Assessment of the ecological bias of seven aggregate social deprivation indices

被引:55
作者
Bryere, Josephine [1 ]
Pornet, Carole [1 ,2 ,3 ]
Copin, Nane [4 ]
Launay, Ludivine [1 ,5 ]
Gusto, Gaelle [4 ]
Grosclaude, Pascale [6 ]
Delpierre, Cyrille [6 ,7 ]
Lang, Thierry [6 ,7 ]
Lantieri, Olivier [4 ]
Dejardin, Olivier [1 ,2 ]
Launoy, Guy [1 ,2 ,3 ]
机构
[1] INSERM UCN, Canc & Prevent U1086, Ctr Francois Baclesse, Ave Gen Harris, F-14076 Caen, France
[2] CHU Caen, Pole Rech, Ave Cote Nacre, F-14033 Caen, France
[3] Univ Caen Normandie, Esplanade Paix, F-14000 Caen, France
[4] IRSA, 45 Rue Parmentiere, F-37521 La Riche, France
[5] Ctr Francois Baclesse, Ave Gen Harris, F-14076 Caen, France
[6] Fac Med, UMR INSERM 1027, 37 Allee Jules Guesde, F-31073 Toulouse, France
[7] Univ Toulouse III Paul Sabatier, 118 Route Narbonne, F-31062 Toulouse 9, France
关键词
Ecological social deprivation indices; Social inequalities in health; Aggregate-level; Individual-level; SOCIOECONOMIC INEQUALITIES; HEALTH INEQUALITIES; SMALL AREAS; LEVEL; MORTALITY; SMOKING; CHOICE;
D O I
10.1186/s12889-016-4007-8
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: In aggregate studies, ecological indices are used to study the influence of socioeconomic status on health. Their main limitation is ecological bias. This study assesses the misclassification of individual socioeconomic status in seven ecological indices. Methods: Individual socioeconomic data for a random sample of 10,000 persons came from periodic health examinations conducted in 2006 in 11 French departments. Geographical data came from the 2007 census at the lowest geographical level available in France. The Receiver Operating Characteristics (ROC) curves, the areas under the curves (AUC) for each individual variable, and the distribution of deprived and non-deprived persons in quintiles of each aggregate score were analyzed. Results: The aggregate indices studied are quite good "proxies" for individual deprivation (AUC close to 0.7), and they have similar performance. The indices are more efficient at measuring individual income than education or occupational category and are suitable for measuring of deprivation but not affluence. Conclusions: The study inventoried the aggregate indices available in France and evaluated their assessment of individual SES.
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页数:7
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