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Construction of an adaptable European transnational ecological deprivation index: the French version
  1. Carole Pornet1,2,3,
  2. Cyrille Delpierre4,
  3. Olivier Dejardin1,2,3,
  4. Pascale Grosclaude4,
  5. Ludivine Launay1,2,3,
  6. Lydia Guittet1,2,3,
  7. Thierry Lang4,
  8. Guy Launoy1,2,3
  1. 1Department of Epidemiological Research and Evaluation, CHU de Caen, Caen, France
  2. 2EA3936, Medical School, Université de Caen Basse-Normandie, Caen, France
  3. 3U1086 Inserm, Cancers and Preventions, Caen, France
  4. 4Inserm U558, Toulouse, France
  1. Correspondence to Dr Carole Pornet, U1086 Inserm, Cancers and Preventions, CHU de Caen, Faculty of Medicine, Avenue de la Côte de Nacre, 14032 Caen Cedex, France; carole.pornet{at}inserm.fr

Abstract

Background Studying social disparities in health implies the ability to measure them accurately, to compare them between different areas or countries and to follow trends over time. This study proposes a method for constructing a French European deprivation index, which will be replicable in several European countries and is related to an individual deprivation indicator constructed from a European survey specifically designed to study deprivation.

Methods and Results Using individual data from the European Union Statistics on Income and Living Conditions survey, goods/services indicated by individuals as being fundamental needs, the lack of which reflect deprivation, were selected. From this definition, which is specific to a cultural context, an individual deprivation indicator was constructed by selecting fundamental needs associated both with objective and subjective poverty. Next, the authors selected among variables available both in the European Union Statistics on Income and Living Conditions survey and French national census those best reflecting individual experience of deprivation using multivariate logistic regression. An ecological measure of deprivation was provided for all the smallest French geographical units. Preliminary validation showed a higher association between the French European Deprivation Index (EDI) score and both income and education than the Townsend index, partly ensuring its ability to measure individual socioeconomic status.

Conclusion This index, which is specific to a particular cultural and social policy context, could be replicated in 25 other European countries, thereby allowing European comparisons. EDI could also be reproducible over time. EDI could prove to be a relevant tool in evidence-based policy-making for measuring and reducing social disparities in health issues and even outside the medical domain.

  • Access to healthcare
  • cancer
  • deprivation
  • deprivation index
  • ecological level
  • European Union Statistics on Income and Living Conditions
  • gastroenterology
  • geography
  • poverty
  • prevention
  • public health
  • screening
  • social inequalities
  • social inequalities in health

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/3.0/ and http://creativecommons.org/licenses/by-nc/3.0/legalcode

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Footnotes

  • Funding This work was supported by the Institut National du Cancer (Paris, France) grant no. 06-12-3D1514-13.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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