ArticleCanadian journal of public health = Revue canadienne de sante publique
Ecologic proxies for household income: how well do they work for the analysis of health and health care utilization?
Article in Canadian journal of public health = Revue canadienne de sante publique. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Association of Clinical Severity With Family Affluence-Based Socioeconomic Status Among Hospitalized Pediatric Hand, Foot, and Mouth Disease Patients in Henan, China: A Single Hospital-Based Case Series Study.Open forum infectious diseases · 2021Article
- Association of socioeconomic status with medical assistance in dying: a case-control analysis.BMJ open · 2021Article
- Comparing individual and area-based income measures: impact on analysis of inequality in smoking, obesity, and diabetes rates in Canadians 2003-2013.Canadian journal of public health = Revue canadienne de sante publique · 2018Article
- Effectiveness of pertussis vaccination and duration of immunity.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016Article
- Vaccine effectiveness against laboratory-confirmed influenza hospitalizations among elderly adults during the 2010-2011 season.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2013Article
- The effect of place of residence on access to invasive cardiac services following acute myocardial infarction.The Canadian journal of cardiology · 2009Article
- Can the introduction of an integrated service model to an existing comprehensive palliative care service impact emergency department visits among enrolled patients?Journal of palliative medicine · 2009Article
- A population-based study of age inequalities in access to palliative care among cancer patients.Medical care · 2008Article
- Factors contributing to attrition behavior in diabetes self-management programs: a mixed method approach.BMC health services research · 2008Article
- Socio-economic status and types of childhood injury in Alberta: a population based study.BMC pediatrics · 2006Article
- Article
- Potential savings from reducing inequalities in health.Canadian journal of public health = Revue canadienne de sante publiqueArticle
- Universal health insurance and equity in primary care and specialist office visits: a population-based study.Annals of family medicineArticle
- Moving from description to action: challenges in researching socio-economic inequalities in health.Canadian journal of public health = Revue canadienne de sante publiqueArticle
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No grant is acknowledged in the PubMed record.
Abstract
backgroundResearchers often use census-derived measures of socioeconomic status (SES) when personal information is not available. Theory predicts that the resulting misclassification will blunt associations between outcomes and SES and that control for confounding by SES will be less effective. The purpose of this paper was to examine the magnitude of this problem using data from the National Population Health Survey (NPHS).
methodsSubjects were 4,037 respondents to the NPHS who were linked to the Ontario Health Insurance Plan. An ecologic measure of income was obtained by linkage of subjects' postal codes to the Census.
resultsThe relationships between the ecologic-level measure and health outcomes or health services utilization were attenuated in comparison to the relationships relative to the direct measure of household income. The ecologic measure also produced poorer control for confounding by income in the analysis of other health relationships.
conclusionsMany interesting public health and health services questions can be addressed only with the use of ecologic level socioeconomic information. While most of the results were qualitatively similar when the direct and ecologic measures were compared, researchers and users of research findings should be aware that attenuated or potentially misleading findings may result from the use of these methods.
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15074896PMC6975971What OpenQuestion holds
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.