ArticleBMJ open2019
Do alternative weighting approaches for an Index of Multiple Deprivation change the association with mortality? A sensitivity analysis from Germany.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Trends in Mental Health Diagnoses Among Children and Adolescents Before and During the COVID-19 Pandemic in a Large German State.Children (Basel, Switzerland) · 2026Article
- A scoping review of multiple deprivation indices in Europe.European journal of public health · 2025Article
- Socioeconomic Disparities in Exposures to PFAS and Other Unregulated Industrial Drinking Water Contaminants in US Public Water Systems.Environmental health perspectives · 2025Article
- Regional Deprivation and Suicide.Deutsches Arzteblatt international · 2024Article
- The impact of regional deprivation on stroke incidence, treatment, and mortality in Germany.Neurological research and practice · 2023Article
- Classification of Deprivation Indices That Applied to Detect Health Inequality: A Scoping Review.International journal of environmental research and public health · 2022Article
- Construction of the Ohio Children's Opportunity Index.Frontiers in public health · 2022Article
- Regional Deprivation, Stroke Incidence, and Stroke Care—An Analysis of Billing and Quality Assurance Data From the German State of Rhineland-Palatinate.Deutsches Arzteblatt international · 2021Article
- Article
- What Regional Living Conditions Affect Individual Smoking of Adults in Russia.International journal of public health · 2021Article
- A Decade of Disparities in Diabetes Technology Use and HbADiabetes care · 2021Article
- Spatial accessibility of general inpatient care in Germany: an analysis of surgery, internal medicine and neurology.Scientific reports · 2020Article
- Article
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Authors and funding
4 authors.
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Abstract
objectivesThis study aimed to assess the impact of using different weighting procedures for the German Index of Multiple Deprivation (GIMD) investigating their link to mortality rates. DESIGN AND
settingIn addition to the original (normative) weighting of the GIMD domains, four alternative weighting approaches were applied: equal weighting, linear regression, maximization algorithm and factor analysis. Correlation analyses to quantify the association between the differently weighted GIMD versions and mortality based on district-level official data from Germany in 2010 were applied (n=412 districts). OUTCOME MEASURES: Total mortality (all age groups) and premature mortality (<65 years).
resultsAll correlations of the GIMD versions with both total and premature mortality were highly significant (p<0.001). The comparison of these associations using Williams's t-test for paired correlations showed significant differences, which proved to be small in respect to absolute values of Spearman's rho (total mortality: between 0.535 and 0.615; premature mortality: between 0.699 and 0.832).
conclusionsThe association between area deprivation and mortality proved to be stable, regardless of different weighting of the GIMD domains. The theory-based weighting of the GIMD should be maintained, due to the stability of the GIMD scores and the relationship to mortality.
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