PMID: 8594139Dec 1, 1995Paper

A standardisation approach to the control of socioeconomic confounding in small area studies of environment and health

Journal of Epidemiology and Community Health
H DolkP Elliott

Abstract

To assess how effectively a routine adjustment can be made for socio-economic confounding in small area studies of environment and health using indirect standardisation and small area deprivation indices, including analysis of the appropriate size of population unit on which to base the deprivation index and the importance of region and urban/rural status as axes of stratification. Standardised morbidity ratios were calculated for cancers in Great Britain for 1981 and standardised mortality ratios for all cause mortality in Great Britain between 1982 and 1985. Deprivation indices were calculated for enumeration districts and wards from 1981 small area census statistics. Cancers and deaths were allocated to enumeration districts via their postcode. Standardised morbidity and mortality ratios were calculated by quintile of enumeration district according to the deprivation index. Standardised mortality ratios were further analysed by deprivation of ward, region, and urban/rural status. Strong relationships were found between all cause mortality and the incidence of selected cancers and deprivation quintile-there was up to a twofold difference in lung cancer incidence between the highest and lowest quintile. The deprivation index c...Continue Reading

References

Oct 7, 1989·BMJ : British Medical Journal·V Carstairs, R Morris
Dec 1, 1993·Journal of Epidemiology and Community Health·R Illsley, J Le Grand
Oct 30, 1993·BMJ : British Medical Journal·M EamesM G Marmot
Dec 1, 1995·Journal of Epidemiology and Community Health·J F BithellT J Vincent
Dec 1, 1995·Journal of Epidemiology and Community Health·R Carr-Hill, N Rice
Dec 1, 1995·Journal of Epidemiology and Community Health·V Carstairs
Dec 1, 1995·Journal of Epidemiology and Community Health·I KleinschmidtP Elliott

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Citations

Jul 21, 1998·Annals of Epidemiology·R A HarrisonS J Soong
Feb 19, 2004·Epidemiologia e psichiatria sociale·Juan Eduardo Tello, Paola Bonizzato
Sep 27, 2001·Archives of Environmental Health·M BenedettiI Lavarone
Jul 9, 1999·Journal of Epidemiology and Community Health·S PattendenM Vrijheid
May 29, 2000·Journal of Epidemiology and Community Health·S A ReijneveldD H de Bakker
Jun 17, 2004·Environmental Health Perspectives·Paul Elliott, Daniel Wartenberg
Jan 11, 2005·Lung Cancer : Journal of the International Association for the Study of Lung Cancer·Stefano ParodiMarina Vercelli
Mar 4, 1998·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·P ThorneM A Birchall
Jun 9, 2015·International Journal for Equity in Health·Paula SantanaCarme Borrell
May 26, 1999·Occupational and Environmental Medicine·H DolkP Elliott
Sep 25, 1999·British Journal of Cancer·D M Edwards, N W Johnson
Mar 16, 2004·Oncology Nursing Forum·Shaojung A Hu
Dec 8, 2004·Social Psychiatry and Psychiatric Epidemiology·Mohsen RezaeianLouis Appleby
Aug 5, 2017·Neurologia Medico-chirurgica·Ayataka FujimotoHideo Enoki
Jul 11, 1998·Scandinavian Journal of Social Medicine·M MalmströmS E Johansson

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