ArticleInternational journal of health geographics2014
Can a deprivation index be used legitimately over both urban and rural areas?
Article in International journal of health geographics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Comparing Neighborhood Indices of Socioeconomic Status, Segregation, and Healthcare Access for Predicting Late-Stage Breast Cancer.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- Understanding the role of neighborhood deprivation in racial disparities in triple-negative breast cancer.Cancer · 2025Article
- Leveraging census data to design and implement an area-based deprivation index to assess health inequalities in Ecuador.International journal of population data science · 2025Article
- Alcohol to-go sales policies at on-premise drinking establishments near large public US universities during the COVID-19 pandemic.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- Comparison of two area-level socioeconomic deprivation indices: Implications for public health research, practice, and policy.PloS one · 2023Article
- Can an Ecological Index of Deprivation Be Used at the Country Level? The Case of the French Version of the European Deprivation Index (F-EDI).International journal of environmental research and public health · 2022Article
- Non-compensatory aggregation method to measure social and material deprivation in an urban area: relationship with premature mortality.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
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- All-cause and cause-specific mortality in Scotland 1981-2011 by age, sex and deprivation: a population-based study.European journal of public health · 2019Article
- Small-area socioeconomic deprivation indices in Cyprus: development and association with premature mortality.BMC public health · 2019Article
- Inequalities in rural communities: adapting national deprivation indices for rural settings.Journal of public health (Oxford, England) · 2018Article
- Out-of-hospital cardiac arrest in the home: Can area characteristics identify at-risk communities in the Republic of Ireland?International journal of health geographics · 2018Article
- The Portuguese version of the European Deprivation Index: Development and association with all-cause mortality.PloS one · 2018Article
- Ability of ecological deprivation indices to measure social inequalities in a French cohort.BMC public health · 2017Article
- Small-area distribution of multiple sclerosis incidence in western France: in search of environmental triggers.International journal of health geographics · 2017Article
- Race/Ethnicity, Socioeconomic Status, Residential Segregation, and Spatial Variation in Noise Exposure in the Contiguous United States.Environmental health perspectives · 2017Article
- Social inequalities and cancer: can the European deprivation index predict patients' difficulties in health care access? a pilot study.Oncotarget · 2016Article
- A comparison of the Scottish Index of Multiple Deprivation (SIMD) 2004 with the 2009 + 1 SIMD: does choice of measure affect the interpretation of inequality in mortality?International journal of health geographics · 2014Article
- Association Between Breastfeeding and Neurodevelopment at 6 Years of Age in the French PELAGIE Birth Cohort.Journal of midwifery & women's healthArticle
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6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough widely used, area-based deprivation indices remain sensitive to urban-rural differences as such indices are usually standardised around typical urban values. There is, therefore, a need to determine to what extent available deprivation indices can be used legitimately over both urban and rural areas.
methodsThis study was carried out in Brittany, France, a relatively affluent region that contains deep rural areas. Among the 1,736 residential census block groups (IRIS) composing the Brittany region, 1,005 (57.9%) are rural. Four deprivation indices were calculated: two scores (Carstairs and Townsend) developed in the UK and two more recent French measures (Havard and Rey). Two standardisation levels were considered: all of the IRIS and only the urban IRIS of the region. Internal validity (Kappa coefficients and entropy values) and external validity (relationship with colorectal cancer screening [CCS] attendance) were investigated.
resultsRegardless of the deprivation measure used, wealthy areas are mostly clustered in the West and at the outskirts of major towns. Carstairs and Rey scores stand out by all evaluation criteria, capturing both urban and rural deprivation. High levels of agreements were found across standardisation levels (κ = 0.96). The distributions of deprivation scores were balanced across urban and rural areas, and high Shannon entropy values were observed in the capital city (≥0.93). Similar and significant negative trends were observed between CCS attendance and both deprivation indices, independent of the degree of urbanisation.
conclusionsThese results provide support, despite potential sociological objections, for the use of a compromise index that would facilitate comparisons and interpretations across urban and rural locations in public health research.
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