Methode om risicogroepen te identificeren effectief en adequaat

Braveman PA, Egerter SA, Cubbin C, Marchi KS. An approach to studying social disparities in health and health care. Am J Public Health 2004 Dec;94(12):2139-48

Doel van het onderzoek: Verkennen van de methoden en mogelijke toepassingen van een systematische aanpak voor het bestuderen van en het toezicht houden op sociale verschillen in gezondheid en gezondheidszorg

OBJECTIVE: We explored methods and potential applications of a systematic approach to studying and monitoring social disparities in health and health care. METHODS: Using delayed or no prenatal care as an example indicator, we (1) categorized women into groups with different levels of underlying social advantage; (2) described and graphically displayed rates of the indicator and relative group size for each social group; (3) identified and measured disparities, calculating relative risks and rate differences to compare each group with its a priori most-advantaged counterpart; (4) examined changes in rates and disparities over time; and (5) conducted multivariate analyses for the overall sample and "at-risk" groups to identify particular factors warranting attention. RESULTS: We identified at-risk groups and relevant factors and suggest ways to direct efforts for reducing prenatal care disparities. CONCLUSIONS: This systematic approach should be useful for studying and monitoring disparities in other indicators of health and health care

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