Pasetto R, Caranci N, Pirastu R
Dipartimento ambiente e connessa prevenzione primaria, Istituto superiore di sanità, Rome.
Epidemiol Prev. 2011 Sep-Dec;35(5-6 Suppl 4):174-80.
The use of deprivation indices in small-area studies of environment and health is described, with particular reference to the Italian context. Deprivation indices can represent a proxy for individual deprivation and/or contextual deprivation. In Italy, deprivation indices have been constructed using Census variables. They are applied at census tract level in studies with a local basis; in national based studies, they can be used at municipality level. In SENTIERI Project (Mortality study of residents in Italian polluted sites) an ad hoc deprivation index at municipal level was used (DI SENTIERI). Its strength and weaknesses are discussed. In addition, suggestions about the use of socioeconomic indices in small area studies of environment and health are given. For a description of SENTIERI, refer to the 2010 Supplement of Epidemiology & Prevention devoted to SENTIERI Project.
本文描述了在环境与健康的小区域研究中贫困指数的使用情况，特别提及了意大利的背景。贫困指数可以代表个体贫困和/或环境贫困的替代指标。在意大利，贫困指数是利用人口普查变量构建的。它们在以当地为基础的研究中应用于普查区层面；在全国性研究中，则可在市镇层面使用。在“小径项目”（意大利污染场地居民死亡率研究）中，使用了一个市镇层面的特设贫困指数（小径贫困指数）。文中讨论了其优缺点。此外，还给出了在环境与健康的小区域研究中使用社会经济指数的建议。关于“小径项目”的描述，请参考《流行病学与预防》2010年专门针对“小径项目”的增刊。
