Measuring disadvantage: Changes in the underprivileged area, Townsend, and Carstairs scores 1981-91
Measuring disadvantage: Changes in the underprivileged area, Townsend, and Carstairs scores 1981-91
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DOI：
10.1136/jech.49.suppl_2.s30
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发表时间：
1995-12-01
影响因子：
6.3
通讯作者：
Hart, D
中科院分区：
文献类型：
--
作者：
Dolan, SA;Jarman, B;Hart, D
目的-比较1981年和1991年人口普查数据计算的每个贫困地区(UPA)、汤森德和卡斯泰尔分数的普查间变化。设置-英格兰和瓦尔斯。方法-所描述的方法能够比较从归一化变量得出的综合分数的变化，例如UPA、汤森德和卡斯泰尔分数。根据1981年选举选区平均值和SD值的相同基线计算人口普查得出的等值变量的全国数值，并将其归一化。结果：英格兰和威尔士的UPA得分增加了5.62个单位(SD的0.35)，而汤森德和卡斯特尔斯的得分分别下降了2.39和1.13个单位(SDS的0.71和0.33)。结论-汤森和卡斯特尔斯的得分是衡量物质匮乏的良好指标，并显示出1981-1991年间的总体改善。然而，UPA得分包括与家庭结构、社会贫困和健康需求有关的其他因素，并表明总体情况有所下降。
Objective - To compare the intercensal change for each of the underprivileged area (UPA), Townsend, and Carstairs scores calculated from 1981 and 1991 census data.Setting - England and Wales.Methods - The method described enables comparison of change in composite scores such as the UPA, Townsend, and Carstairs scores which are derived from normalised variables. The national values of equivalent variables derived from the censuses are calculated and normalised on the same baseline of the 1981 electoral ward mean and SD values. The resultant change in composite scores for different censuses can then be compared directly.Main outcome measure - Change in the composite score values for the 1991 census when compared with the 1981 census.Results - For England and Wales, the UPA score increased by 5.62 units (0.35 of the SD) but the Townsend and Carstairs scores fell by 2.39 and 1.13 units respectively) 0.71 and 0.33 of the SDs).Conclusion - The Townsend and Carstairs scores are good measures of material deprivation and show a general improvement as such between 1981 and 1991. The UPA score, however, includes additional factors relating to family structure, social deprivation, and health need and shows a decline in the overall situation.