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首页> 外文期刊>Annals of epidemiology >Assessment of a national health interview survey-based method of measuring community socioeconomic status.
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Assessment of a national health interview survey-based method of measuring community socioeconomic status.

机译：评估基于国家健康访谈调查的衡量社区社会经济状况的方法。

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PURPOSE: Increasingly researchers are interested in assessing the role of community socioeconomic status (SES) in poor health outcomes, above and beyond the influence of low individual SES. However, the feasibility of conducting these multi-level studies is often limited by restrictions on release of confidential identifiers for linkage to census data, resources for the linkage, and the availability of data sources with individual SES measures. This study assessed a new method of measuring community socioeconomic status (SES) that can be used with the publicly available National Health Interview Survey (NHIS) and preserves confidentiality and can be used with individual SES measures from the NHIS. METHODS: The associations between community SES and mortality from all causes and breast cancer in women were assessed in two samples: 1) deaths in 1987-1993 NHIS respondents linked to community SES measures developed with the new method; and 2) deaths in 1991 from the National Multiple Cause of Death Files linked to 1990 county-level census SES measures. The magnitude of crude mortality rates, direction of trend, and age-adjusted relative risk of mortality for low vs. high SES were compared in the two samples. RESULTS: Crude all-cause mortality and breast cancer mortality rates were similar in both samples in terms of magnitude and direction of trend. In both samples, as SES decreased, rates of all-cause mortality increased, whereas breast cancer mortality rates tended to decrease. Age-adjusted relative risks of mortality from all causes and breast cancer for low vs. high SES were similar in the two samples. CONCLUSIONS: Similarity of associations between community SES and mortality from all causes and breast cancer in the two samples provides support for the validity of a new NHIS-based method of measuring community SES. Since the NHIS is a large, nationally representative survey with high response rates and low loss to mortality follow-up, this method represents an important resource for multi-level studies.
机译：用途：越来越多的研究人员对评估社区社会经济状况（SES）在不良健康结果中的作用超出个人SES较低的影响。但是，进行这些多级研究的可行性通常受到以下限制：对与人口普查数据链接的机密标识符的发布，链接资源以及使用单独的SES措施的数据源的可用性的限制。这项研究评估了一种新的衡量社区社会经济地位（SES）的方法，该方法可与可公开获得的国家健康采访调查（NHIS）一起使用，并保持机密性，并可与NHIS的各项SES措施一起使用。方法：通过两个样本评估了社区SES与妇女各种原因死亡率和乳腺癌之间的关联：1）1987-1993年NHIS受访者的死亡与采用新方法制定的社区SES措施相关; 2）1991年与1990年县级人口普查SES措施相关的国家多重死亡原因档案导致的死亡。比较了两个样本中低和高SES的粗死亡率，幅度方向和年龄调整后的相对死亡风险。结果：就样本的大小和趋势方向而言，两个样本的粗略全因死亡率和乳腺癌死亡率相似。在这两个样本中，随着SES降低，全因死亡率增加，而乳腺癌死亡率则趋于下降。在两个样本中，年龄校正后的低和高SES引起的所有原因和乳腺癌死亡的相对风险相似。结论：在两个样本中，社区SES与所有原因和乳腺癌的死亡率之间的关联相似性为基于NHIS的新型社区SES测量方法的有效性提供了支持。由于NHIS是一项大型的，具有全国代表性的调查，反应率高且死亡率随访率低，因此，该方法代表了进行多层次研究的重要资源。

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