The Portuguese Version of the European Deprivation Index: An Instrument to Study Health Inequalities
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387 |
Resumo: | Introduction: Tackling socioeconomic health inequalities is a big public health challenge and ecological deprivation indexes are essential instruments to monitor and understand them. In Portugal, no standard ecological deprivation index exists, contrasting with other countries. We aimed to describe the construction of the Portuguese version of a transnational deprivation index, European Deprivation Index.Material and Methods: The European Deprivation Index was developed under the Townsend theorization of deprivation. Using data from the European Union - Statistics on Income and Living Conditions Survey, we obtained an indicator of individual deprivation. This indicator became the gold-standard variable, based on what we selected the variables at aggregate level (census) to be included in the European Deprivation Index, a total of eight. The European Deprivation Index was produced for the smallest area unit possible (n = 16 094, mean/area = 643 inhabitants) and resulted from the weighted sum of the previous variables. It was then classified into quintiles.Results: The first quintile (least deprived) comprised 20.9% national population and the fifth quintile (most deprived) 18.0%. The European Deprivation Index showed a clear geographic pattern – most deprived areas concentrated in the South and in the inner North and Centre of the country, and the least deprived areas in the coastal areas of North and Centre and in the Algarve.Discussion: The development of the European Deprivation Index was grounded on a solid theoretical framework, individual and aggregate variables, and on a longitudinal Europe-wide survey allowing its replication over the time and in any European country.Conclusion: Hopefully, the European Deprivation Index will start being employed by those interested in better understand health inequalities not only in Portugal but across Europe. |
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The Portuguese Version of the European Deprivation Index: An Instrument to Study Health InequalitiesA versão Portuguesa do European Deprivation Index: Um Instrumento para o Estudo das Desigualdades em SaúdeEuropeHealth Services AccessibilityHealth Status DisparitiesPortugalSocioeconomic FactorsSurveys and QuestionnairesAcesso aos Serviços de SaúdeDisparidades nos Níveis de SaúdeEuropaFactores SocioeconómicosInquéritos e QuestionáriosPortugalIntroduction: Tackling socioeconomic health inequalities is a big public health challenge and ecological deprivation indexes are essential instruments to monitor and understand them. In Portugal, no standard ecological deprivation index exists, contrasting with other countries. We aimed to describe the construction of the Portuguese version of a transnational deprivation index, European Deprivation Index.Material and Methods: The European Deprivation Index was developed under the Townsend theorization of deprivation. Using data from the European Union - Statistics on Income and Living Conditions Survey, we obtained an indicator of individual deprivation. This indicator became the gold-standard variable, based on what we selected the variables at aggregate level (census) to be included in the European Deprivation Index, a total of eight. The European Deprivation Index was produced for the smallest area unit possible (n = 16 094, mean/area = 643 inhabitants) and resulted from the weighted sum of the previous variables. It was then classified into quintiles.Results: The first quintile (least deprived) comprised 20.9% national population and the fifth quintile (most deprived) 18.0%. The European Deprivation Index showed a clear geographic pattern – most deprived areas concentrated in the South and in the inner North and Centre of the country, and the least deprived areas in the coastal areas of North and Centre and in the Algarve.Discussion: The development of the European Deprivation Index was grounded on a solid theoretical framework, individual and aggregate variables, and on a longitudinal Europe-wide survey allowing its replication over the time and in any European country.Conclusion: Hopefully, the European Deprivation Index will start being employed by those interested in better understand health inequalities not only in Portugal but across Europe.Introdução: Combater as desigualdades socioeconómicas em saúde é um grande desafio em saúde pública e os indicadores ecológicos de privação socioeconómica são essenciais para as monitorizar e compreender. Não existe nenhum indicador padrão de privação que cubra todo o território nacional, contrariamente ao que acontece noutros países. Este estudo visa descrever a construção da versão portuguesa de um índice de privação transnacional, European Deprivation Index.Material e Métodos: O European Deprivation Index foi desenvolvido de acordo com a conceptualização de Townsend sobre privação. Usando dados do questionário European Union-Statistics on Income and Living Conditions, obtivemos um indicador de privação individual. Este tornou-se a variável chave, baseada na qual selecionamos as variáveis ecológicas (censos) a ser incluídas, um total de oito. O European Deprivation Index foi produzido para a menor área geográfica possível (n = 16 094, média/área = 643 habitantes) e resultou da soma ponderada das variáveis anteriores. Foi depois categorizado em quintis.Resultados: O primeiro quintil do European Deprivation Index (mais favorecido) incluiu 20,5% da população nacional e o quinto (menos favorecido) 18,0%. O European Deprivation Index apresentou um padrão territorial demarcado – as áreas menos favorecidas concentraram-se no Sul e no Interior Norte e Centro e as mais favorecidas no litoral Norte e Centro e no Algarve.Discussão: A construção do European Deprivation Index assentou numa conceptualização teórica sólida, variáveis individuais e agregadas e num inquérito europeu longitudinal permitindo que seja replicado no tempo e em qualquer país europeu.Conclusão: Esperamos que o European Deprivation Index venha a ser utilmente empregue por todos aqueles que desejem compreender melhor as desigualdades em saúde no nosso país e na Europa.Ordem dos Médicos2017-01-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/mswordapplication/zipapplication/zipapplication/pdfapplication/pdfapplication/mswordapplication/mswordapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387oai:ojs.www.actamedicaportuguesa.com:article/7387Acta Médica Portuguesa; Vol. 30 No. 1 (2017): January; 17-25Acta Médica Portuguesa; Vol. 30 N.º 1 (2017): Janeiro; 17-251646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/4887https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/4882https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8186https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8187https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8188https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8207https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8208https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8644https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8645https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8750https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8770Direitos de Autor (c) 2017 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessRibeiro, Ana IsabelMayer, AlexandraMiranda, Anade Pina, Maria de Fátima2022-12-20T11:05:11Zoai:ojs.www.actamedicaportuguesa.com:article/7387Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:26.962781Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The Portuguese Version of the European Deprivation Index: An Instrument to Study Health Inequalities A versão Portuguesa do European Deprivation Index: Um Instrumento para o Estudo das Desigualdades em Saúde |
title |
The Portuguese Version of the European Deprivation Index: An Instrument to Study Health Inequalities |
spellingShingle |
The Portuguese Version of the European Deprivation Index: An Instrument to Study Health Inequalities Ribeiro, Ana Isabel Europe Health Services Accessibility Health Status Disparities Portugal Socioeconomic Factors Surveys and Questionnaires Acesso aos Serviços de Saúde Disparidades nos Níveis de Saúde Europa Factores Socioeconómicos Inquéritos e Questionários Portugal |
title_short |
The Portuguese Version of the European Deprivation Index: An Instrument to Study Health Inequalities |
title_full |
The Portuguese Version of the European Deprivation Index: An Instrument to Study Health Inequalities |
title_fullStr |
The Portuguese Version of the European Deprivation Index: An Instrument to Study Health Inequalities |
title_full_unstemmed |
The Portuguese Version of the European Deprivation Index: An Instrument to Study Health Inequalities |
title_sort |
The Portuguese Version of the European Deprivation Index: An Instrument to Study Health Inequalities |
author |
Ribeiro, Ana Isabel |
author_facet |
Ribeiro, Ana Isabel Mayer, Alexandra Miranda, Ana de Pina, Maria de Fátima |
author_role |
author |
author2 |
Mayer, Alexandra Miranda, Ana de Pina, Maria de Fátima |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Ribeiro, Ana Isabel Mayer, Alexandra Miranda, Ana de Pina, Maria de Fátima |
dc.subject.por.fl_str_mv |
Europe Health Services Accessibility Health Status Disparities Portugal Socioeconomic Factors Surveys and Questionnaires Acesso aos Serviços de Saúde Disparidades nos Níveis de Saúde Europa Factores Socioeconómicos Inquéritos e Questionários Portugal |
topic |
Europe Health Services Accessibility Health Status Disparities Portugal Socioeconomic Factors Surveys and Questionnaires Acesso aos Serviços de Saúde Disparidades nos Níveis de Saúde Europa Factores Socioeconómicos Inquéritos e Questionários Portugal |
description |
Introduction: Tackling socioeconomic health inequalities is a big public health challenge and ecological deprivation indexes are essential instruments to monitor and understand them. In Portugal, no standard ecological deprivation index exists, contrasting with other countries. We aimed to describe the construction of the Portuguese version of a transnational deprivation index, European Deprivation Index.Material and Methods: The European Deprivation Index was developed under the Townsend theorization of deprivation. Using data from the European Union - Statistics on Income and Living Conditions Survey, we obtained an indicator of individual deprivation. This indicator became the gold-standard variable, based on what we selected the variables at aggregate level (census) to be included in the European Deprivation Index, a total of eight. The European Deprivation Index was produced for the smallest area unit possible (n = 16 094, mean/area = 643 inhabitants) and resulted from the weighted sum of the previous variables. It was then classified into quintiles.Results: The first quintile (least deprived) comprised 20.9% national population and the fifth quintile (most deprived) 18.0%. The European Deprivation Index showed a clear geographic pattern – most deprived areas concentrated in the South and in the inner North and Centre of the country, and the least deprived areas in the coastal areas of North and Centre and in the Algarve.Discussion: The development of the European Deprivation Index was grounded on a solid theoretical framework, individual and aggregate variables, and on a longitudinal Europe-wide survey allowing its replication over the time and in any European country.Conclusion: Hopefully, the European Deprivation Index will start being employed by those interested in better understand health inequalities not only in Portugal but across Europe. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387 oai:ojs.www.actamedicaportuguesa.com:article/7387 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387 |
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oai:ojs.www.actamedicaportuguesa.com:article/7387 |
dc.language.iso.fl_str_mv |
eng |
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eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/4887 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/4882 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8186 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8187 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8188 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8207 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8208 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8644 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8645 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8750 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7387/8770 |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2017 Acta Médica Portuguesa |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 30 No. 1 (2017): January; 17-25 Acta Médica Portuguesa; Vol. 30 N.º 1 (2017): Janeiro; 17-25 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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