Race/ethnicity, gender, and monitoring socioeconomic gradients in health: A comparison of area-based socioeconomic measures - The public health disparities geocoding project
Race/ethnicity, gender, and monitoring socioeconomic gradients in health: A comparison of area-based socioeconomic measures - The public health disparities geocoding project
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DOI：
10.2105/ajph.93.10.1655
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发表时间：
2003-10-01
影响因子：
12.7
通讯作者：
Subramanian, SV
中科院分区：
文献类型：
--
作者：
Krieger, N;Chen, JT;Subramanian, SV
使用多层次的框架和区域为基础的社会经济措施（ABSMs）的公共卫生监测可能会克服缺乏社会经济数据在大多数美国公共卫生监测systems.To评估是否ABSMs可以有意义地用于不同的种族/民族性别群体，我们地理编码和链接的公共卫生监测数据从马萨诸塞州和罗得岛到1990年块组，道，和邮政编码ABSMs。结果包括死亡、出生、癌症发病率、肺结核、性传播感染、儿童铅中毒和非致命性武器相关伤害。在白色、黑人和西班牙裔妇女和男子中，经济剥夺的措施（例如，低于贫困的百分比）对健康方面的预期社会经济梯度最为敏感，区一级分析的结果最为一致，地理编码联系最大。
Use of multilevel frameworks and area-based socioeconomic measures (ABSMs) for public health monitoring can potentially overcome the absence of socioeconomic data in most US public health surveillance systems.To assess whether ABSMs can meaningfully be used for diverse race/ethnicity-gender groups, we geocoded and linked public health surveillance data from Massachusetts and Rhode Island to 1990 block group, tract, and zip code ABSMs. Outcomes comprised death, birth, cancer incidence, tuberculosis, sexually transmitted infections, childhood lead poisoning, and nonfatal weapons-related injuries.Among White, Black, and Hispanic women and men, measures of economic deprivation (e.g., percentage below poverty) were most sensitive to expected socioeconomic gradients in health, with the most consistent results and maximal geocoding linkage evident for tract-level analyses.