Minority Health Archive

Race/Ethnicity, Gender, and Monitoring Socioeconomic Gradients in Health: A Comparison of Area-Based Socioeconomic Measures—The Public Health Disparities Geocoding Project

Krieger, Nancy and Chen, Jarvis T. and Waterman, Pamela D. and Rehkopf, David H. and Subramanian, S.V. (2003) Race/Ethnicity, Gender, and Monitoring Socioeconomic Gradients in Health: A Comparison of Area-Based Socioeconomic Measures—The Public Health Disparities Geocoding Project. American Journal of Public Health, 93 (10). pp. 1655-1671. ISSN 0090-0036

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Abstract

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.


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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: multilevel frameworks; area-based socioeconomic measures; public health monitoring; US public health surveillance systems; race/ethnicity–gender groups; economic deprivation; socioeconomic gradients in health; geocoding linkage
Subjects: Health > Disparities
Health > Public Health > Chronic Illness & Diseases
Health > Public Health > Health Risk Factors
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Depositing User: Users 141 not found.
Date Deposited: 21 Apr 2008
Last Modified: 28 Jun 2011 10:45
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/990

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