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October 13, 2005Medical Care

Individual-Level and Neighborhood-Level Income Measures

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Population

4,372 patients having undergone cardiac catheterization from the Alberta Provincial Project for Outcome…

Comparison

Area-based measures of household income vs Self-reported household income

Design

Cohort

Follow-up

2.5 years

Authors

DSDanielle A. SouthernUniversity of CalgaryLMLindsay McLarenUniversity of CalgaryPHPenelope HaweUniversity of Technology Sydney

Discussion

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Overview

Area- and individual-level income measures should not be interchanged in cardiac prognostication; leaves open distinct neighborhood versus personal SES effects on survival and QoL.

Structured PICO

P
Population
4,372 patients having undergone cardiac catheterization from the Alberta Provincial Project for Outcome Assessment in Coronary Heart Disease (APPROACH) registry who completed a 1-year follow-up questionnaire on self-reported income level.
I
Intervention
Area-based measures of household income (neighborhood-level income)
C
Comparator
Self-reported household income (individual-level income)
O
Outcome
Agreement between the two income measures, survival to 2.5 years after catheterization, and health-related quality of life (EuroQoL)

Area-based income measures show poor agreement with individual self-reported income, but both independently predict survival and quality of life in cardiac patients, highlighting the distinct prognostic relevance of neighborhood versus individual socioeconomic status.

Cite This Study

Southern et al. (2005) studied this question.

synapsesocial.com/papers/6a6f237235aa2c282ce08a27https://doi.org/10.1097/01.mlr.0000182517.57235.6d
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