Document Detail


A socioeconomic deprivation index for small areas in Denmark.
MedLine Citation:
PMID:  23599378     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To describe the development of a deprivation index for Danish parishes and to investigate its association with all-cause mortality compared with the Townsend index and individual-level factors.
METHODS: Nine socioeconomic factors were aggregated to the parish level from individual-level register data comprising the entire Danish population in 2005. A principal component analysis was conducted to reduce the number of factors and to apply weights. An ecological analysis investigated the association between the Danish Deprivation Index (DANDEX) and standardised mortality ratios in Danish parishes. Results were compared with the Townsend index and a possible modifying effect of population density was investigated. Sensitivity of the index was investigated with multilevel survival analyses evaluating the association between all-cause mortality and DANDEX, the Townsend Index, individual-level socioeconomic factors, and population density.
RESULTS: DANDEX consists of two components measuring socioeconomic properties of all 2119 Danish parishes. The first component measures deprivation related to housing (house and car ownership) while the second component is related to classical measures of socioeconomic status (education, income, occupation). A clear gradient in standardised mortality ratios was seen across quintiles of both index components. Modifying effects were seen when stratifying the index components by population density. In a frailty model, DANDEX accounted for 76% of the between-parish variation in all-cause mortality, while the Townsend index and individual socioeconomic factors accounted for 71 and 76%, respectively.
CONCLUSIONS: The index can be used to identify Danish parishes by their levels of deprivation and it provides municipalities with a tool to allocate resources to the geographic areas where they are most needed.
Authors:
Mathias Meijer; Gerda Engholm; Ulrike Grittner; Ulrike Gritter; Kim Bloomfield
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2013-04-18
Journal Detail:
Title:  Scandinavian journal of public health     Volume:  41     ISSN:  1651-1905     ISO Abbreviation:  Scand J Public Health     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-07-23     Completed Date:  2013-09-20     Revised Date:  2013-11-19    
Medline Journal Info:
Nlm Unique ID:  100883503     Medline TA:  Scand J Public Health     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  560-9     Citation Subset:  IM    
Affiliation:
National Institute of Public Health, Institute of Public Health, University of Southern Denmark, Denmark. matm@niph.dk
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MeSH Terms
Descriptor/Qualifier:
Cause of Death / trends*
Denmark / epidemiology
Health Care Rationing
Humans
Needs Assessment
Registries
Reproducibility of Results
Small-Area Analysis*
Social Class*
Comments/Corrections
Erratum In:
Scand J Public Health. 2013 Nov;41(7):769
Note: Gritter, Ulrike [corrected to Grittner, Ulrike]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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