What is missing from how we measure and understand the experience of poverty and deprivation in population health analyses?
Background Explaining why some populations are healthier than others is a core task of epidemiology. Socioeconomic position (SEP), encompassing a broad range of exposures relating to economic circumstances, social class and deprivation, is an important explanation, but lacks a comprehensive framewor...
| Publicado en: | European Journal of Public Health Vol. 33; no. 6; pp. 974 - 981 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174108349&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174108349 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Dec2023 vid: 33 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 174108349 174108349 174108349 10.1093/eurpub/ckad174 174108349 ppf: 974 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: What is missing from how we measure and understand the experience of poverty and deprivation in population health analyses? aug: au: Timpson, Katharine McCartney, Gerry Walsh, David Chabanis, Berengere affil: Glasgow Centre for Population Health , Glasgow, UK sug: subj: Poverty Evaluation Social Deprivation Evaluation Population Health Evaluation Human Concept Analysis Stigma Social Class Education Neighborhood Characteristics Social Justice Social Determinants of Health Health Status Disparities Socioeconomic Factors Discrimination United Kingdom Public Accommodation ab: Background Explaining why some populations are healthier than others is a core task of epidemiology. Socioeconomic position (SEP), encompassing a broad range of exposures relating to economic circumstances, social class and deprivation, is an important explanation, but lacks a comprehensive framework for understanding the range of relevant exposures it encompasses. Methods We reviewed existing literature on experiential accounts of poverty through database searching and the identification of relevant material by experts. We mapped relevant concepts into a complex systems diagram. We developed this diagram through a process of consultation with academic experts and experts with direct experience of poverty. Finally, we categorized concepts on the basis of whether they have previously been measured, their importance to the causal flow of the diagram, and their importance to those consulted, creating a list of priorities for future measurement. Results There are a great many aspects of SEP which are not frequently measured or used in epidemiological research and, for some of these, work is needed to better conceptualize and develop measures. Potentially important missing aspects include stigma, social class processes, access to education, sense of lost potential, neighbourhoods, fairness and justice, emotional labour, masking poverty, being (in)visible, costs, and experiences of power. Conclusions Analyses seeking to understand the extent to which SEP exposures explain differences in the health of populations are likely to benefit from a comprehensive understanding of the range and inter-relationships between different aspects of SEP. More research to better conceptualize and measure these aspects is now needed. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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