Comparison of individual-level versus area-level socioeconomic measures in assessing health outcomes of children in Olmsted County, Minnesota

作者：Pardo Crespo Maria R; Narla Nirmala Priya; Williams Arthur R; Beebe Timothy J; Sloan Jeff; Yawn Barbara P; Wheeler Philip H; Juhn Young J^*

来源：Journal of Epidemiology and Community Health, 2013, 67(4): 305-310.

DOI：10.1136/jech-2012-201742

Background 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. %26lt;br%26gt;Methods 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 %26lt; 2500 g and smoking within the household in a mixed urban-rural setting. %26lt;br%26gt;Results 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%26apos;s. indices ranged from 0.15 to 0.22, suggesting poor agreement between individual-level and area-level measures. %26lt;br%26gt;Conclusion 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.

• 出版日期2013-4