Concordance between Individual vs. Area-Level Socioeconomic Measures in an Urban Setting

被引：33

作者：

Narla, Nirmala P. ^{[1
]}

Pardo-Crespo, Maria R. ^{[2
]}

Beebe, Timothy J. ^{[3
]}

Sloan, Jeff ^{[3
]}

Yawn, Barbara ^{[4
,5
,6
]}

Williams, Arthur R. ^{[3
,7
,8
]}

Juhn, Young J.

机构：

[1] Mayo Clin, Mayo Med Sch, Rochester, MN 55905 USA

[2] Mayo Clin, Dept Pediat & Adolescent Med, Rochester, MN 55905 USA

[3] Mayo Clin, Dept Hlth Sci Res, Rochester, MN 55905 USA

[4] George Mason Univ, Coll Hlth & Human Serv, Hlth Adm & Policy, Fairfax, VA 22030 USA

[5] James A Haley VA Med Ctr, Ctr Innovat Disabil & Rehabil Res, Tampa, FL USA

[6] Olmsted Med Ctr, Dept Res, Rochester, MN USA

[7] Mayo Clin, Dept Internal Med, Rochester, MN 55905 USA

[8] Mayo Clin, Dept Pediat & Adolescent Med, Rochester, MN 55905 USA

来源：

JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED | 2015年 / 26卷 / 04期

关键词：

Birth weight; smoking; socioeconomic status; research methods; LOW-BIRTH-WEIGHT; CARDIOVASCULAR HEALTH; INCOME MEASURES; RISK-FACTORS; NEIGHBORHOOD; POPULATION; CHILDREN; DISEASE; OVERWEIGHT; CHILDHOOD;

D O I：

10.1353/hpu.2015.0122

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Area-level socioeconomic status (SES) measures have been used as a proxy in child health research when individual SES measures are lacking, yet little is known about their validity in an urban setting. We assessed agreement between census block-group and individual-level SES measures obtained from a caregiver telephone survey in Jackson County, Missouri. Associations with prevalence of childhood overweight (OW), low birth weight (LBW), and household smoking exposure were examined using logistic regression models. Seven hundred eighty-one households were surveyed: 49% male, 76% White, mean child age 9.4 years. We found misclassification rates of 20-35% between individual vs. area-level measures of education and income; Kappa indices ranged from 0.26-0.36 indicating poor agreement. Both SES measures showed an inverse association with LBW and smoking exposure. Area-level SES measures may reflect a construct inclusive of neighborhood resources; routine substitution of these measures should be interpreted with caution, despite similar correlations with health outcomes.

引用

页码：1157 / 1172

页数：16

共 47 条

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