ArticleInternational journal of health geographics2015
A multi-criteria spatial deprivation index to support health inequality analyses.
Article in International journal of health geographics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 71 citations in OpenAlex.
- Value of Geographical Information Systems in Analyzing Geographic Accessibility to Inform Radiotherapy Planning: A Systematic Review.JCO global oncology · 2022Pooled it
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- Multicriteria decision analysis (MCDA) in health care: a systematic review of the main characteristics and methodological steps.BMC medical informatics and decision making · 2018Pooled it
- Applying the Analytic Hierarchy Process in healthcare research: A systematic literature review and evaluation of reporting.BMC medical informatics and decision making · 2015Pooled it
- 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
- A multicriteria vulnerability index for equitable resource allocation in public health funding.Canadian journal of public health = Revue canadienne de sante publique · 2024Article
- A holistic model of health inequalities for health policy and state administration: a case study in the regions of the Czech Republic.International journal for equity in health · 2023Article
- Association of socio-economic deprivation with COVID-19 incidence and fatality during the first wave of the pandemic in Italy: lessons learned from a local register-based study.International journal of health geographics · 2023Article
- Prevalence of adult smokers in Brazilian capitals according to socioeconomic deprivation.Revista brasileira de epidemiologia = Brazilian journal of epidemiology · 2023Article
- Knowledge, Attitudes, and Behaviors towards Proper Nutrition and Lifestyles in Italian Diabetic Patients during the COVID-19 Pandemic.International journal of environmental research and public health · 2022Article
- 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
- Inequalities in Health: Methodological Approaches to Spatial Differentiation.International journal of environmental research and public health · 2021Article
- Uveal Melanoma: Refusal of Treatment.Ocular oncology and pathology · 2021Article
- Article
- Elderly Health Inequality in China and its Determinants: A Geographical Perspective.International journal of environmental research and public health · 2019Article
- Assessing the potential utility of commercial 'big data' for health research: Enhancing small-area deprivation measures with Experian™ Mosaic groups.Health & place · 2019Article
- Local deprivation status and seasonal influenza vaccination coverage in adults ≥ 65 years residing in the Foggia municipality, Italy, 2009-2016.Journal of preventive medicine and hygiene · 2018Article
- Social deprivation indexes and anti-influenza vaccination coverage in the elderly in Sardinia, Italy, with a focus on the Sassari municipality.Journal of preventive medicine and hygiene · 2018Article
- Is there association between human development index and tuberculosis mortality risk? Evidence from a spatial analysis study in the south of Brazil.Epidemiology and infection · 2018Article
- Comparing Classic and Interval Analytical Hierarchy Process Methodologies for Measuring Area-Level Deprivation to Analyze Health Inequalities.International journal of environmental research and public health · 2018Article
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Authors and funding
4 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundDeprivation indices are useful measures to analyze health inequalities. There are several methods to construct these indices, however, few studies have used Geographic Information Systems (GIS) and Multi-Criteria methods to construct a deprivation index. Therefore, this study applies Multi-Criteria Evaluation to calculate weights for the indicators that make up the deprivation index and a GIS-based fuzzy approach to create different scenarios of this index is also implemented.
methodsThe Analytical Hierarchy Process (AHP) is used to obtain the weights for the indicators of the index. The Ordered Weighted Averaging (OWA) method using linguistic quantifiers is applied in order to create different deprivation scenarios. Geographically Weighted Regression (GWR) and a Moran's I analysis are employed to explore spatial relationships between the different deprivation measures and two health factors: the distance to health services and the percentage of people that have never had a live birth. This last indicator was considered as the dependent variable in the GWR. The case study is Quito City, in Ecuador.
resultsThe AHP-based deprivation index show medium and high levels of deprivation (0,511 to 1,000) in specific zones of the study area, even though most of the study area has low values of deprivation. OWA results show deprivation scenarios that can be evaluated considering the different attitudes of decision makers. GWR results indicate that the deprivation index and its OWA scenarios can be considered as local estimators for health related phenomena. Moran's I calculations demonstrate that several deprivation scenarios, in combination with the 'distance to health services' factor, could be explanatory variables to predict the percentage of people that have never had a live birth.
conclusionsThe AHP-based deprivation index and the OWA deprivation scenarios developed in this study are Multi-Criteria instruments that can support the identification of highly deprived zones and can support health inequalities analysis in combination with different health factors. The methodology described in this study can be applied in other regions of the world to develop spatial deprivation indices based on Multi-Criteria analysis.
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