评估社区社会经济环境的测量不变性 城市城市各级的测量不变性
S S A De Silva1,2, Melissa A Meeker1,3, Tara P McAlexander1,4
1Department of Epidemiology and Biostatistics, Dornsife School of Public Health at Drexel University, Philadelphia, PA, 19104, USA.
社区社会经济地位 (NSES) 影响健康,但具体措施因社区类型而异. 这项研究开发了一种精细的NSES衡量标准,发现贫困百分比在城市和农村地区对健康差异研究最一致.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 健康差距 研究 研究 研究 研究
背景情况:
- 社区社会经济地位 (NSES) 是健康结果的关键决定因素.
- 目前的NSES措施往往忽略了城市和农村范围内的差异.
- 了解这些变化对于公平的健康干预至关重要.
研究的目的:
- 开发和验证一个人口普查区级的NSES测量,以计算城市化.
- 评估跨社区类型的NSES构造的测量不变性.
- 为更准确的健康差异研究和公共卫生战略提供信息.
主要方法:
- 利用了来自71,908个美国人口普查区的数据.
- 采用探索性和确认性因子分析来得出NSES构造.
- 进行了测量不变性分析,比较城市和农村社区类型.
主要成果:
- 导出了一个单因素的NSES构造,包括贫困,公共援助,失业,汽车接入和教育.
- 美国国家自然科学系统的结构在城市和农村地区都显示出一致性.
- 因素负载各不相同,贫困百分比是最不变的指标.
结论:
- 为了准确的健康差异研究,NSES测量需要考虑城市化程度.
- 在NSES指标的特定环境的变化需要定制的公共卫生干预措施.
- 完善的NSES措施可以提高健康公平倡议的有效性.
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