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Relative Index of Inequality and Slope Index of Inequality

A Structured Regression Framework for Estimation

Dados Bibliográficos

ID23324784
AutoresMargarita Moreno-Betancur (0000-0002-8818-3125, Université Paris-Sud, autor correspondente), Aurélien Latouche (0000-0001-9218-0333, Conservatoire National des Arts et Métiers), Gwenn Menvielle (0000-0002-3261-6366, Inserm), Anton E Kunst (0000-0002-3313-5273, University of Amsterdam), Grégoire Rey (0000-0001-7291-9444, Inserm)
Ano2015
Volume26
Fascículo4
Páginas518-527
Data de publicação2015-07-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoEpidemiology (JOURNAL)
Identificadores do periódicoISSN: 1044-3983 • E-ISSN: 1531-5487
EditoraOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/ede.0000000000000311
PMID26000548
OpenAlexW2321600203
IdiomaEN
Citações recebidas76
Referências citadas19

BACKGROUND: The relative index of inequality and the slope index of inequality are the two major indices used in epidemiologic studies for the measurement of socioeconomic inequalities in health. Yet the current definitions of these indices are not adapted to their main purpose, which is to provide summary measures of the linear association between socioeconomic status and health in a way that enables valid between-population comparisons. The lack of appropriate definitions has dissuaded the application of suitable regression methods for estimating the slope index of inequality. METHODS: We suggest formally defining the relative and slope indices of inequality as so-called least false parameters, or more precisely, as the parameters that provide the best approximation of the relation between socioeconomic status and the health outcome by log-linear and linear models, respectively. From this standpoint, we establish a structured regression framework for inference on these indices. Guidelines for implementation of the methods, including R and SAS codes, are provided. RESULTS: The new definitions yield appropriate summary measures of the linear association across the entire socioeconomic scale, suitable for comparative studies in epidemiology. Our regression-based approach for estimation of the slope index of inequality contributes to an advancement of the current methodology, which mainly consists of a heuristic formula relying on restrictive assumptions. A study of the educational inequalities in all-cause and cause-specific mortality in France is used for illustration. CONCLUSION: The proposed definitions and methods should guide the use and estimation of these indices in future studies.

Econometrics · Environmental health · Index (typography) · Inequality · Inference · Linear regression · Population · Regression · Regression analysis · Socioeconomic status · Statistics · Computer Science · Employment and Welfare Studies · Health disparities and outcomes · Income, Poverty, and Inequality · Mathematics · Medicine

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Obras citantes distintas76
Citações por ano7,6
Intervalo de citações2016 - 2026 (11)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 73
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