Méthodologie de Création d'un Indice de Défaveur Contextuelle - Un Outil Permettant l'Analyse des Inégalités Sociales de Santé
Résumé
To study social health inequalities, contextual data may constitute an appropriate alternative to individual socioeconomic characteristics, often hard to retrieve. Indices can be used to summarize the multiple dimensions of the neighborhood socioeconomic status. The main objectives of this work are to develop a statistical procedure to create a neighborhood socioeconomic index and to investigate the influence of the clustering method of the deprivation index on the measure of health inequalities. Our study setting is composed of three major French metropolitan areas: Lille, Lyon and Marseille. The statistical unit is the French census block. The methodology uses several successive principal components analyses to select variables and create the index. Deprivation categories are drawn with hierarchical clustering on principal components. Twenty socioeconomic variables are selected in the neighborhood deprivation index. An optimal clustering obtained by HC is in three classes and the clusters are ordered along the first axis of the PCA.
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