Titre :
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An approach to studying social disparities in health and health care. (2004)
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Auteurs :
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Paula-A 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
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 94, n° 12, 2004)
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Pagination :
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2139-2148
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Langues:
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Anglais
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Mots-clés :
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Soins
;
Homme
;
Etats Unis
;
Amérique
;
Etat santé
;
Accès soins
;
Inégalité devant soins
;
Qualité soins
;
Qualité
;
Politique santé
;
Amérique du Nord
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Résumé :
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[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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