Department of Public Health Policy, School of Public Health, University of West Attica, Athens, Greece.
Second Propaedeutic Department of Internal Medicine, School of Medicine, "Attikon" University Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Front Public Health. 2024 Aug 14;12:1403723. doi: 10.3389/fpubh.2024.1403723. eCollection 2024.
Several individual-based social deprivation and vulnerability indices have been developed to measure the negative impact of low socioeconomic status on health outcomes. However, their variables and measurable characteristics have not been unequivocally assessed. A comprehensive database literature scoping review was performed to identify all individual-based social deprivation and vulnerability indices. Area-based indices and those developed for pediatric populations were excluded. Data were extracted from all eligible studies and their methodology was assessed with quality criteria. A total of 14 indices were identified, of which 64% (9/14) measured social deprivation and 36% (5/14) measured socioeconomic vulnerability. Sum of weights was the most common scoring system, present in 43% (6/14) of all indices, with no exclusive domains to either vulnerability or deprivation indices. A total of 83 different variables were identified; a very frequent variable (29%; 5/14) related to an individual's social relationships was "seen any family or friends or neighbors." Only five deprivation indices reported a specific internal consistency measure, while no indices reported data on reproducibility. This is the first scoping review of individual-based deprivation and vulnerability indices, which may be used interchangeably when measuring the impact of SES on health outcomes.
已经开发出了几种基于个体的社会剥夺和脆弱性指数，以衡量低社会经济地位对健康结果的负面影响。然而，它们的变量和可衡量的特征尚未得到明确评估。进行了全面的数据库文献范围审查，以确定所有基于个体的社会剥夺和脆弱性指数。排除了基于区域的指数和为儿科人群开发的指数。从所有合格的研究中提取数据，并使用质量标准评估其方法。确定了 14 个指数，其中 64%（9/14）衡量社会剥夺，36%（5/14）衡量社会经济脆弱性。权重总和是最常见的评分系统，在所有指数中占 43%（6/14），没有专门针对脆弱性或剥夺指数的领域。总共确定了 83 个不同的变量；一个非常常见的变量（29%；14/51）与个人的社会关系有关，是“见过任何家人、朋友或邻居”。只有五个剥夺指数报告了特定的内部一致性衡量标准，而没有指数报告数据的可重复性。这是对基于个体的剥夺和脆弱性指数的首次范围审查，当衡量 SES 对健康结果的影响时，可以互换使用。
