Evaluation of Health Disparity Measures for Community Diagnosis in Japan： <i>J</i>AGES 2010 Data

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  • 地域診断のための健康格差指標の検討とその活用
  • チイキ シンダン ノ タメ ノ ケンコウ カクサ シヒョウ ノ ケントウ ト ソノ カツヨウ
  • Evaluation of Health Disparity Measures for Community Diagnosis in Japan： JAGES 2010 Data

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Abstract

We critically evaluated available measures of health disparities in terms of their usefulness in local public health activities by reviewing relevant literature and calculated some candidate measures using existing data. We used survey data from JAGES, taken from 117,494 community-dwelling older (65＋ years-old) residents of 28 municipalities all around Japan in 2010/11. The results of our reviews selected range difference, range ratio, Slope Index of Inequality (SII), Relative Index of Inequality (RII), and its modified version by Kunst and Machkenbach (RIIKM) as the candidates of practically useful measures for community public health activities and community diagnosis. Then we calculated these measures for JAGES data in terms of the proportions of having depressive symptoms and not outing less than once per week. We used principal component score as district-level deprivation index. SII・RII・RIIKM for the two health measures were validly evaluated but range differences and range ratios were strongly influenced by random errors due to small sample sizes. We conclude that these measures should be widely introduced for public health practitioners and used with a good understanding of their characteristics, advantages, and limitations.

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  • Iryo To Shakai

    Iryo To Shakai 24 (1), 47-55, 2014

    The Health Care Science Institute

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