Limitations and potential uses of census-based data on ethnicity in a diverse community

Limitations and potential uses of census-based data on ethnicity in a diverse community
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DOI:
10.1016/j.annepidem.2003.07.002
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发表时间:
2004-05-01
影响因子:
5.6
通讯作者:
Enger, S
Enger, S
中科院分区:
医学3区
文献类型:
--
作者:
Chen, WS;Petitti, DB;Enger, S

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目的:关于种族、社会经济地位和社会阶层的信息在流行病学研究和卫生保健质量的测量中具有价值,但难以获得大量人口的信息。本评估评估了基于地址地理编码的种族数据对2000年人口普查的潜在有用性。方法:我们将基于地理编码数据的种族与来自一家大型健康维护组织的住院记录和出生证明的种族进行比较。结果:在住院时记录的117,209名黑人成员中,黑人在其地理编码街区的平均百分比仅为37%。在住院时记录为亚洲人的62,661人中,亚洲人在其地理编码区域的平均百分比仅为24%。在居住在黑人占50%或以上的人口普查街区的47,328人中,81%的人在住院时被记录为黑人。在24,424人居住的人口普查区内,亚洲人占50%或以上,其中38%的人在住院时被记录为亚洲人。结论:在我们的人群中,从块水平的地理编码中获得的种族信息不能用于推断亚洲人或黑人个体的种族。(C) 2004爱思唯尔公司版权所有。
PURPOSE: Information on ethnicity, socioeconomic status, and social class has value in epidemiologic research and in measurement of the quality of health care but it is difficult to obtain for large populations. This evaluation assessed the potential usefulness of ethnicity data based on address geocoding to the 2000 census.METHODS: We compared ethnicity based on the geocoding data with ethnicity from hospitalization records and birth certificates of a large health maintenance organization.RESULTS: Of 117,209 members with black ethnicity recorded at the time of a hospitalization, the mean percentage of blacks in their geocoded block was only 37%. Among the 62,661 individuals recorded as Asian at the time of a hospitalization, the mean percentage of Asians in their geocoded block was only 24%. Among the 47,328 individuals who lived in a census block that had 50% or more blacks, 81% were recorded as black at the time of a hospitalization. Among the 24,424 individuals who lived in a census block that had 50% or more Asians, 38% were recorded as being Asian at the time of a hospitalization.CONCLUSIONS: In our population, information on ethnicity derived from geocoding at the block level cannot be used to infer the ethnicity of Asian or black individuals. (C) 2004 Elsevier Inc. All rights reserved.