| Titre : | An approach to studying social disparities in health and health care. (2004) |
| Auteurs : | Paula Braveman ; CUBBIN (Catherine) : USA. Stanford Prevention Research Center. Stanford University. Stanford. CA. ; Susan-A EGERTER ; Kristen-S MARCHI ; University of California. Center on Social Disparities in Health. San Francisco. CA. USA ; University of California. Department of Family and Community Medicine. San Francisco. CA. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 94, n° 12, 2004) |
| Pagination : | 2139-2148 |
| Langues: | Anglais |
| Mots-clés : | Soins ; Homme ; Etats Unis ; Amérique ; Etat santé ; Accès soins ; Inégalité devant soins ; Qualité soins ; Qualité ; Politique santé ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS L2k0jR0x. Diffusion soumise à autorisation]. OBJECTIVE : We explored methods and potential applications of a systematic approach to studying and monitoring social disparities in health and health care. METHODS : Using delayed or no prenatal care as an example indicator, we (1) categorized women into groups with different levels of underlying social advantage ; (2) described and graphically displayed rates of the indicator and relative group size for each social group ; (3) identified and measured disparities, calculating relative risks and rate differences to compare each group with its a priori most-advantaged counterpart ; (4) examined changes in rates and disparities over time ; and (5) conducted multivariate analyses for the overall sample and "at-risk" groups to identify particular factors warranting attention. RESULTS : We identified at-risk groups and relevant factors and suggest ways to direct efforts for reducing prenatal care disparities. CONCLUSIONS : This systematic approach should be useful for studying and monitoring disparities in other indicators of health and health care. |
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