Satin M S, Monetti C H
Health Serv Res. 1985 Aug;20(3):341-58.
The advantages of census data-based needs assessment cannot be fully realized in the absence of demonstrated relationships between area characteristics and aggregate individual service need. This study sought to ascertain these relationships by using tract characteristics from the 1980 census to predict tract aggregate levels of individually measured social, physical, and psychological functioning. A census tract stratified sample of 3,465 permanent households in eastern Long Island, New York was used for the study. In each household, a randomly selected adult was surveyed regarding physical functioning, depressed mood, and social isolation. Stepwise multiple regression was used to determine which census variables best predicted the tract distributions of each of the functioning measures. Census variables explained from 23 to 30 percent of the variance in tract need level. Study findings have immediate utility for efficient needs assessment and suggest avenues for future improvement of needs assessment methods.
在缺乏地区特征与总体个体服务需求之间已证实关系的情况下,基于普查数据的需求评估的优势无法得到充分发挥。本研究试图通过使用1980年人口普查的街区特征来预测街区个体测量的社会、身体和心理功能的总体水平,以确定这些关系。研究采用了纽约长岛东部3465户永久家庭的街区分层样本。在每个家庭中,随机选择一名成年人就身体功能、抑郁情绪和社会隔离情况进行调查。采用逐步多元回归来确定哪些普查变量最能预测各功能指标在街区的分布情况。普查变量解释了街区需求水平差异的23%至30%。研究结果对高效需求评估具有直接实用价值,并为未来需求评估方法的改进提供了途径。