Comparison of individual-level versus area-level socioeconomic measures in assessing health outcomes of children in Olmsted County, Minnesota.
Comparison of individual-level versus area-level socioeconomic measures in assessing health outcomes of children in Olmsted County, Minnesota.
复制标题
在评估明尼苏达州奥尔姆斯特德县儿童的健康状况方面的个人水平与地区级别的社会经济措施的比较。
DOI：
10.1136/jech-2012-201742
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发表时间：
2013-04
影响因子：
6.3
通讯作者：
Juhn YJ
中科院分区：
文献类型：
--
作者：
Pardo-Crespo MR;Narla NP;Williams AR;Beebe TJ;Sloan J;Yawn BP;Wheeler PH;Juhn YJ
社会经济地位（SES）是健康的一个重要决定因素，但在常用的数据集中，SES的措施往往是不可用。当缺乏个体社会经济地位测度时，区域一级的社会经济地位测度被用作个体社会经济地位的代理测度。在城乡混合环境中，个人层面与地区层面的社会经济地位指标之间的一致性知之甚少。我们通过比较电话自我报告的SES水平和从地区级SES措施计算的SES信息，确定了SES协议。我们评估了这一协议对城乡混合环境中SES与儿童肥胖率、低出生体重<2500 g和家庭吸烟率之间关系的影响。调查了750个家庭，回答率为62%：51%为男性，89%为白人;平均儿童年龄为9.5岁。个人水平的自我报告的收入更强烈地与所有三个儿童健康结果相比，地区层面的SES。我们发现22- 31%的显著不一致率。加权科恩κ指数范围为0.15至0.22，表明个人水平和地区水平的措施之间的协议。在一个混合的城乡环境，包括农村和城市化地区，地区层面的SES代理措施显着不同意与个人的SES措施，并有不同的模式与健康结果从个人层面的SES措施。当个人而不是社区特征是主要关注的问题时，地区一级的社会经济地位可能是社会经济地位的一个不合适的代理。
Socioeconomic status (SES) is an important determinant of health, but SES measures are frequently unavailable in commonly used datasets. Area-level SES measures are used as proxy measures of individual SES when the individual measures are lacking. Little is known about the agreement between individual-level versus area-level SES measures in mixed urban–rural settings. We identified SES agreement by comparing information from telephone self-reported SES levels and SES calculated from area-level SES measures. We assessed the impact of this agreement on reported associations between SES and rates of childhood obesity, low birth weight <2500 g and smoking within the household in a mixed urban–rural setting. 750 households were surveyed with a response rate of 62%: 51% male, 89% Caucasian; mean child age 9.5 years. Individual-level self-reported income was more strongly associated with all three childhood health outcomes compared to area-level SES. We found significant disagreement rates of 22–31%. The weighted Cohen’s κ indices ranged from 0.15 to 0.22, suggesting poor agreement between individual-level and area-level measures. In a mixed urban–rural setting comprised of both rural and urbanised areas, area-level SES proxy measures significantly disagree with individual SES measures, and have different patterns of association with health outcomes from individual-level SES measures. Area-level SES may be an unsuitable proxy for SES when individual rather than community characteristics are of primary concern.
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影响因子：
4.4
作者：
Domínguez-Berjón, F;Borrell, C;Pastor, V
通讯作者：
Pastor, V
影响因子：
5.4
作者：
Juhn, YJ;St Sauver, J;Yunginger, J
通讯作者：
Yunginger, J
影响因子：
14.2
作者：
Juhn, Young J.;Qin, Rui;Urm, Sanghwa;Katusic, Slavica;Vargas-Chanes, Delfino
通讯作者：
Vargas-Chanes, Delfino
影响因子：
5
作者：
Black, Jennifer L.;Macinko, James
通讯作者：
Macinko, James
影响因子：
120.7
作者：
Karaca-Mandic, Pinar;Jena, Anupam B.;Goldman, Dana P.
通讯作者：
Goldman, Dana P.