Regional indices of socio-economic and health inequalities: a tool for public health programming.


Journal

Journal of preventive medicine and hygiene
ISSN: 2421-4248
Titre abrégé: J Prev Med Hyg
Pays: Italy
ID NLM: 9214440

Informations de publication

Date de publication:
Dec 2019
Historique:
received: 16 04 2019
accepted: 15 11 2019
entrez: 23 1 2020
pubmed: 23 1 2020
medline: 4 7 2020
Statut: epublish

Résumé

The aim was to provide an affordable method of computing socio-economic (SE) deprivation indices at the regional level, in order to reveal the specific aspects of the relationship between SE inequalities and health outcomes. The Umbria Region Socio-Health Index (USHI) was computed and compared with the Italian National Deprivation Index at the Umbria regional level (NDI-U). The USHI was computed by applying factor analysis to census tract SE variables correlated with general mortality and validated through comparison with the NDI-U. Overall mortality presented linear positive trends in USHI, while trends in NDI-U proved non-linear or non-significant. Similar results were obtained with regard to specific causes of death according to deprivation groups, gender and age. The USHI better describes a local population in terms of health-related SE status. Policy-makers could therefore adopt this method in order to obtain a better picture of SE-associated health conditions in regional populations and to target strategies for reducing health inequalities.

Identifiants

pubmed: 31967087
doi: 10.15167/2421-4248/jpmh2019.60.4.1257
pmc: PMC6953449
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

E300-E310

Informations de copyright

©2019 Pacini Editore SRL, Pisa, Italy.

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Auteurs

R Lillini (R)

Department of Health Sciences, University of Genoa. Analytical Epidemiology and Health Impact Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan.

G Masanotti (G)

Section of Public Health, Department of Experimental Medicine, University of Perugia, Italy.

F Bianconi (F)

Section of Public Health, Department of Experimental Medicine, University of Perugia, Italy.

A Gili (A)

Section of Public Health, Department of Experimental Medicine, University of Perugia, Italy.

F Stracci (F)

Section of Public Health, Department of Experimental Medicine, University of Perugia, Italy.

F LA Rosa (F)

Section of Public Health, Department of Experimental Medicine, University of Perugia, Italy.

M Vercelli (M)

Department of Health Sciences, University of Genova, Italy.

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