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AJPH First Look, published online ahead of print Jun 29, 2006
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American Journal of Public Health, 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 1*, Lorna T. Haughton 1, Jarvis T. Chen 1, Pam D. Waterman 1, S.V. Subramanian 1, Nancy Krieger 2

1 Harvard School of Public Health
2 Harvard University School of Public Health

* To whom correspondence should be addressed. E-mail: drehkopf{at}hsph.harvard.edu.


   Abstract

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).

Key Words: Socioeconomic Factors, Mortality, Surveillance







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