ArticleBMJ open2020
Assessment of the concordance between individual-level and area-level measures of socio-economic deprivation in a cancer patient cohort in England and Wales.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Impact of screening participation on modelled mortality benefits of a multi-cancer early detection test by socioeconomic group in England.Journal of epidemiology and community health · 2024Trial
- House value as an individual socioeconomic indicator for breast cancer survival and late-stage diagnosis: a population-based cohort study from Northern Ireland.Breast cancer research and treatment · 2026Article
- Socioeconomic inequalities in adherence to clinical practice guidelines and breast cancer survival: a multicentre population-based study in Spain.BMJ quality & safety · 2025Article
- Association of area of deprivation index with magnetic resonance imaging (MRI) utilization for prostate cancer detection: results from a contemporary North American population.World journal of urology · 2025Article
- Individual income and race-associated differences in prostate cancer mortality in a statewide registry.JNCI cancer spectrum · 2025Article
- Measurement of Socioeconomic Deprivation in Orthopaedic Trauma: A Scoping Review.JBJS reviews · 2025Article
- Observational
- Socio-economic inequalities in second primary cancer incidence: A competing risks analysis of women with breast cancer in England between 2000 and 2018.International journal of cancer · 2025Article
- Mediation of socioeconomic inequalities in preterm birth. A cohort analysis of Welsh linked data.Acta obstetricia et gynecologica Scandinavica · 2025Article
- Article
- Probabilistic bias analysis for exposure misclassification of household income by neighbourhood in a cohort of individuals with colorectal cancer.International journal of epidemiology · 2024Article
- Use of social deprivation status in primary prevention cardiovascular risk scores: a must but a challenge.Postgraduate medical journal · 2024Article
- Social needs screening in primary care: A tool in the fight for health equity?Public health in practice (Oxford, England) · 2024Article
- Socioeconomic status, lifestyle and risk of incident dementia: a prospective cohort study of 276730 participants.GeroScience · 2024Article
- Associations of Area-Level and Parental Individual-Level Social Deprivation with Glycemic Control over Time among Children with Type 1 Diabetes in France: A Longitudinal Cohort Study.Pediatric diabetes · 2024Article
- Inequalities in treatment among patients with colon and rectal cancer: a multistate survival model using data from England national cancer registry 2012-2016.British journal of cancer · 2024Article
- Individual-level home values and cancer mortality in a statewide registry.JNCI cancer spectrum · 2023Article
- Age-period-cohort analysis of lung cancer mortality inequalities in Southern Spain: missed opportunities for implementing equitable tobacco control policies.International journal for equity in health · 2023Article
- Small-Area Geographic and Socioeconomic Inequalities in Colorectal Cancer in Cyprus.International journal of environmental research and public health · 2022Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectivesMost research on health inequalities uses aggregated deprivation scores assigned to the small area where the patient lives; however, the concordance between aggregate area-level deprivation measures and personal deprivation experienced by individuals living in the area is poorly understood. Our objective was to examine the agreement between individual and ecological deprivation. We tested the concordance between metrics of income, occupation and education at individual and area levels, and assessed the reliability of area-based deprivation measures to predict individual deprivation circumstances.
settingEngland and Wales.
participantsA cancer patient cohort of 9547 individuals extracted from the Office for National Statistics Longitudinal Study. OUTCOMES: We quantified the concordance between measures of income, occupation and education at individual and area level. In addition, we used ROC (receiver operating characteristic) curves and the area under the curve (AUC) to assess the reliability of area-based deprivation measures to predict individual deprivation circumstances.
resultsWe found low concordance between individual-level and area-level indicators of deprivation (Cramer's
conclusionsOur results indicate that ecological deprivation measures capture only part of the relationship between deprivation and health outcomes, especially with respect to income measurement. This has important implications for our understanding of the relationship between deprivation and health, and, as a consequence, healthcare policy. The results have a wide-reaching impact for the way in which we measure and monitor inequalities, and in turn, fund and organise current UK healthcare policy aimed at reducing them.
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