ArticleAnnals of epidemiology2020
Neighborhood-level measures of socioeconomic status are more correlated with individual-level measures in urban areas compared with less urban areas.
Article in Annals of epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 2 of them syntheses that pooled it.
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Who cites it
42 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Socioeconomic and economic factors affecting access and progression in medical schools: a systematic review and meta-analysis.Journal of educational evaluation for health professions · 2026Pooled it
- Effects of socioeconomic status on enrollment in clinical trials for cancer: A systematic review.Cancer medicine · 2024Pooled it
- Subnational inequalities and socioeconomic gradients in prostate cancer burden across Mexico, 2000-2023.Cancer causes & control : CCC · 2026Article
- Differences in socio-demographic and environmental exposures at home vs. school in the ECHO cohort.Journal of exposure science & environmental epidemiology · 2026Article
- Rurality and long-term outcomes after critical illness.Annals of the American Thoracic Society · 2026Article
- Comparisons between individual- and area-level measures of socioeconomic status among childhood cancer patients: A report from the Children's Oncology Group (COG).Cancer epidemiology · 2026Article
- Incorporating polygenic risk scores and social determinants of health across populations: Considerations and best practices in research.American journal of human genetics · 2026Review
- Identifying Populations at Risk: The Utility of Neighborhood Socioeconomic Indices in Metastatic Bone Disease.Annals of surgical oncology · 2026Article
- Plant-based protein foods are less sensitive to price changes than animal-based ones, with differences across income and education levels.Communications sustainability · 2026Article
- Differential Associations Between Family Socioeconomic Position and Neighborhood Economic Conditions Versus Safety by Race in the United States.Social science insights and applications · 2026Article
- Neighborhood socioeconomic inequality and sarcopenia in community-dwelling older adults: a cross-sectional study.Annals of medicine · 2025Article
- Assessing Measurement Invariance in Neighborhood Socioeconomic Environment Across Levels of Urbanicity.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Neighborhood characteristics and incident myocardial infarction in US older adults: evaluation in 2 nationwide cohorts.American journal of epidemiology · 2025Article
- Measurement Bias in Documentation of Social Risk Among Medicare Beneficiaries.JAMA health forum · 2025Article
- Neighborhood opportunity and response to psychotherapy in anxious youth.Psychiatry research · 2025Article
- Racial differences in odds of asthma exacerbations among Aspergillus fumigatus-sensitized adults with asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2025Article
- Access to care and the Hispanic paradox among Hispanic patients with hepatocellular carcinoma.Clinics and research in hepatology and gastroenterology · 2025Article
- Maternal social deprivation and preterm birth: The PreCARE cohort study.Paediatric and perinatal epidemiology · 2025Article
- Article
- Agreement Between a Subjective Single-Item Socioeconomic Status and Wealth Index in the Addis Health and Demographic Surveillance System (Addis-HDSS), Addis Ababa, Ethiopia.Ethiopian journal of health sciences · 2024Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
purposeWe tested the hypothesis that individual- and neighborhood-level measures of socioeconomic status (SES) are more concordant in urban than rural areas, and we used the previously established association between obesity and self-rated health to illustrate the effect of residual confounding by individual-level SES when only neighborhood-level SES is considered.
methodsUsing data from two population-based surveys, we calculated Spearman's rank correlations between household income and neighborhood socioeconomic advantage across eight Pennsylvania counties. We applied multivariable Poisson regression models with robust variance estimates to estimate the degree to which individual SES confounds the association between obesity and self-rated health when the analysis accounts for neighborhood SES only, and we examined how this confounding varied by county urbanicity.
resultsConcordance between household income and neighborhood advantage increased with county urbanicity (ρ = 0.16-0.26 vs. 0.31-0.45 vs. 0.47 in medium metro/micropolitan, suburban, and large metro counties, respectively), while confounding by individual SES on the obesity and self-rated health association decreased with urbanicity (15%-22% vs. 6%-13% vs. 3% in medium metro/micropolitan, suburban, and large metro counties, respectively).
conclusionsIndividual- and neighborhood-level SES measures are poorly correlated outside of urban areas, suggesting that neighborhood-level measures inadequately account for individual SES in rural settings.
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