Geocoding and Measurement of Neighborhood Socioeconomic Position: A U.S. Perspective
Published 8 May 2003
Nancy Krieger, Sally Zierler, Joseph W. Hogan, Pamela D. Waterman, Jarvis T. Chen, Kerry Lemieux
Citations80
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
Abstract
Abstract This chapter focuses on conceptual and methodologic issues germane to public health monitoring in the United States. Many of the concepts, methods, and questions, however, are likely to be relevant to other countries as well as to etiologic studies of neighborhood effects on health and other aspects of well-being. It argues that data on the socioeconomic characteristics of neighborhoods—whether compositional or contextual—can be useful for describing and monitoring social inequalities in health.
Keywords
Social SciencesHealth Professions
Annual Review of Public HealthMeasuring Social Class in US Public Health Research: Concepts, Methodologies, and Guidelines
2,733 Citations1997Nancy Krieger, David R. Williams +1 more
Annual Review of SociologyUS Socioeconomic and Racial Differences in Health: Patterns and Explanations
1,730 Citations1995David R. Williams, Chiquita Collins
The evidence for both a widening SES differential in health status and an increasing racial gap in health between blacks and whites due, in part, to the worsening health status of the African American population is described.
American Journal of Public HealthOvercoming the absence of socioeconomic data in medical records: validation and application of a census-based methodology.
1,661 Citations1992Nancy Krieger
This census-based methodology offers a valid and useful approach to overcoming the absence of socioeconomic data in most US medical records.
American Journal of Public HealthBringing context back into epidemiology: variables and fallacies in multilevel analysis.
1,313 Citations1998Ana V. Diez–Roux
The present paper discusses the need to include group- or macro-level variables in epidemiologic studies, thus incorporating multiple levels of determination in the study of health outcomes, and suggests multilevel analysis holds potential for reemphasizing the role of macro- level variables in shaping health and disease in populations.
BiometricsEmpirical Bayes Estimates of Age-Standardized Relative Risks for Use in Disease Mapping
1,263 Citations1987David Clayton, John Kaldor
A new approach using empirical Bayes estimation is proposed to map incidence and mortality from diseases such as cancer and the resulting estimators represent a weighted compromise between the SMR, the overall mean relative rate, and a local mean of the relative rate in nearby areas.
Social Epidemiology
1,055 Citations2000
American Journal of Preventive MedicineRacism, Sexism, and Social Class: Implications for Studies of Health, Disease, and Well-being
962 Citations1993Nancy Krieger, Diane L. Rowley +3 more
American Journal of EpidemiologyPOVERTY AND HEALTH PROSPECTIVE EVIDENCE FROM THE ALAMEDA COUNTY STUDY
712 Citations1987Mary N. Haan, George A. Kaplan +1 more
The Condition of the Working-Class in England
709 Citations2013
Socioeconomic Position
564 Citations2000John Lynch, George A. Kaplan
American Journal of EpidemiologyUse of Census-based Aggregate Variables to Proxy for Socioeconomic Group: Evidence from National Samples
486 Citations1998Arline T. Geronimus, John Bound
The authors estimate health outcome equations using samples from nationally representative data sets linked to census data and conclude that aggregate measures can not be interpreted as if they were microlevel variables nor should a specific aggregate measure be interpreted to represent the effects of what it is labeled.
American Journal of Public HealthNeighborhood risk factors for low birthweight in Baltimore: a multilevel analysis.
465 Citations1997Patricia O’Campo, Xiaonan Xue +2 more
Assessment of macrolevel social factors by using census tract-level data on social stratification, community empowerment, and environmental stressors found that individual-level risk factors for low birthweight behaved differently depending upon the characteristics of the neighborhood of residence.
American Journal of Public HealthPoverty, race, and hospitalization for childhood asthma.
367 Citations1988Lawrence S. Wissow, Alan M. Gittelsohn +3 more
It is concluded that Black children are at increased risk of hospitalization for asthma, but that some or all of this increase is related to poverty rather than to race.
Epidemiologic ReviewsSpatial Analytical Methods and Geographic Information Systems: Use in Health Research and Epidemiology
365 Citations1999Dale A. Moore, Tim E. Carpenter
The development of geographic information systems (GISs) over the last 20 years has provided a more powerful and rapid ability to examine spatial patterns and processes and fostered the discussion of such policyrelevant issues as health services and planning, as well as the use of GISs for epidemiologic investigations and disease surveillance.
American Sociological ReviewThe American Class Structure
333 Citations1982Erik Olín Wright, Cynthia B. Costello +2 more
Health & PlaceAssessing ecologic proxies for household income: a comparison of household and neighbourhood level income measures in the study of population health status
316 Citations1999Cameron Mustard, Shelley Derksen +2 more
The hypothesis that risk estimates derived from ecologic income measures will be attenuated relative to estimates obtained from household income was not supported and evidence is provided for the use of ecologic-level measures of income in studies which do not have access to individual-level income measures.
Journal of Epidemiology & Community HealthDeprivation indices: their interpretation and use in relation to health.
313 Citations1995V Carstairs
An area measure of deprivation has proved a valuable tool in examining differentials in health and death and is likely to prove of continuing value to health authorities in planning the delivery of health care.
The widening gap: Health inequalities and policy in Britain
292 Citations1999Mary Shaw, Daniel Dorling +2 more
American Journal of Public HealthSocioeconomic differentials in mortality risk among men screened for the Multiple Risk Factor Intervention Trial: II. Black men.
275 Citations1996George Davey Smith, Deborah Wentworth +3 more
American Journal of Public HealthNeighborhood social environments and the distribution of low birthweight in Chicago.
264 Citations1997Eric M. Roberts
This study examined the socioeconomic precursors of disparities in maternal health by measuring the associations of nine neighborhood-level indicators of social phenomena with low infant birthweight in the Chicago metropolitan area in 1990.
Journal of the American Statistical AssociationMultilevel Statistical Models
264 Citations2005Risto Lehtonen
Applied Longitudinal Data Analysis provides readers with a solid, thorough, and relatively accurate understanding of concepts and procedures, and is not a comprehensive treatment of all methods for longitudinal data.
Social Science & MedicineAggregation and the measurement of income inequality: effects on morbidity
261 Citations1999Mah‐Jabeen Soobader, Felicia LeClere
It is suggested that the level of geographic aggregation influences the pathways through which income inequality is actualized into an individuals' morbidity risk, while at lower levels of aggregation, Income inequality is mediated by the neighborhood consequences of income inequality and individual processes.
Ecological Approaches: Rediscovering the Role of the Physical and Social Environment
252 Citations2000Sally MacIntyre, Anne Ellaway
Journal of Public HealthDeprivation and mortality: an alternative to social class?
245 Citations1989V Carstairs, Russell Morris
Evidence of area effects supports a proposal for area socioeconomic characteristics to be adopted as key variables in epidemiological analysis, and for an area classification to be designed and incorporated in the 1991 census output for use on a consistent basis.
Cancer Causes & ControlSocial class, race/ethnicity, and incidence of breast, cervix, colon, lung, and prostate cancer among Asian, black, Hispanic, and white residents of the San Francisco Bay Area, 1988–92 (United States)
225 Citations1999Nancy Krieger, Charles P. Quesenberry +9 more
Analysis of cancer incidence among four mutually exclusive US racial/ethnic groups for five major cancer sites illustrates why US cancer data should be stratified by socioeconomic position, along with race/ethnicity and gender, so as to improve cancer surveillance, research, and control.
Journal of Bone and Joint SurgeryFractures of the Femoral Shaft in Children. Incidence, Mechanisms, and Sociodemographic Risk Factors*
223 Citations1999Richard Y. Hinton, Andrew Lincoln +3 more
The goals of the current study were to determine the age, gender, and race-specific rates and mechanisms of fractures of the femoral shaft in children in a large United States-based population and to identify associations between the rates of these fractures and multiple sociodemographic indicators.
New England Journal of MedicineViolent Injuries among Women in an Urban Area
217 Citations1999Jeane Ann Grisso, Donald F. Schwarz +9 more
Neighborhood characteristics, including low median income, a high rate of change of residence, and poor education, were independently associated with the risk of violent injuries among women and substance abuse, particularly cocaine use, is a significant correlate ofviolent injuries.
American Journal of Public HealthA vision of social justice as the foundation of public health: commemorating 150 years of the spirit of 1848.
200 Citations1998Nancy Krieger, Anne‐Emanuelle Birn
American Journal of Public HealthSocioeconomic differentials in mortality risk among men screened for the Multiple Risk Factor Intervention Trial: I. White men.
194 Citations1996George Davey Smith, James D. Neaton +3 more
Socioeconomic position, as measured by median family income of area of residence, is an important determinant of mortality risk in White men and was seen for many-but not all-of the specific causes of death.
American Journal of Public HealthSocioeconomic status, neighborhood social conditions, and neural tube defects.
189 Citations1998Cathy R. Wasserman, Gary M. Shaw +3 more
Both lower SES and residence in a SES-lower neighborhood increased the risk of an neural tube defect-affected pregnancy, with risks increasing across a gradient of SES indicators.
Journal of Epidemiology & Community HealthWomen and social class: a methodological study comparing individual, household, and census measures as predictors of black/white differences in reproductive history.
172 Citations1991Nancy Krieger
Choice Reviews OnlineImproving health in the community: a role for performance monitoring
168 Citations1998
The committee addresses factors surrounding the implementation of performance monitoring and explores the "why" and "how to" of establishing mechanisms to monitor the performance of those who can influence community health.
Public Health ReportsInformation technology. Geographic information systems and public health: mapping the future
161 Citations1999T. B. Richards
This information technology review provides thoughts about current trends and future directions for geographic information systems (GIS) technology in public health and the challenges to institutionalizing this technology as a standard part of public health planning and practice by the Year 2010.
Cancer Causes & ControlSocioeconomic status and cancers of the female breast and reproductive organs: a comparison across racial/ethnic populations in Los Angeles County, California (United States)
158 Citations1998Lihua Liu, Dennis Deapen +1 more
SES is positively associated with female breast cancer, ovarian cancer, and cancer of the corpus uteri, but inversely associated with cervical cancer; these SES trends were quite consistent across age groups among non-Hispanic White women.
American AnthropologistDying for Growth: Global Inequality and the Health of the Poor
153 Citations2001Spencer Moore
Dying for Growth: Global Inequality and the Health of the Poor.
Journal of Epidemiology & Community HealthCensus based deprivation indices: their weighting and validation.
145 Citations1995David Gordon
Weightings are derived from the Breadline Britain in the 1990s survey to produce a census based deprivation index that estimates the percentage of poor households at electoral ward level and are shown to be highly correlated with both low income and morbidity as estimated from the 1991 census.
PubMedAssociation of breast cancer and cervical cancer incidence with income and education among whites and blacks.
140 Citations1980Susan S. Devesa, Earl L. Diamond
American Journal of EpidemiologySOCIAL CLASS AND THE BLACK/WHITE CROSSOVER IN THE AGE-SPECIFIC INCIDENCE OF BREAST CANCER: A STUDY LINKING CENSUS-DERIVED DATA TO POPULATION-BASED REGISTRY RECORDS
122 Citations1990Nancy Krieger
Findings underscore the class-based nature of the observed crossover and pose a challenge to accepted theories of breast cancer etiology, including induced abortion and oral contraceptive use prior to first full-term pregnancy.
Cancer Causes & ControlFactors contributing to the poorer survival of black Americans diagnosed with oral cancer (United States)
120 Citations1999Samuel J. Arbes, Andrew F. Olshan +4 more
Lower SES, more advanced stage, and differences in treatment accounted for 86% of the excess hazard of death from oral cancer among blacks.
American Journal of Public HealthEconomic deprivation and AIDS incidence in Massachusetts
120 Citations2000Sally Zierler, Nancy Krieger +5 more
Observing patterns of disease burden in relation to neighborhood levels of economic well-being elucidates further the role of poverty as a population-level determinant of diseaseurden and increases the visibility of economic inequality as an underlying cause of AIDS.
PubMedCan we monitor socioeconomic inequalities in health? A survey of U.S. health departments' data collection and reporting practices.
112 Citations2000Nancy Krieger, J T Chen +1 more
U.S. state and Federal vital statistics and disease registries should routinely collect and publish socioeconomic data to improve efforts to monitor trends in and reduce social inequalities in health.
International Journal of EpidemiologyMisclassification of Social Disadvantage Based on Geographical Areas: Comparison of Postcode and Collector's District Analyses
107 Citations1995J. Hyndman, C. D’Arcy J. Holman +4 more
A reduction of this misclassification of individuals to SES groups on the basis of postcode by using smaller spatial areas, such as CD or census enumeration districts, will provide improved validity in estimating the true relationship between SES and health-related measures.
American Journal of Public HealthSocioeconomic differences in sexually transmitted disease rates among black and white adolescents, San Francisco, 1990 to 1992.
104 Citations1995Jonathan M. Ellen, Robert Kohn +3 more
It is demonstrated that factors other than poverty and occupational status account for the racial/ethnic differences in the rates of gonorrhea and chlamydia among adolescents in San Francisco.
Journal of Epidemiology & Community HealthComparing individual-based and household-based measures of social class to assess class inequalities in women's health: a methodological study of 684 US women.
95 Citations1999Nancy Krieger, J. T. Chen +1 more
Class inequalities in health, comparing women categorised as working class with non-working class, generally were stronger using the gender neutral household class measure, compared with the conventional household or individual class measure; in the case of "fair or poor" health, the respective odds ratios and 95% confidence intervals were 1.9.
International Journal of Health ServicesMeasuring Social Inequalities in Health in the United States: A Historical Review, 1900–1950
90 Citations1996Nancy Krieger, Elizabeth Fee
The authors focus on the period from 1900 to 1950 and examine how public health researchers and agencies conceptualized and analyzed socioeconomic inequalities in health and how this rich history can help inform current debates about collecting and evaluating data on social inequality in health.
Journal of Clinical EpidemiologyDetecting survival effects of socioeconomic status: Problems in the use of aggregate measures
88 Citations1994Howard P. Greenwald, Nayak L. Polissar +2 more
The authors computed the degree to which inference of individual-level from census tract-level SES reduces estimates of risk ratios across SES and concluded that much larger numbers of observations are needed to better understand the relationship of SES to survival and other disease outcomes.
American Journal of EpidemiologyGeocoding and Linking Data from Population-based Surveillance and the US Census to Evaluate the Impact of Median Household Income on the Epidemiology of Invasive Streptococcus pneumoniae Infections
84 Citations1998Fei Chen, Robert F. Breiman +4 more
The utility of geocoding and US Census data in describing the epidemiology of drug-resistant S. pneumoniae infections was demonstrated and more evidence that socioeconomic factors may influence the development of drug resistance was provided.
PubMedUrban violence and African-American pregnancy outcome: an ecologic study.
79 Citations1997James W. Collins, Richard J. David
It is concluded that a community's violent crime rate is associated with intrauterine growth retardation among infants born to African-American women.
Annals of Emergency MedicineNeighborhoods matter: A population-based study of provision of cardiopulmonary resuscitation
68 Citations1999Theodore J. Iwashyna, Nicholas A. Christakis +1 more
Substantial variation in rates of CPR nonprovision exists between neighborhoods; the variation is associated with neighborhood characteristics.
Journal of the American Statistical AssociationOn the Validity of Using Census Geocode Characteristics to Proxy Individual Socioeconomic Characteristics
66 Citations1996Arline T. Geronimus, John Bound +1 more
Social Science & MedicineIs magnitude of co-payment effect related to income? Using census data for health services research
63 Citations1992Daniel C. Cherkin, Louis C. Grothaus +1 more
Although subject to considerable measurement error, this approach provided valid income estimates and was used to estimate the incomes of over 20,000 households of HMO enrollees in a controlled study of the relationship between copayment effect on visit rates and enrollee income.
Journal of Epidemiology & Community HealthIs enumeration district level an improvement on ward level analysis in studies of deprivation and health?
61 Citations1995Roy Carr‐Hill, Nigel Rice
There was no evidence that patients were likely to be more representative samples of the population of an ED than of a ward, and whether enumeration district level data reflect the aggregate characteristics of people living in that district better than ward level analysis.
ResuscitationDoes race or socioeconomic status predict adverse outcome after out of hospital cardiac arrest: a multi-center study
56 Citations1999A Sayegh, Robert A. Swor +7 more
In this population of OHCA of presumed cardiac origin from seven suburban cities in Michigan, neither race nor SES was independently associated with a worse outcome after OHCA.
Equity in health and health care: a WHO / SIDA initiative.
54 Citations1996Paula Braveman, Edith Tarimo +3 more
The initiative builds on work conducted over the last 3 decades towards health for all by the WHO and other agencies but is based on a critical reassessment of needs and strategies in view of current economic social and political conditions prevailing throughout the world.
PubMedAIDS incidence and income.
52 Citations1992Daniel Fife, Charles J. Mode
Since 1987, the annual increases of AIDS incidence among homosexual and bisexual men have slowed but the increases among other risk groups have continued unabated, and indirect evidence suggests the incidence change is related to medical care for HIV disease delaying the onset of AIDS.
Cancer Causes & ControlEvaluating local differences in breast cancer incidence rates: A census-based methodology (United States)
51 Citations1998Angela W. Prehn, Dee W. West
The results suggest that the unequal distribution of known risk factors was responsible for Marin County's high breast cancer incidence rate.
Injury PreventionChild and adolescent injury and death from urban firearm assaults: association with age, race, and poverty
49 Citations1999Elizabeth C. Powell, Robert R. Tanz
Urban children who were victims of non-fatal firearm assault appear to come from the same population as those who suffer fatal assaults, and black and Hispanic youth living in poverty were at particular risk.
PubMed[Deprivation and mortality: a deprivation index suitable for geographical analysis of inequalities].
47 Citations2000Ennio Cadum, Giuseppe Costa +2 more
An area based measure of deprivation has proved a valuable tool in examining differentials in death and is likely to prove of continuing value to health authorities in planning the delivery of health care.
American Journal of Public Health and the Nations HealthRelation of Economic Status to Tuberculosis Mortality by Age and Sex
39 Citations1948Milton Terris
Injury PreventionDemographic risk factors for injury among Hispanic and non-Hispanic white children: an ecologic analysis
39 Citations1998Craig L. Anderson, Phyllis F. Agran +2 more
Cultural and geographic transitions, as well as socioeconomic differences, appear to contribute to differences in childhood injury rates between ethnic groups.
Poor people, poor places: a geography of poverty and deprivation in Ireland.
32 Citations1999Dennis G. Pringle, Jim Walsh +1 more
Social Science & MedicineSocial stress and trauma: Synthesis and spatial analysis
26 Citations1997Keith D. Harries
This paper is an extension of earlier work seeking to expand the ecological analysis of violence across jurisdictional boundaries, sharpen the level of resolution of such analysis, and ultimately inform small area policy applications in terms of public health initiatives for violence reduction.
American Journal of Public HealthGeographic distribution of newborn HIV seroprevalence in relation to four sociodemographic variables.
25 Citations1991Dale L. Morse, L Lessner +3 more
Knowledge of the geographic association between HIV seroprevalence and sociodemographic status can be useful in designing and focusing prevention efforts in areas at highest risk for future HIV/AIDS activity.
Journal of Public Health Management and PracticeGeographic Information Systems (GIS) in Public Health Practice in the New Millennium
25 Citations1999William A. Yasnoff, Edward J. Sondik
PubMedDown at heart--the meaning and implications of social inequalities in cardiovascular disease.
19 Citations1997Smith Gd
Social ProblemsSocio-Economic Differentials in Mortality from Chronic Diseases
14 Citations1957John Ellis
Economic differences and the resultant marked differences in the physical conditions of life were reflected in a quite pronounced tendency for upper income groups to have a most favorable mortality experience in comparison with persons of low income.
International Journal of EpidemiologySocioeconomic geographical links to human immunodeficiency virus seroprevalence among childbearing women in Montreal, 1989-1993
13 Citations1998Catherine Hankins
Higher HIV infection rates were found among childbearing women from lower socioeconomic areas of Montreal, and the HIV-positive neonatal blood specimens were more likely to originate from areas where a higher proportion of residents reported less education, greater unemployment, and lower income.
PubMedMonitoring health care in the United States--a challenging task.
10 Citations1997Allyson M Pollock, Rice Dp
The authors explore the opportunity to harness the medical services system to provide information that clarifies the relationship between people's health and the services they receive, and note the risk posed by managed care.
Journal of Public Health Management and PracticeGeographic Information System (GIS) Hardware and Software
5 Citations1999Susan Elshaw Thrall
…
