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Developing and Validating an Individual-Level Deprivation Index for Children’s Health in France

Author

Listed:
  • Remi Laporte

    (Permanence d’Accès aux Soins de Santé Mère-Enfant, Hôpital Nord, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France
    Equipe de Recherche EA 3279 “Santé Publique, Maladies Chroniques et Qualité de Vie”, Faculté de Médecine, Aix Marseille University, 13005 Marseille, France
    Service d’Accueil des Urgences Pédiatriques, Hôpital Nord, APHM, 13005 Marseille, France)

  • Philippe Babe

    (Permanence d’Accès aux Soins de Santé Pédiatrique, Hôpitaux Pédiatriques de Nice CHU-Lenval, 06200 Nice, France
    Service d’Accueil des Urgences Pédiatriques, Hôpitaux Pédiatriques de Nice CHU-Lenval, 06200 Nice, France)

  • Elisabeth Jouve

    (Service d’Evaluation Medicale, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France)

  • Alexandre Daguzan

    (Equipe de Recherche EA 3279 “Santé Publique, Maladies Chroniques et Qualité de Vie”, Faculté de Médecine, Aix Marseille University, 13005 Marseille, France
    Service d’Evaluation Medicale, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France)

  • Franck Mazoue

    (Equipe de Recherche EA 3279 “Santé Publique, Maladies Chroniques et Qualité de Vie”, Faculté de Médecine, Aix Marseille University, 13005 Marseille, France)

  • Philippe Minodier

    (Service d’Accueil des Urgences Pédiatriques, Hôpital Nord, APHM, 13005 Marseille, France)

  • Guilhem Noel

    (Service d’Accueil des Urgences Pédiatriques, Hôpital Nord, APHM, 13005 Marseille, France)

  • Diego Urbina

    (Service d’Accueil des Urgences Pédiatriques, Hôpital Nord, APHM, 13005 Marseille, France)

  • Stephanie Gentile

    (Equipe de Recherche EA 3279 “Santé Publique, Maladies Chroniques et Qualité de Vie”, Faculté de Médecine, Aix Marseille University, 13005 Marseille, France
    Service d’Evaluation Medicale, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France)

Abstract

Background: Deprivation generates many health inequalities. This has to be taken in account to enhance appropriate access to care. This study aimed to develop and validate a pediatric individual-level index measuring deprivation, usable in clinical practice and in public health. Methods: The French Individual Child Deprivation Index (FrenChILD-Index) was designed in four phases: item generation then reduction using the literature review and expert opinions, and index derivation then validation using a cross-sectional study in two emergency departments. During these last two phases, concordance with a blinded evaluation by an expert enabled us to determine thresholds for two levels of moderate and severe deprivation. Results: The generation and reduction phases retained 13 items. These were administered to 986 children for the derivation and validation phases. In the validation phase, the final 12 items of the FrenChILD-Index showed for moderate deprivation (requiring single specific care for deprived children) a sensitivity of 96.0% [92.6; 98.7] and specificity of 68.3% [65.2; 71.4]. For severe deprivation (requiring a multidisciplinary level of care), the sensitivity was 96.3% [92.7; 100] and specificity was 91.1% [89.2; 92.9]. Conclusions: The FrenChILD-Index is the first pediatric individual-level index of deprivation validated in Europe. It enables clinical practice to address the social determinants of health and meet public health goals.

Suggested Citation

  • Remi Laporte & Philippe Babe & Elisabeth Jouve & Alexandre Daguzan & Franck Mazoue & Philippe Minodier & Guilhem Noel & Diego Urbina & Stephanie Gentile, 2022. "Developing and Validating an Individual-Level Deprivation Index for Children’s Health in France," IJERPH, MDPI, vol. 19(24), pages 1-15, December.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:24:p:16949-:d:1005982
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    References listed on IDEAS

    as
    1. Peter Saunders & Yuvisthi Naidoo, 2009. "Poverty, Deprivation and Consistent Poverty," The Economic Record, The Economic Society of Australia, vol. 85(271), pages 417-432, December.
    2. 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.
    3. Katharina Stahlmann & Emily Mena & Ronny Kuhnert & André Conrad & Gabriele Bolte, 2022. "Social Inequalities in the Association between Social Infrastructure and Mental Health: An Observational Cross-Sectional Analysis of Children and Adolescents in Germany," IJERPH, MDPI, vol. 19(11), pages 1-18, June.
    4. Sabina Alkire, 2018. "The Research Agenda on Multidimensional Poverty Measurement: Important and As-yet Unanswered Questions," OPHI Working Papers 119, Queen Elizabeth House, University of Oxford.
    5. Anastasia Zelenina & Svetlana Shalnova & Sergey Maksimov & Oksana Drapkina, 2022. "Characteristics of Composite Deprivation Indices Used in Public Health: A Scoping Review Protocol," IJERPH, MDPI, vol. 19(17), pages 1-7, August.
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