The Portuguese Version of the European Deprivation Index: An Instrument to Study Health Inequalities

Detalhes bibliográficos
Autor(a) principal: Ribeiro, Ana Isabel
Data de Publicação: 2017
Outros Autores: Mayer, Alexandra, Miranda, Ana, de Pina, Maria de Fátima
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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spelling 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
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv 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
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