ArticleJournal of global health2021
The polychoric dual-component wealth index as an alternative to the DHS index: Addressing the urban bias.
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.
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15 citing papers in PubMed.
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- Adverse childhood experiences, adult adiposity, and risk of young-onset breast cancer subtypes in a population-based case-control study.Cancer causes & control : CCC · 2026Article
- Rates and Risk Factors for On-Treatment Mortality Among a Cohort of Adults Treated for Drug-Sensitive Tuberculosis: Analysis of Data From the Adherence Support Coalition to End Tuberculosis Consortium in Five Countries.Tropical medicine & international health : TM & IH · 2025Article
- Associations between childhood socioeconomic characteristics, race, and risk of adverse childhood experiences in a population-based sample of US-born non-Hispanic Black and White women.BMC public health · 2025Article
- Enriching tuberculosis research by measuring poverty better: a perspective.BMC global and public health · 2025Review
- What factors shape an individual's probability to be enrolled in a professionally-managed community-based health insurance? Results from a cross-sectional case-control study in two districts in Mali.PLOS global public health · 2025Article
- Who has never tested for HIV following a community-based distribution of HIV self-test kits? Establishing associated predictors in rural Zimbabwe.PLOS global public health · 2025Article
- "Happy Farmers" in Volta Delta, Ghana? Exploring the Relationship between Environmental Conditions and Happiness.Social indicators research · 2025Article
- A composite index; socioeconomic deprivation and coverage of reproductive and maternal health interventions.Bulletin of the World Health Organization · 2024Article
- Risk factors for poor engagement with a smart pillbox adherence intervention among persons on tuberculosis treatment in Ethiopia.BMC public health · 2023Article
- Alternative approaches for creating a wealth index: the case of Mozambique.BMJ global health · 2023Article
- Domestic violence against women in Jordan: analysis of the demographic and health survey dataset 2017-2018.Journal of medicine and life · 2023Observational
- Understanding household-level risk factors for zero dose immunization in 82 low- and middle-income countries.PloS one · 2023Article
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3 authors.
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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.
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