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AJPH First Look, published online ahead of print Jun 29, 2006
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December 2006, Vol 96, No. 12 | American Journal of Public Health 2135-2138
© 2006 American Public Health Association
DOI: 10.2105/AJPH.2005.075408

RESEARCH AND PRACTICE

Monitoring Socioeconomic Disparities in Death: Comparing Individual-Level Education and Area-Based Socioeconomic Measures

David H. Rehkopf, ScD, Lorna T. Haughton, PhD, Jarvis T. Chen, ScD, Pamela D. Waterman, MPH, S.V. Subramanian, PhD and Nancy Krieger, PhD

The authors are with the Department of Society, Human Development and Health, Harvard School of Public Health, Boston, Mass.

Correspondence: Requests for reprints should be sent to David H. Rehkopf, ScD, Department of Society, Human Development, and Health, Harvard School of Public Health, 677 Huntington Ave, Kresge 7th Floor, Boston, MA 02115 (e-mail: drehkopf{at}hsph.harvard.edu).

We compared all-cause mortality rates stratified by individual-level education and by census tract area–based socioeconomic measures for Massachusetts (1999–2001). Among persons aged 25 and older, the age-adjusted relative index of inequality was slightly higher for the census tract than for the individual education measures (1.5 vs 1.2, respectively). Only the census tract socioeconomic measures could provide a relative index of inequality (2–3) for deaths before age 25 or detect expected socioeconomic disparities for deaths among persons 65 and older (relative index of inequality= approximately 1.2 vs 0.8 for census tract measures and individual education, respectively).






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