ArticleInternational journal for equity in health2021
Measuring health-related social deprivation in small areas: development of an index and examination of its association with cancer mortality.
Article in International journal for equity in health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A meta-analysis of the role of neighborhood deprivation in psychotic disorders.Social psychiatry and psychiatric epidemiology · 2025Pooled it
- Health Equity After a Colorectal Cancer Screening Program.JAMA health forum · 2026Article
- Development of the Thailand district-level Socioeconomic Deprivation Index: a census-based methodological study.Health research policy and systems · 2026Article
- Contextualizing cognition: Socio-environmental factors shape how momentary stress predicts memory.Social science & medicine (1982) · 2025Article
- Investigating the relationship between social deprivation and health outcomes in China: using spatial regression analysis approach.BMC public health · 2025Article
- Leveraging census data to design and implement an area-based deprivation index to assess health inequalities in Ecuador.International journal of population data science · 2025Article
- Global, Regional, and National Disease Burden and Prediction Analysis of Colorectal Cancer Attributable to Tobacco, Alcohol, and Obesity From 1990 to 2030.Frontiers in oncology · 2025Article
- Development of a territory-wide household-based composite index for measuring relative distribution of households by economic status in individual small areas throughout Hong Kong.BMC public health · 2024Article
- Social Support Buffers the Effect of Social Deprivation on Comorbidity Burden in Adults with Cancer.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Article
- Social deprivation and diabetic kidney disease: A European view.Journal of diabetes investigation · 2024Review
- Prevalence of Steinert's Myotonic Dystrophy and Utilization of Healthcare Services: A Population-Based Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2024Article
- Monitoring socioeconomic inequalities in health in Hong Kong: insights and lessons from the UK and Australia.The Lancet regional health. Western Pacific · 2023Review
- Mitigating inequalities in community care needs of older adults with dementia: a qualitative case study of an integrated model of community care operated under the proportionate universalism principle.BMC primary care · 2022Article
- Subjective Social Status, Area Deprivation, and Gender Differences in Health among Chinese Older People.International journal of environmental research and public health · 2022Article
- Area Deprivation and COVID-19 Incidence and Mortality in Bavaria, Germany: A Bayesian Geographical Analysis.Frontiers in public health · 2022Observational
- Demographics, distance to gastrointestinal specialists, and social deprivation are associated with advanced stage of gastrointestinal cancer diagnosis.Annals of gastroenterologyArticle
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7 authors.
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Abstract
backgroundThe small-area deprivation indices are varied across countries due to different social context and data availability. Due to lack of chronic disease-related social deprivation index (SDI) in Hong Kong, China, this study aimed to develop a new SDI and examine its association with cancer mortality.
methodsA total of 14 socio-economic variables of 154 large Tertiary Planning Unit groups (LTPUGs) in Hong Kong were obtained from 2016 population by-census. LTPUG-specific all-cause and chronic condition-related mortality and chronic condition inpatient episodes were calculated as health outcomes. Association of socio-economic variables with health outcomes was estimated for variable selection. Candidates for SDI were constructed with selected socio-economic variables and tested for criterion validity using health outcomes. Ecological association between the selected SDI and cancer mortality were examined using zero-inflated negative binomial regression.
resultsA chronic disease-related SDI constructed by six area-level socio-economic variables was selected based on its criterion validity with health outcomes in Hong Kong. It was found that social deprivation was associated with higher cancer mortality during 2011-2016 (most deprived areas: incidence relative risk [IRR] = 1.40, 95% confidence interval [CI]: 1.27-1.55; second most deprived areas: IRR = 1.34, 95%CI: 1.21-1.48; least deprived areas as reference), and the cancer mortality gap became larger in more recent years. Excess cancer death related to social deprivation was found to have increased through 2011-2016.
conclusionsOur newly developed SDI is a valid and routinely available measurement of social deprivation in small areas and is useful in resource allocation and policy-making for public health purpose in communities. There is a potential large improvement in cancer mortality by offering relevant policies and interventions to reduce health-related deprivation. Further studies can be done to design strategies to reduce the expanding health inequalities between more and less deprived areas.
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