Segmenting citizens according to their self-sufficiency: A tool for local government

被引:0
作者
Fluit, Marleen [1 ]
Bortolotti, Thomas [1 ]
Broekhuis, Manda [1 ]
van Teerns, Mayan [2 ]
机构
[1] Univ Groningen, Dept Operat Management, POB 800, NL-9700 AV Groningen, Netherlands
[2] Municipal Groningen, Onderzoek Informatie Stat, PO 30026, NL-9700 RM Groningen, Netherlands
关键词
Self-sufficiency; Demand-driven services; Health interventions; Prevention; Latent class analysis; LATENT CLASS; SOCIAL DETERMINANTS; MIXTURE-MODELS; HEALTH; CARE; SEGMENTATION;
D O I
10.1016/j.socscimed.2023.116246
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Identifying subgroups of citizens with varying levels of self-sufficiency in a large local or regional population provides local government with essential input for providing matching services and well-grounded spending of health and well-being expenditures. This paper identifies self-sufficiency levels of citizens by segmenting a broad adult population. We used data from a citizen survey based on a randomly selected response group containing questions on a wide range of topics, including finances, health and living conditions, and complemented these data with registration data, including information on housing type and household composition. We conducted a latent class cluster analysis using six indicators: perception of making ends meet, perceived health, quality of life, self efficacy, access to social support and social network. High scores on the indicators translate to high levels of selfsufficiency. We used a biased-adjusted, three-step approach to characterise the segments. Six meaningful segments were identified and labelled as 'highly self-sufficient,' 'self-sufficient - medium access to social support,' 'self-sufficient - medium self-efficacy,' 'moderately self-sufficient - low self-efficacy & high social network,' 'moderately self-sufficient - low access to social support/social network & high perceived health' and 'not selfsufficient.' At a macro level, perception of making ends meet and quality of life have discriminating value in assessing self-sufficiency. For a more detailed differentiation between groups with similar levels of selfsufficiency, perceived health, self-efficacy, access to social support, and social network are valuable indicators. Overall, this study introduces a comprehensive tool to assess self-sufficiency in larger groups of citizens by using a parsimonious number of indicators. Local and regional governments can apply this tool to effectively assess the self-sufficiency levels of their population and signal potentially vulnerable groups. In this way, the tool makes the identification of self-sufficiency levels of larger populations more feasible and more efficient and can be widely adopted in different contexts.
引用
收藏
页数:8
相关论文
共 43 条
  • [1] THE THEORY OF PLANNED BEHAVIOR
    AJZEN, I
    [J]. ORGANIZATIONAL BEHAVIOR AND HUMAN DECISION PROCESSES, 1991, 50 (02) : 179 - 211
  • [2] Integration and collaboration in public health - a conceptual framework
    Axelsson, R
    Axelsson, SB
    [J]. INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, 2006, 21 (01) : 75 - 88
  • [3] ESTIMATING THE ASSOCIATION BETWEEN LATENT CLASS MEMBERSHIP AND EXTERNAL VARIABLES USING BIAS-ADJUSTED THREE-STEP APPROACHES
    Bakk, Zsuzsa
    Tekle, Fetene B.
    Vermunt, Jeroen K.
    [J]. SOCIOLOGICAL METHODOLOGY 2013, VOL 43, 2013, 43 : 272 - 311
  • [4] Psychometric properties of self-sufficiency assessment tools in adolescents in vocational education
    Rienke Bannink
    Suzanne Broeren
    Jurriën Heydelberg
    Els van’t Klooster
    Hein Raat
    [J]. BMC Psychology, 3 (1)
  • [5] Urban Planning for Healthy Cities A Review of the Progress of the European Healthy Cities Programme
    Barton, Hugh
    Grant, Marcus
    [J]. JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE, 2013, 90 : S129 - S141
  • [6] The Social Determinants of Health: It's Time to Consider the Causes of the Causes
    Braveman, Paula
    Gottlieb, Laura
    [J]. PUBLIC HEALTH REPORTS, 2014, 129 : 19 - 31
  • [7] Patterns of Collaboration among Health Care and Social Services Providers in Communities with Lower Health Care Utilization and Costs
    Brewster, Amanda L.
    Brault, Marie A.
    Tan, Annabel X.
    Curry, Leslie A.
    Bradley, Elizabeth H.
    [J]. HEALTH SERVICES RESEARCH, 2018, 53 : 2892 - 2909
  • [8] Action on the social determinants of health: Views from inside the policy process
    Carey, Gemma
    Crammond, Brad
    [J]. SOCIAL SCIENCE & MEDICINE, 2015, 128 : 134 - 141
  • [9] Linking health education, civic engagement, and research at a large Federally Qualified Health Center to address health disparities
    Chinchilla, Melissa
    Montiel, Gloria Itzel
    Jolles, Monica Perez
    Lomeli, Matthew Charles
    Wong, Carolyn F.
    Escaron, Anne Laure
    Gonzalez-Figueroa, Evelyn
    Garcia, Joanna
    Valencia, Aisli Briceida
    Kadono, Mika
    Acosta, Arturo
    Martinez, Corina
    Herrera, Ana Laura
    Sonik, Rajan Anthony
    [J]. HEALTH SERVICES RESEARCH, 2022, 57 : 105 - 110
  • [10] Psychometric properties of the self-sufficiency matrix among homeless and vulnerably housed individuals and families
    Cummings, Camilla
    Brown, Molly
    [J]. JOURNAL OF COMMUNITY PSYCHOLOGY, 2019, 47 (04) : 979 - 994