Evidence map›Paper›PMID 36554830›Full record

ArticleInternational journal of environmental research and public health2022

Developing and Validating an Individual-Level Deprivation Index for Children's Health in France.

Remi Laporte, Philippe Babe, Elisabeth Jouve, Alexandre Daguzan, Franck Mazoue, Philippe Minodier, Guilhem Noel, Diego Urbina, Stephanie Gentile

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 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

9 authors.

Remi LaportePermanence d'Accès aux Soins de Santé Mère-Enfant, Hôpital Nord, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France.ORCID 0000-0003-4097-462X
Philippe BabePermanence d'Accès aux Soins de Santé Pédiatrique, Hôpitaux Pédiatriques de Nice CHU-Lenval, 06200 Nice, France.
Elisabeth JouveService d'Evaluation Medicale, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France.ORCID 0000-0002-4873-6522
Alexandre DaguzanEquipe de Recherche EA 3279 "Santé Publique, Maladies Chroniques et Qualité de Vie", Faculté de Médecine, Aix Marseille University, 13005 Marseille, France.
Franck MazoueEquipe de Recherche EA 3279 "Santé Publique, Maladies Chroniques et Qualité de Vie", Faculté de Médecine, Aix Marseille University, 13005 Marseille, France.
Philippe MinodierService d'Accueil des Urgences Pédiatriques, Hôpital Nord, APHM, 13005 Marseille, France.
Guilhem NoelService d'Accueil des Urgences Pédiatriques, Hôpital Nord, APHM, 13005 Marseille, France.
Diego UrbinaService d'Accueil des Urgences Pédiatriques, Hôpital Nord, APHM, 13005 Marseille, France.
Stephanie GentileEquipe de Recherche EA 3279 "Santé Publique, Maladies Chroniques et Qualité de Vie", Faculté de Médecine, Aix Marseille University, 13005 Marseille, France.ORCID 0000-0003-3858-9503

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeprivation generates many health inequalities. This has to be taken in account to enhance appropriate access to care. This study aimed to develop and validate a pediatric individual-level index measuring deprivation, usable in clinical practice and in public health.

methodsThe French Individual Child Deprivation Index (FrenChILD-Index) was designed in four phases: item generation then reduction using the literature review and expert opinions, and index derivation then validation using a cross-sectional study in two emergency departments. During these last two phases, concordance with a blinded evaluation by an expert enabled us to determine thresholds for two levels of moderate and severe deprivation.

resultsThe generation and reduction phases retained 13 items. These were administered to 986 children for the derivation and validation phases. In the validation phase, the final 12 items of the FrenChILD-Index showed for moderate deprivation (requiring single specific care for deprived children) a sensitivity of 96.0% [92.6; 98.7] and specificity of 68.3% [65.2; 71.4]. For severe deprivation (requiring a multidisciplinary level of care), the sensitivity was 96.3% [92.7; 100] and specificity was 91.1% [89.2; 92.9].

conclusionsThe FrenChILD-Index is the first pediatric individual-level index of deprivation validated in Europe. It enables clinical practice to address the social determinants of health and meet public health goals.

Indexed as

Child HealthSocial FactorsChildCross-Sectional StudiesEuropeFranceHumansSocioeconomic Factorsaccess to health caredeprivationhealth inequalitiesscreeningsocial determinants of healthsocial support

Identifiers

PMID36554830
PMCPMC9816939

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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.