Evidence map›Paper›PMID 33643634›Full record

ArticleJournal of global health2021

The polychoric dual-component wealth index as an alternative to the DHS index: Addressing the urban bias.

Pierre Martel, Francisco Mbofana, Simon Cousens

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Article in Journal of global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Pierre MartelMultiple Indicator Cluster Survey, Mokhotlong, Lesotho.
Francisco MbofanaMinistry of Health, Maputo, Mozambique.
Simon CousensLondon School of Hygiene and Tropical Medicine, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe DHS wealth index - based on a statistical technique known as principal component analysis - is used extensively in mainstream surveys and epidemiological studies to assign individuals to wealth categories from information collected on common assets and household characteristics. Since its development in the late nineties, the index has established itself as a standard and, due to its ease of use, has led to a large and welcome increase in the analysis of inequalities. The index is, however, known to present some serious limitations, one being a bias towards patterns of urban wealth: the so-called "urban bias".

methodsWe use 10 data sets - 5 MICS (Multiple Indicator Cluster Survey), 4 DHS (Demographic and Health Survey) and one HBS (Household Budget Survey) - to demonstrate that urban bias continues to be a prominent and worrying feature of the wealth index, even after several methodological changes implemented in recent years to try to reduce it. We then propose and investigate an approach to improve the performance of the index and reduce the urban bias. This approach involves the use of ordinal rather than dummy variables, of a polychoric instead of a product-moment correlation matrix, and the use of two principal components rather than one. These approaches are used jointly to produce the polychoric dual-component wealth index (P2C).

resultsThe P2C index enables a larger proportion of the variance of the asset variables to be accounted for, results in all assets contributing positively to the wealth score, exploits added analytical power from ordinal variables, and incorporates the extra dimension of wealth expressed by the second principal component. It results in a better representation of typically rural characteristics of wealth and leads to the identification of more plausible distributions of both the urban and rural populations across wealth quintiles, which are closer to expenditure quintiles than the standard DHS index.

conclusionsThe P2C wealth index can be easily applied to mainstream surveys, such as the MICS and DHS, and to epidemiological studies; it yields more credible distributions of rural and urban subpopulations across wealth quintiles. It is proposed as an alternative to the DHS wealth index.

Indexed as

Family CharacteristicsRural PopulationHumansPrincipal Component AnalysisSocioeconomic FactorsSurveys and Questionnaires

Identifiers

PMID33643634
PMCPMC7897450

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.