Measuring Neighbourhood Deprivation: A Critique of the Index of Multiple Deprivation

Deas, Iain; Robson, Brian; Wong, Cecilia; Bradford, Michael

doi:10.1068/c0240

Cited by 81 publications

(72 citation statements)

References 22 publications

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“…However, the use of deprivation measures attempts to accommodate for this, as these measures are based on a number of social factors that may be associated with teenage pregnancy 6. Yet these measure themselves are only a proxy of deprivation and have limitations 15. Area-based measures use postcodes; these are not designed for the classification of populations by deprivation category; therefore, by default, these measures may be at risk of misclassifying.…”

Section: Discussionmentioning

confidence: 99%

Evaluating the social determinants of teenage pregnancy: a temporal analysis using a UK obstetric database from 1950 to 2010

McCall

Bhattacharya

Okpo

et al. 2014

J Epidemiol Community Health

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Background Teenage pregnancy is a known social problem which has been previously described using a number of deprivation measures. This study aimed to explore the temporal patterns of teenage pregnancy in Aberdeen, Scotland and to assess the discriminating ability of three measures of socioeconomic status. Methods This was a population-based study from 1950 to 2010, using data from the Aberdeen Maternity Neonatal Databank (AMND). The main outcome variable was conceptions occurring in women aged less than 20 years. This study used two area-based measures, the Scottish Index of Multiple Deprivation (SIMD) and the Carstairs index, and one individual-based measure the Social Class based on Occupation (SCO). These measures were compared for their association with teenage conceptions using logistic regression models. The models were used to determine receiver operating characteristic (ROC) curves showing the discriminating ability of the measures.Results There was an overall decline in teenage conceptions over the 60-year period, but an increase in the rate ratio for deprived areas. All the measures of socioeconomic status were highly associated with teenage pregnancy. The adjusted OR of SIMD and teenage conception was 5.72 (95% CI 4.62 to 7.09), which compared the most deprived decile with the least deprived decile. The use of ROC curves showed that socioeconomic measures performed better than chance at determining teenage conceptions (χ 2 =21.67, p≤0.0001). They further showed that the SIMD had the largest area under the curve (AUC) with a value of 0.81 (95% CI 0.80 to 0.82), followed by the Carstairs index with an AUC of 0.80 (95% CI 0.78 to 0.80), then by SCO with an AUC of 0.79 (95% CI 0.78 to 0.80). Conclusions Despite a slight decline in teenage pregnancies over the past decades, there is still an evident association between deprivation and teenage pregnancy. This study shows that all the measures of socioeconomic status were highly associated with teenage pregnancy, with the SIMD having the greatest discriminatory effect.

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Section: Discussionmentioning

confidence: 99%

Evaluating the social determinants of teenage pregnancy: a temporal analysis using a UK obstetric database from 1950 to 2010

McCall

Bhattacharya

Okpo

et al. 2014

J Epidemiol Community Health

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“…Such indices are comprised of a number of subordinate indicators which, when combined, provide a relative measure of deprivation for each area for a fixed time period, typically at a local level such as a census tract or ward. These indices have been critiqued on a number of fronts (for example, DEAS et al, 2003) and typically do not allow for analysis between time periods, but they remain an important part of 'official'…”

Section: Analytical Background and Methodsmentioning

confidence: 99%

Spatially Concentrated Deprivation in England: An Empirical Assessment

Rae

2011

Regional Studies

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RAE A. Spatially concentrated deprivation in England: an empirical assessment, Regional Studies. Spatially concentrated deprivation is a well-documented phenomenon and is of interest to a diverse constituency of academics and policy-makers. Despite the accepted view of concentrated deprivation as a problem, however, the empirical basis for understanding it remains underdeveloped. Therefore, an attempt is made here to provide an empirical assessment of spatially concentrated deprivation in England using spatial statistics and a policy-relevant deprivation measure. More localized analyses are also conducted for London, Birmingham, Liverpool and Manchester. The results demonstrate that deprivation in England is highly concentrated, that it varies significantly over space and that spatial patterns persist through time. DeprivationPoverty Disadvantage Spatial Concentration Labour market areaLa concentration géographique de la privation en Angleterre: une évaluation empirique, Regional Studies. La concentration géographique de la privation est bien documentée et un groupe de divers universitaires et décideurs s'y intéresse. Cependant, malgré que l'on admette que la concentration de la privation constitue un problème, il reste à établir son bien-fondé empirique. A partir des statistiques géographiques, cet article cherche, alors, à fournir une évaluation empirique de la concentration géographique de la privation en Angleterre et une mesure de la privation qui se rapporte à la politique. On conduit aussi des analyses locales pour ce qui est de Londres, de Birmingham, de Liverpool et de Manchester. Les résultats laissent voir que la privation en Angleterre est très concentrée, qu'elle varie sensiblement dans l'espace et que la distribution géographique persiste dans le temps. Privation Pauvreté Désavantage Géographique Concentration Bassin d'emploi RAE A. Räumlich konzentrierte Benachteiligung in England: eine empirische Untersuchung, Regional Studies. Bei der räumlich konzentrierten Benachteiligung handelt es sich um ein gut dokumentiertes Phänomen, das für die verschiedensten Akademiker und Politiker von Interesse ist. Obwohl die konzentrierte Benachteiligung übereinstimmend als Problem betrachtet wird, ist die empirische Grundlage für ihr Verständnis weiterhin unterentwickelt. Deshalb wird hier versucht, die räumlich konzentrierte Benachteiligung in England mit Hilfe von räumlichen Statistiken und einer politisch relevanten Maßnahme zum Abbau von Benachteiligungen empirisch zu untersuchen. Außerdem werden lokalisiertere Analysen für London, Birmingham, Liverpool und Manchester durchgeführt. Aus den Ergebnissen geht hervor, dass die Benachteiligung in England hochgradig konzentriert ist und in räumlicher Hinsicht signifikante Abweichungen aufweist, während die räumlichen Muster im Zeitverlauf fortbestehen. Mangel Armut Benachteiligung Räumlich Konzentration Arbeitsmarktbereich RAE A. Privación concentrada espacialmente en Inglaterra: una valoración empírica, Regional Studies. La privación concentrada espacialmente es un...

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“…Diese Frage ist noch nicht geklärt und sie wird nur empirisch zu beantworten sein [ 32 ] . Jeder Index wird Stärken und Schwächen aufweisen, jedoch wird der IMD derzeit als der Deprivationsindex mit der am weitesten entwickelten Methodik angesehen [ 75 ] .…”

Section: Vergleich Zwischen Verschiedenen Deprivationsindizesunclassified

Regionale Deprivation und Mortalität in Bayern. Entwicklung eines ,Index Multipler Deprivation‘ auf Gemeindeebene

Fairburn²,

2011

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Measuring Neighbourhood Deprivation: A Critique of the Index of Multiple Deprivation

Cited by 81 publications

References 22 publications

Evaluating the social determinants of teenage pregnancy: a temporal analysis using a UK obstetric database from 1950 to 2010

Evaluating the social determinants of teenage pregnancy: a temporal analysis using a UK obstetric database from 1950 to 2010

Spatially Concentrated Deprivation in England: An Empirical Assessment

Regionale Deprivation und Mortalität in Bayern. Entwicklung eines ,Index Multipler Deprivation‘ auf Gemeindeebene

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