of Regional and Business Economics, Faculty of Regional Development and International Studies, Mendel University in Brno, 613 00 Brno, Czech Republic)

  • Beatrice-Elena Chromková Manea

    (Department of Social Studies, Faculty of Regional Development and International Studies, Mendel University in Brno, 613 00 Brno, Czech Republic)

Abstract

The prevalence of inequalities in the general health position of communities can be assessed by using selected determinants. The aims of this article are three-fold: (1) to apply a comprehensive approach to the assessment of inequalities in the general health position of communities, (2) to determine the spatial differentiation of determinants, and (3) to present selected assessment methods and their impact on the results. To present a quantitative assessment of these inequalities in health status in communities, a composite indicator (Health Index) was developed. This Health Index is composed of 8 areas of evaluation and 60 indicators which include, amongst others, determinants of health status and healthcare at district level (LAU 1) in the Czech Republic. The data are evaluated using multicriteria decision-making methods (the WSA and TOPSIS methods). Findings suggest that, when all eight domains are assigned the same weight of one, the spatial differentiation among the districts is similar when using both methods. If different weightings are assigned to the districts, changes occur in both the index values and the rankings of the analyzed districts. For example, the allocation of weightings in both methods results in a rearrangement of the ranking of districts for which the Health Index is around the average.

Suggested Citation

  • Dana Hübelová & Martina Kuncová & Hana Vojáčková & Jitka Coufalová & Alice Kozumplíková & Francois Stefanus Lategan & Beatrice-Elena Chromková Manea, 2021. "Inequalities in Health: Methodological Approaches to Spatial Differentiation," IJERPH, MDPI, vol. 18(23), pages 1-21, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:23:p:12275-:d:685618
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/23/12275/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/18/23/12275/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Lopez, Russ, 2004. "Income inequality and self-rated health in US metropolitan areas: A multi-level analysis," Social Science & Medicine, Elsevier, vol. 59(12), pages 2409-2419, December.
    2. Fink, A. & Kosecoff, J. & Chassin, M. & Brook, R.H., 1984. "Consensus methods: Characteristics and guidelines for use," American Journal of Public Health, American Public Health Association, vol. 74(9), pages 979-983.
    3. Alireza Alinezhad & Javad Khalili, 2019. "New Methods and Applications in Multiple Attribute Decision Making (MADM)," International Series in Operations Research and Management Science, Springer, number 978-3-030-15009-9.
    4. Lucia Bosakova & Katarina Rosicova & Daniela Filakovska Bobakova & Martin Rosic & Dagmar Dzurova & Hynek Pikhart & Michala Lustigova & Paula Santana, 2019. "Mortality in the Visegrad countries from the perspective of socioeconomic inequalities," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(3), pages 365-376, April.
    5. Leonid Azarnert, 2006. "Child mortality, fertility, and human capital accumulation," Journal of Population Economics, Springer;European Society for Population Economics, vol. 19(2), pages 285-297, June.
    6. Raffaele Lagravinese & Paolo Liberati & Giuliano Resce, 2020. "Measuring Health Inequality in US: A Composite Index Approach," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 147(3), pages 921-946, February.
    7. Woolf, S.H. & Johnson, R.E. & Phillips Jr., R.L. & Philipsen, M., 2007. "Giving everyone the health of the educated: An examination of whether social change would save more lives than medical advances," American Journal of Public Health, American Public Health Association, vol. 97(4), pages 679-683.
    8. repec:dau:papers:123456789/10510 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    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. Olga Bogdanov & Veljko Jeremiæ & Sandra Jednak & Mladen Èudanov, 2019. "Scrutinizing the Smart City Index: a multivariate statistical approach," Zbornik radova Ekonomskog fakulteta u Rijeci/Proceedings of Rijeka Faculty of Economics, University of Rijeka, Faculty of Economics and Business, vol. 37(2), pages 777-799.
    2. Okada, Keisuke, 2012. "The effects of female HIV/AIDS status on fertility and child health in Cambodia," Journal of Asian Economics, Elsevier, vol. 23(5), pages 560-570.
    3. Azarnert, Leonid V., 2010. "Immigration, fertility, and human capital: A model of economic decline of the West," European Journal of Political Economy, Elsevier, vol. 26(4), pages 431-440, December.
    4. Hossein Yousefi & Mohammad Hasan Ghodusinejad & Armin Ghodrati, 2022. "Multi-Criteria Future Energy System Planning and Analysis for Hot Arid Areas of Iran," Energies, MDPI, vol. 15(24), pages 1-25, December.
    5. Peter Lorentzen & John McMillan & Romain Wacziarg, 2008. "Death and development," Journal of Economic Growth, Springer, vol. 13(2), pages 81-124, June.
    6. Hossein Yousefi & Saheb Ghanbari Motlagh & Mohammad Montazeri, 2022. "Multi-Criteria Decision-Making System for Wind Farm Site-Selection Using Geographic Information System (GIS): Case Study of Semnan Province, Iran," Sustainability, MDPI, vol. 14(13), pages 1-27, June.
    7. Shannon Li & Anne Honey & Francesca Coniglio & Peter Schaecken, 2022. "Mental Health Peer Worker Perspectives on Resources Developed from Lived Experience Research Findings: A Delphi Study," IJERPH, MDPI, vol. 19(7), pages 1-15, March.
    8. Masood Gheasi & Noriko Ishikawa & Karima Kourtit & Peter Nijkamp, 2019. "A meta-analysis of human health differences in urban and rural environments," Letters in Spatial and Resource Sciences, Springer, vol. 12(3), pages 167-186, December.
    9. Otrachshenko, Vladimir & Popova, Olga & Solomin, Pavel, 2017. "Health Consequences of the Russian Weather," Ecological Economics, Elsevier, vol. 132(C), pages 290-306.
    10. Carmen Camacho & Fernanda Estevan, 2023. "Intergeneration Human Capital Transmission and Poverty Traps," PSE Working Papers halshs-04075431, HAL.
    11. Kasuga, Hidefumi & Morita, Yuichi, 2022. "The health gap and its effect on economic outcomes," Journal of Macroeconomics, Elsevier, vol. 74(C).
    12. Lucia Bosakova & Andrea Madarasova Geckova & Jitse P. van Dijk & Sijmen A. Reijneveld, 2019. "Increased Employment for Segregated Roma May Improve Their Health: Outcomes of a Public–Private Partnership Project," IJERPH, MDPI, vol. 16(16), pages 1-14, August.
    13. Mohammed Ifkirne & Houssam El Bouhi & Siham Acharki & Quoc Bao Pham & Abdelouahed Farah & Nguyen Thi Thuy Linh, 2022. "Multi-Criteria GIS-Based Analysis for Mapping Suitable Sites for Onshore Wind Farms in Southeast France," Land, MDPI, vol. 11(10), pages 1-26, October.
    14. Azarnert, Leonid V., 2018. "Refugee resettlement, redistribution and growth," European Journal of Political Economy, Elsevier, vol. 54(C), pages 89-98.
    15. Wight, Richard G. & Cummings, Janet R. & Miller-Martinez, Dana & Karlamangla, Arun S. & Seeman, Teresa E. & Aneshensel, Carol S., 2008. "A multilevel analysis of urban neighborhood socioeconomic disadvantage and health in late life," Social Science & Medicine, Elsevier, vol. 66(4), pages 862-872, February.
    16. Filoso, Valerio & Papagni, Erasmo, 2015. "Fertility choice and financial development," European Journal of Political Economy, Elsevier, vol. 37(C), pages 160-177.
    17. Strulik, Holger & Weisdorf, Jacob, 2008. "Birth, Death, and Development: A Simple Unified Growth Theory," Hannover Economic Papers (HEP) dp-412, Leibniz Universität Hannover, Wirtschaftswissenschaftliche Fakultät.
    18. Martina Kuncova & Jana Seknickova, 2022. "Two-stage weighted PROMETHEE II with results’ visualization," Central European Journal of Operations Research, Springer;Slovak Society for Operations Research;Hungarian Operational Research Society;Czech Society for Operations Research;Österr. Gesellschaft für Operations Research (ÖGOR);Slovenian Society Informatika - Section for Operational Research;Croatian Operational Research Society, vol. 30(2), pages 547-571, June.
    19. Máté Sándor Deák & Gábor Csató & György Pápai & Viktor Dombrádi & Attila Nagy & Csilla Nagy & Attila Juhász & Klára Bíró, 2021. "Investigating the Geographic Disparities of Amenable Mortality and Related Ambulance Services in Hungary," IJERPH, MDPI, vol. 18(3), pages 1-8, January.
    20. Luis Angeles, 2010. "Demographic transitions: analyzing the effects of mortality on fertility," Journal of Population Economics, Springer;European Society for Population Economics, vol. 23(1), pages 99-120, January.

    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:gam:jijerp:v:18:y:2021:i:23:p:12275-:d:685618. 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: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    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.