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Published in: BMC Public Health 1/2012

Open Access 01-12-2012 | Commentary

Socioeconomic inequalities in health: individual or area level; does it matter?

Author: B Galobardes

Published in: BMC Public Health | Issue 1/2012

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Abstract

In the last decades we have accumulated substantial knowledge about the risk factors that lead to cardiovascular disease. Despite this progress, in this issue of BMC Public Health we learn that little improvement has been made towards reducing inequalities in these risk factors in the UK. Characterizing changes over time can help understanding the mechanisms that underpin health inequalities. These pathways are complex and operate at different levels, from the individual to the context where someone lives. In this commentary I highlight some of the issues and uncertainties that may arise when individual and area level measures are used indistinctively.
Literature
1.
go back to reference Scholes S, Bajekal M, Love H, Hawkins N, Raine R, O'Flaherty M, Capewell S: Persistent socioeconomic inequalities in cardiovascular risk factors in England over 1994-2008: a time-trend analysis of repeated cross-sectional data. BMC Public Health Scholes S, Bajekal M, Love H, Hawkins N, Raine R, O'Flaherty M, Capewell S: Persistent socioeconomic inequalities in cardiovascular risk factors in England over 1994-2008: a time-trend analysis of repeated cross-sectional data. BMC Public Health
2.
go back to reference Galobardes B, Shaw M, Lawlor DA, Lynch JW, Davey Smith G: Indicators of socioeconomic position (part 1). Journal of Epidemiology and Community Health. 2006, 60 (1): 7-12. 10.1136/jech.2004.023531.CrossRefPubMedPubMedCentral Galobardes B, Shaw M, Lawlor DA, Lynch JW, Davey Smith G: Indicators of socioeconomic position (part 1). Journal of Epidemiology and Community Health. 2006, 60 (1): 7-12. 10.1136/jech.2004.023531.CrossRefPubMedPubMedCentral
3.
go back to reference Galobardes B, Shaw M, Lawlor DA, Lynch JW, Davey Smith G: Indicators of socioeconomic position (part 2). Journal of Epidemiology and Community Health. 2006, 60 (2): 95-101. 10.1136/jech.2004.028092.CrossRefPubMedPubMedCentral Galobardes B, Shaw M, Lawlor DA, Lynch JW, Davey Smith G: Indicators of socioeconomic position (part 2). Journal of Epidemiology and Community Health. 2006, 60 (2): 95-101. 10.1136/jech.2004.028092.CrossRefPubMedPubMedCentral
4.
go back to reference Chen X, Nordhaus WD: Using luminosity data as a proxy for economic statistics. Proceedings of the National Academy of Sciences. 2011, 108 (21): 8589-8594. 10.1073/pnas.1017031108.CrossRef Chen X, Nordhaus WD: Using luminosity data as a proxy for economic statistics. Proceedings of the National Academy of Sciences. 2011, 108 (21): 8589-8594. 10.1073/pnas.1017031108.CrossRef
5.
go back to reference Davey Smith G, Carroll D, Rankin S, Rowan D: Socioeconomic differentials in mortality: evidence from Glasgow graveyards. BMJ. 1992, 305 (6868): 1554-1557. 10.1136/bmj.305.6868.1554.CrossRef Davey Smith G, Carroll D, Rankin S, Rowan D: Socioeconomic differentials in mortality: evidence from Glasgow graveyards. BMJ. 1992, 305 (6868): 1554-1557. 10.1136/bmj.305.6868.1554.CrossRef
6.
go back to reference Galobardes B, McCarron P, Jeffreys M, Davey SG: Association between number of siblings and cause-specific mortality in the Glasgow alumni cohort study. Eur J Epidemiol. 2008, 23 (2): 89-93. 10.1007/s10654-007-9210-6.CrossRefPubMed Galobardes B, McCarron P, Jeffreys M, Davey SG: Association between number of siblings and cause-specific mortality in the Glasgow alumni cohort study. Eur J Epidemiol. 2008, 23 (2): 89-93. 10.1007/s10654-007-9210-6.CrossRefPubMed
7.
go back to reference Geronimus AT, Invited Commentary: Using Area-based Socioeconomic Measures--Think Conceptually, Act Cautiously. Am J Epidemiol. 2006, 164 (9): 835-840. 10.1093/aje/kwj314.CrossRefPubMed Geronimus AT, Invited Commentary: Using Area-based Socioeconomic Measures--Think Conceptually, Act Cautiously. Am J Epidemiol. 2006, 164 (9): 835-840. 10.1093/aje/kwj314.CrossRefPubMed
8.
go back to reference Davey Smith G, Hart CL, Watt G, Hole DJ, Hawthorne VM: Individual social class, area-based deprivation, cardiovascular disease risk factors, and mortality: the Renfrew and Paisley study. J Epidemiol Community Health. 1998, 52: 399-405. 10.1136/jech.52.6.399.CrossRef Davey Smith G, Hart CL, Watt G, Hole DJ, Hawthorne VM: Individual social class, area-based deprivation, cardiovascular disease risk factors, and mortality: the Renfrew and Paisley study. J Epidemiol Community Health. 1998, 52: 399-405. 10.1136/jech.52.6.399.CrossRef
9.
go back to reference Geronimus AT, Bound J: Use of census-based aggregate variables to proxy for socioeconomic group: evidence from national samples. Am J Epidemiol. 1998, 148 (5): 475-486.CrossRefPubMed Geronimus AT, Bound J: Use of census-based aggregate variables to proxy for socioeconomic group: evidence from national samples. Am J Epidemiol. 1998, 148 (5): 475-486.CrossRefPubMed
10.
go back to reference Subramanian SV, Chen JT, Rehkopf DH, Waterman PD, Krieger N: Subramanian et al. Respond to "Think Conceptually, Act Cautiously". Am J Epidemiol. 2006, 164 (9): 841-844. 10.1093/aje/kwj315.CrossRef Subramanian SV, Chen JT, Rehkopf DH, Waterman PD, Krieger N: Subramanian et al. Respond to "Think Conceptually, Act Cautiously". Am J Epidemiol. 2006, 164 (9): 841-844. 10.1093/aje/kwj315.CrossRef
Metadata
Title
Socioeconomic inequalities in health: individual or area level; does it matter?
Author
B Galobardes
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2012
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-12-171

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