August 26, 2002American Journal of Epidemiology
Geocoding and Monitoring of US Socioeconomic Inequalities in Mortality and Cancer Incidence: Does the Choice of Area-based Measure and Geographic Level Matter?: The Public Health Disparities Geocoding Project
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Discussion
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Implication
Randomized trial investigates the impact of socioeconomic measures on mortality and cancer in the U.S., suggesting geographic measures are critical.
Key Points
- This research aims to determine how different area-based socioeconomic measures affect mortality and cancer incidence in the U.S.
- Generated area-based socioeconomic measures at census tract, block group, and zip code levels in Massachusetts and Rhode Island.
- Analyzed associations between these measures and mortality rates from 1989-1991 and cancer incidence from 1988-1992.
- Compared the effectiveness of measures based on economic poverty, education, and wealth.
- Block group and tract socioeconomic measures show comparable associations with mortality and cancer outcomes.
- Zip code measures did not consistently align with tract/block group measures and sometimes revealed contrary gradients.
- Economic poverty measures were the most robust in detecting mortality and cancer incidence gradients.
Cite This Study
Nancy Krieger (2002) studied this question.