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Towards the construction of place-specific measures of deprivation: a case study from the Vancouver metropolitan area

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Abstract:

There have been numerous attempts to measure population health outcomes using socio-economic indicators. Few investigations have utilized a survey-based approach. This article develops a new means for identifying key socio-economic indicators of relative health outcomes within greater Vancouver, British Columbia (BC). The index, referred to as the Vancouver Area Neighbourhood Deprivation Index (VANDIX), was constructed from a survey of provincial Medical Health Officers (MHOs). The MHOs were asked to rank socio-economic indicators selected from the 2001 National Census by their relative influence on health outcomes throughout the province. Response consistency was evaluated with a weighted Kappa test statistic. The VANDIX score was assigned to Census Dissemination Areas and Census Tract administrative geographies. The scores were then compared to a subset of the 2003 Canadian Community Health Survey (CCHS) Cycle 2.1 database on self-assessed health. Outcome scores between the

Document Type: Research Article

DOI: http://dx.doi.org/10.1111/j.1541-0064.2007.00191.x

Affiliations: 1: Department of Geography, Simon Fraser University, Burnaby, BC, Canada V5A 1S6 ( ), Email: njbell@sfu.ca 2: Department of Geography, Simon Fraser University, Burnaby, BC, Canada V5A 1S6 ( ), Email: nadine@sfu.ca 3: Department of Geography, Simon Fraser University, Burnaby, BC, Canada V5A 1S6 ( ), Email: loliver@sfu.ca 4: Faculty of Health Science, Simon Fraser University, Burnaby, BC, Canada V5A 1S6 ( ), Email: mhayes@sfu.ca

Publication date: December 1, 2007

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