Ability of ecological deprivation indices to measure social inequalities in a French cohort

Background. Despite the increasing interest in place effect to explain health inequalities, there is currently no consensus on which kind of area-based socioeconomic measures researchers should use to assess neighborhood socioeconomic position (SEP). The study aimed to evaluate the reliability of di...

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Autores: Temam, Sofia, Varraso, Raphaëlle, Pornet, Carole, Sanchez, Margaux, Affret, Aurélie, Jacquemin Leonard, Bénédicte, Clavel Chapelon, Françoise, Rey, Grégoire, Rican, Stéphane, Le Moual, Nicole
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/68254
Acceso en línea:http://hdl.handle.net/10230/68254
http://dx.doi.org/10.1186/s12889-017-4967-3
Access Level:acceso abierto
Palabra clave:Socioeconomic factors
Deprivation index
Social inequalities
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spelling Ability of ecological deprivation indices to measure social inequalities in a French cohortTemam, SofiaVarraso, RaphaëllePornet, CaroleSanchez, MargauxAffret, AurélieJacquemin Leonard, BénédicteClavel Chapelon, FrançoiseRey, GrégoireRican, StéphaneLe Moual, NicoleSocioeconomic factorsDeprivation indexSocial inequalitiesBackground. Despite the increasing interest in place effect to explain health inequalities, there is currently no consensus on which kind of area-based socioeconomic measures researchers should use to assess neighborhood socioeconomic position (SEP). The study aimed to evaluate the reliability of different area-based deprivation indices (DIs) in capturing socioeconomic residential conditions of French elderly women cohort. Methods. We assessed area-based SEP using 3 DIs: Townsend Index, French European Deprivation Index (FEDI) and French Deprivation index (FDep), among women from E3N (Etude épidémiologique auprès des femmes de la Mutuelle Générale de l’Education Nationale). DIs were derived from the 2009 French census at IRIS level (smallest geographical units in France). Educational level was used to evaluate individual-SEP. To evaluate external validity of the 3 DIs, associations between two well-established socially patterned outcomes among French elderly women (smoking and overweight) and SEP, were compared. Odd ratios were computed with generalized estimating equations to control for clustering effects from participants within the same IRIS. Results. The analysis was performed among 63,888 women (aged 64, 47% ever smokers and 30% overweight). Substantial agreement was observed between the two French DIs (Kappa coefficient = 0.61) and between Townsend and FEDI (0.74) and fair agreement between Townsend and FDep (0.21). As expected among French elderly women, those with lower educational level were significantly less prone to be ever smoker (Low vs. High; OR [95% CI] = 0.43 [0.40–0.46]) and more prone to being overweight (1.89 [1.77–2.01]) than women higher educated. FDep showed expected associations at area-level for both smoking (most deprived vs. least deprived quintile; 0.77 [0.73–0.81]) and overweight (1.52 [1.44–1.62]). For FEDI opposite associations with smoking (1.13 [1.07–1.19]) and expected association with overweight (1.20 [1.13–1.28]) were observed. Townsend showed opposite associations to those expected for both smoking and overweight (1.51 [1.43–1.59]; 0.93 [0.88–0.99], respectively). Conclusion. FDep seemed reliable to capture socioeconomic residential conditions of the E3N women, more educated in average than general French population. Results varied strongly according to the DI with unexpected results for some of them, which suggested the importance to test external validity before studying social disparities in health in specific populations.BioMed Central202420242017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/68254http://dx.doi.org/10.1186/s12889-017-4967-3reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésBMC Public Health. 2017 Dec 15;17(1):956This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/682542026-05-29T05:05:01Z
dc.title.none.fl_str_mv Ability of ecological deprivation indices to measure social inequalities in a French cohort
title Ability of ecological deprivation indices to measure social inequalities in a French cohort
spellingShingle Ability of ecological deprivation indices to measure social inequalities in a French cohort
Temam, Sofia
Socioeconomic factors
Deprivation index
Social inequalities
title_short Ability of ecological deprivation indices to measure social inequalities in a French cohort
title_full Ability of ecological deprivation indices to measure social inequalities in a French cohort
title_fullStr Ability of ecological deprivation indices to measure social inequalities in a French cohort
title_full_unstemmed Ability of ecological deprivation indices to measure social inequalities in a French cohort
title_sort Ability of ecological deprivation indices to measure social inequalities in a French cohort
dc.creator.none.fl_str_mv Temam, Sofia
Varraso, Raphaëlle
Pornet, Carole
Sanchez, Margaux
Affret, Aurélie
Jacquemin Leonard, Bénédicte
Clavel Chapelon, Françoise
Rey, Grégoire
Rican, Stéphane
Le Moual, Nicole
author Temam, Sofia
author_facet Temam, Sofia
Varraso, Raphaëlle
Pornet, Carole
Sanchez, Margaux
Affret, Aurélie
Jacquemin Leonard, Bénédicte
Clavel Chapelon, Françoise
Rey, Grégoire
Rican, Stéphane
Le Moual, Nicole
author_role author
author2 Varraso, Raphaëlle
Pornet, Carole
Sanchez, Margaux
Affret, Aurélie
Jacquemin Leonard, Bénédicte
Clavel Chapelon, Françoise
Rey, Grégoire
Rican, Stéphane
Le Moual, Nicole
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Socioeconomic factors
Deprivation index
Social inequalities
topic Socioeconomic factors
Deprivation index
Social inequalities
description Background. Despite the increasing interest in place effect to explain health inequalities, there is currently no consensus on which kind of area-based socioeconomic measures researchers should use to assess neighborhood socioeconomic position (SEP). The study aimed to evaluate the reliability of different area-based deprivation indices (DIs) in capturing socioeconomic residential conditions of French elderly women cohort. Methods. We assessed area-based SEP using 3 DIs: Townsend Index, French European Deprivation Index (FEDI) and French Deprivation index (FDep), among women from E3N (Etude épidémiologique auprès des femmes de la Mutuelle Générale de l’Education Nationale). DIs were derived from the 2009 French census at IRIS level (smallest geographical units in France). Educational level was used to evaluate individual-SEP. To evaluate external validity of the 3 DIs, associations between two well-established socially patterned outcomes among French elderly women (smoking and overweight) and SEP, were compared. Odd ratios were computed with generalized estimating equations to control for clustering effects from participants within the same IRIS. Results. The analysis was performed among 63,888 women (aged 64, 47% ever smokers and 30% overweight). Substantial agreement was observed between the two French DIs (Kappa coefficient = 0.61) and between Townsend and FEDI (0.74) and fair agreement between Townsend and FDep (0.21). As expected among French elderly women, those with lower educational level were significantly less prone to be ever smoker (Low vs. High; OR [95% CI] = 0.43 [0.40–0.46]) and more prone to being overweight (1.89 [1.77–2.01]) than women higher educated. FDep showed expected associations at area-level for both smoking (most deprived vs. least deprived quintile; 0.77 [0.73–0.81]) and overweight (1.52 [1.44–1.62]). For FEDI opposite associations with smoking (1.13 [1.07–1.19]) and expected association with overweight (1.20 [1.13–1.28]) were observed. Townsend showed opposite associations to those expected for both smoking and overweight (1.51 [1.43–1.59]; 0.93 [0.88–0.99], respectively). Conclusion. FDep seemed reliable to capture socioeconomic residential conditions of the E3N women, more educated in average than general French population. Results varied strongly according to the DI with unexpected results for some of them, which suggested the importance to test external validity before studying social disparities in health in specific populations.
publishDate 2017
dc.date.none.fl_str_mv 2017
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/68254
http://dx.doi.org/10.1186/s12889-017-4967-3
url http://hdl.handle.net/10230/68254
http://dx.doi.org/10.1186/s12889-017-4967-3
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv BMC Public Health. 2017 Dec 15;17(1):956
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
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