A systematic review of geographic indices of disadvantage with implications for older adults.
A systematic review of geographic indices of disadvantage with implications for older adults.
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对劣势的地理指数的系统评价，对老年人的影响。
DOI：
10.1172/jci.insight.141664
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发表时间：
2021-10-22
期刊：
影响因子：
8
通讯作者：
Kind AJ
中科院分区：
文献类型：
--
作者：
Buckingham WR;Bishop L;Hooper-Lane C;Anderson B;Wolfson J;Shelton S;Kind AJ
社区一级的社会经济劣势对健康结果有着广泛的影响，尤其是对老年人。尽管劣势指数是一种广泛使用的工具，但迄今为止进行的研究尚未编纂出一套应纳入美国这些指数的标准变量。本研究的目的是对有关构建邻里劣势地理指数的文献进行系统回顾，并对这些指数中包含的关键变量进行总结和提炼。我们还试图证明这些指数在了解老年人社区水平劣势方面的效用。我们对英语文献中现有的索引进行了系统的回顾。我们确定了6021篇文章，其中130篇符合最终研究纳入标准。我们的综述在调查论文中确定了7个核心领域，包括收入、教育、住房、就业、社区结构、人口构成和健康。虽然不是普遍存在，但这些指数中最普遍的变量是教育和就业。确定这7个核心域是本综述的一个关键发现。这些领域应考虑纳入未来的邻里劣势指数，并建议至少5个领域来提高所得指数的强度。针对特定领域为构建具有卫生政策应用价值的新的美国特有的邻里劣势指数提供了一条前进的道路。这种指数对于描述生活劣势对老年人的一生影响特别有用。
Neighborhood-level socioeconomic disadvantage has wide-ranging impacts on health outcomes, particularly in older adults. Although indices of disadvantage are a widely used tool, research conducted to date has not codified a set of standard variables that should be included in these indices for the United States. The objective of this study was to conduct a systematic review of literature describing the construction of geographic indices of neighborhood-level disadvantage and to summarize and distill the key variables included in these indices. We also sought to demonstrate the utility of these indices for understanding neighborhood-level disadvantage in older adults. We conducted a systematic review of existing indices in the English-language literature. We identified 6021 articles, of which 130 met final study inclusion criteria. Our review identified 7 core domains across the surveyed papers, including income, education, housing, employment, neighborhood structure, demographic makeup, and health. Although not universally present, the most prevalent variables included in these indices were education and employment. Identifying these 7 core domains is a key finding of this review. These domains should be considered for inclusion in future neighborhood-level disadvantage indices, and at least 5 domains are recommended to improve the strength of the resulting index. Targeting specific domains offers a path forward toward the construction of a new US-specific index of neighborhood disadvantage with health policy applications. Such an index will be especially useful for characterizing the life-course impact of lived disadvantage in older adults.
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DOI：
10.1126/science.1224648
发表时间：
2012-09-21
期刊：
Science (New York, N.Y.)
影响因子：
--
作者：
Ludwig J;Duncan GJ;Gennetian LA;Katz LF;Kessler RC;Kling JR;Sanbonmatsu L
通讯作者：
Sanbonmatsu L
影响因子：
5
作者：
Wight, Richard G.;Aneshensel, Carol S.;Seeman, Teresa E.
通讯作者：
Seeman, Teresa E.
影响因子：
5.4
作者：
Wight, Richard G.;Cummings, Janet R.;Aneshensel, Carol S.
通讯作者：
Aneshensel, Carol S.
影响因子：
--
作者：
JARMAN, B
通讯作者：
JARMAN, B
影响因子：
4.9
作者：
Bazuin, Joshua Theodore;Fraser, James Curtis
通讯作者：
Fraser, James Curtis