Developing a new small-area measure of deprivation using 2001 and 2011 census data from Scotland

Allik, M. , Brown, D. , Dundas, R. and Leyland, A. H. (2016) Developing a new small-area measure of deprivation using 2001 and 2011 census data from Scotland. Health and Place, 39, pp. 122-130. (doi: 10.1016/j.healthplace.2016.03.006) (PMID:27082656) (PMCID:PMC4889779)

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Abstract

Material deprivation contributes to inequalities in health; areas of high deprivation have higher rates of ill-health. How deprivation is measured has a great impact on its explanatory power with respect to health. We compare previous deprivation measures used in Scotland and propose a new deprivation measure using the 2001 and 2011 Scottish census data. We calculate the relative index of inequality (RII) for self-reported health and mortality. While across all age groups different deprivation measures provide similar results, the assessment of health inequalities among those aged 20-29 differs markedly according to the deprivation measure. In 2011 the RII for long-term health problem for men aged 20-24 was only 0.71 (95% CI 0.60-0.83) using the Carstairs score, but 1.10 (0.99-1.21) for the new score and 1.13 (1.03-1.24) for the income domain of Scottish Index of Multiple Deprivation (SIMD). The RII for mortality in that age group was 1.25 (0.89-1.58) for the Carstairs score, 1.69 (1.35-2.02) for the new measure and 1.76 (1.43-2.08) for SIMD. The results suggest that researchers and policy makers should consider the suitability of deprivation measures for different social groups.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Dundas, Ms Ruth and Allik, Dr Mirjam and Brown, Dr Denise and Leyland, Professor Alastair
Authors: Allik, M., Brown, D., Dundas, R., and Leyland, A. H.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
College of Social Sciences > School of Social and Political Sciences > Urban Studies
Journal Name:Health and Place
Publisher:Elsevier
ISSN:1353-8292
ISSN (Online):1873-2054
Published Online:12 April 2016
Copyright Holders:Copyright © 2016 The Authors
First Published:First published in Health and Place 39: 122-130
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
727651SPHSU Core Renewal: Measuring and Analysing Socioeconomic Inequalities in Health Research ProgrammeAlastair LeylandMedical Research Council (MRC)MC_UU_12017/13IHW - MRC/CSO SPHU