IDEAS home Printed from https://ideas.repec.org/a/spr/jknowl/v9y2018i4d10.1007_s13132-016-0416-2.html
   My bibliography  Save this article

Comparing Individual and Area-Based Socioeconomic Measures for Monitoring Social Health Inequalities in Tunisia

Author

Listed:
  • Moheddine Younsi

    (University of Gafsa
    Department of Economics and Quantitative Methods)

  • Mohamed Chakroun

    (Saudi Electronic University)

Abstract

To monitor social health inequalities in Tunisia, this study investigates the influence of socioeconomic measures on health over the period of 2001 to 2013. We construct the material and social deprivation indices for each geographical area by applying principle component method on the major proxies of material and social deprivation. The empirical results indicate that life expectancy and disability-free life expectancy gaps between the groups at the ends of the advantaged-disadvantaged continuum are much greater when measured at the individual level. This applies to the population as a whole, to men and women, and to each area-based. Both versions of the index are associated with inequalities in mortality and disability, independent of each other. These findings suggest that material and social deprivation contributes independently to mortality and disability. This contribution increases gradually with the level of deprivation index. The present study may guide policy-makers in formulating conclusive public policies in future plantings to reduce social health inequalities in Tunisia.

Suggested Citation

  • Moheddine Younsi & Mohamed Chakroun, 2018. "Comparing Individual and Area-Based Socioeconomic Measures for Monitoring Social Health Inequalities in Tunisia," Journal of the Knowledge Economy, Springer;Portland International Center for Management of Engineering and Technology (PICMET), vol. 9(4), pages 1270-1290, December.
    • Handle: RePEc:spr:jknowl:v:9:y:2018:i:4:d:10.1007_s13132-016-0416-2
    DOI: 10.1007/s13132-016-0416-2
    as

    Download full text from publisher

    File URL: http://link.springer.com/10.1007/s13132-016-0416-2
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.
    File URL: https://libkey.io/10.1007/s13132-016-0416-2?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    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. Krieger, N., 1992. "Overcoming the absence of socioeconomic data in medical records: Validation and application of a census-based methodology," American Journal of Public Health, American Public Health Association, vol. 82(5), pages 703-710.
    2. Diez Roux, A.V., 2001. "Investigating neighborhood and area effects on health," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1783-1789.
    3. Macintyre, Sally & Ellaway, Anne & Cummins, Steven, 2002. "Place effects on health: how can we conceptualise, operationalise and measure them?," Social Science & Medicine, Elsevier, vol. 55(1), pages 125-139, July.
    4. Rehkopf, D.H. & Haughton, L.T. & Chen, J.T. & Waterman, P.D. & Subramanian, S.V. & Krieger, N., 2006. "Monitoring socioeconomic disparities in death: Comparing individual-level education and area-based socioeconomic measures," American Journal of Public Health, American Public Health Association, vol. 96(12), pages 2135-2138.
    5. Senior, Martyn & Williams, Huw & Higgs, Gary, 2000. "Urban-rural mortality differentials: controlling for material deprivation," Social Science & Medicine, Elsevier, vol. 51(2), pages 289-305, July.
    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. Faysal Kabir Shuvo & Soumya Mazumdar & S. M. Labib, 2021. "Walkability and Greenness Do Not Walk Together: Investigating Associations between Greenness and Walkability in a Large Metropolitan City Context," IJERPH, MDPI, vol. 18(9), pages 1-15, April.

    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. Stafford, Mai & Duke-Williams, Oliver & Shelton, Nicola, 2008. "Small area inequalities in health: Are we underestimating them?," Social Science & Medicine, Elsevier, vol. 67(6), pages 891-899, September.
    2. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    3. Eleonore M Veldhuizen & Karien Stronks & Anton E Kunst, 2013. "Assessing Associations between Socio-Economic Environment and Self-Reported Health in Amsterdam Using Bespoke Environments," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-10, July.
    4. Clarke, Christina A. & Miller, Tim & Chang, Ellen T. & Yin, Daixin & Cockburn, Myles & Gomez, Scarlett L., 2010. "Racial and social class gradients in life expectancy in contemporary California," Social Science & Medicine, Elsevier, vol. 70(9), pages 1373-1380, May.
    5. Elena Pirani & Silvana Salvini, 2012. "Place of living and health inequality: a study for elderly Italians," Statistical Methods & Applications, Springer;Società Italiana di Statistica, vol. 21(2), pages 211-226, June.
    6. Masayoshi Oka, 2022. "Census-Tract-Level Median Household Income and Median Family Income Estimates: A Unidimensional Measure of Neighborhood Socioeconomic Status?," IJERPH, MDPI, vol. 20(1), pages 1-23, December.
    7. Cannuscio, Carolyn C. & Weiss, Eve E. & Fruchtman, Hannah & Schroeder, Jeannette & Weiner, Janet & Asch, David A., 2009. "Visual epidemiology: Photographs as tools for probing street-level etiologies," Social Science & Medicine, Elsevier, vol. 69(4), pages 553-564, August.
    8. Bécares, Laia & Nazroo, James & Albor, Christo & Chandola, Tarani & Stafford, Mai, 2012. "Examining the differential association between self-rated health and area deprivation among white British and ethnic minority people in England," Social Science & Medicine, Elsevier, vol. 74(4), pages 616-624.
    9. 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.
    10. Bouchard, Louise & Albertini, Marcelo & Batista, Ricardo & de Montigny, Joanne, 2015. "Research on health inequalities: A bibliometric analysis (1966–2014)," Social Science & Medicine, Elsevier, vol. 141(C), pages 100-108.
    11. Rainham, Daniel & McDowell, Ian & Krewski, Daniel & Sawada, Mike, 2010. "Conceptualizing the healthscape: Contributions of time geography, location technologies and spatial ecology to place and health research," Social Science & Medicine, Elsevier, vol. 70(5), pages 668-676, March.
    12. Katarina Lokar & Tina Zagar & Vesna Zadnik, 2019. "Estimation of the Ecological Fallacy in the Geographical Analysis of the Association of Socio-Economic Deprivation and Cancer Incidence," IJERPH, MDPI, vol. 16(3), pages 1-18, January.
    13. Arcaya, Mariana C. & Tucker-Seeley, Reginald D. & Kim, Rockli & Schnake-Mahl, Alina & So, Marvin & Subramanian, S.V., 2016. "Research on neighborhood effects on health in the United States: A systematic review of study characteristics," Social Science & Medicine, Elsevier, vol. 168(C), pages 16-29.
    14. Etsuji Suzuki & Saori Kashima & Ichiro Kawachi & S V Subramanian, 2012. "Geographic Inequalities in All-Cause Mortality in Japan: Compositional or Contextual?," PLOS ONE, Public Library of Science, vol. 7(6), pages 1-12, June.
    15. Jamie Pearce & Karen Witten & Rosemary Hiscock & Tony Blakely, 2008. "Regional and Urban–Rural Variations in the Association of Neighbourhood Deprivation with Community Resource Access: A National Study," Environment and Planning A, , vol. 40(10), pages 2469-2489, October.
    16. Adrian E. Ghenadenik & Katherine L. Frohlich & Lise Gauvin, 2016. "Beyond Smoking Prevalence: Exploring the Variability of Associations between Neighborhood Exposures across Two Nested Spatial Units and Two-Year Smoking Trajectory among Young Adults," IJERPH, MDPI, vol. 13(1), pages 1-18, January.
    17. De Clercq, B. & Vyncke, V. & Hublet, A. & Elgar, F.J. & Ravens-Sieberer, U. & Currie, C. & Hooghe, M. & Ieven, A. & Maes, L., 2012. "Social capital and social inequality in adolescents’ health in 601 Flemish communities: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 74(2), pages 202-210.
    18. Petteway, Ryan J. & Mujahid, Mahasin & Allen, Amani & Morello-Frosch, Rachel, 2019. "The body language of place: A new method for mapping intergenerational “geographies of embodiment” in place-health research," Social Science & Medicine, Elsevier, vol. 223(C), pages 51-63.
    19. Zick, Cathleen D. & Smith, Ken R. & Fan, Jessie X. & Brown, Barbara B. & Yamada, Ikuho & Kowaleski-Jones, Lori, 2009. "Running to the Store? The relationship between neighborhood environments and the risk of obesity," Social Science & Medicine, Elsevier, vol. 69(10), pages 1493-1500, November.
    20. Wen, Ming & Hawkley, Louise C. & Cacioppo, John T., 2006. "Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois," Social Science & Medicine, Elsevier, vol. 63(10), pages 2575-2590, November.

    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:spr:jknowl:v:9:y:2018:i:4:d:10.1007_s13132-016-0416-2. 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: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.springer.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.