Articlegreen2006

Comparaison du score individuel de précarité des Centres d'examens de santé, EPICES, à la définition socio-administrative de la précarité

Catherine Sass · René Gueguen · L. Abric · Virginie Dauphinot · Caroline Duprè · J.‐P. Giordanella +5 more

126 citations0/0 files storedSanté Publique

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Health disparities and outcomes Public Health and Social Inequalities Health and Medical Studies

Abstract

In French Health Examination Centres, populations in deprived situation were usually defined by administrative criteria The aim of the study was to investigate whether EPICES, a new individual index of deprivation, was more strongly related to health status than an administrative classification. The EPICES score was calculated on the basis of 11 weighted questions related to material and social deprivation. Participants were 197, 389 men and women, aged over 18, encountered in 2002 in French Health Examination Centres. Relationships between health status, health-related behaviours, access to health care, EPICES and the administrative classification of deprivation were analyzed by logistic regression. The associations between EPICES and the study variables were stronger than those observed for the administrative definition. The comparison also showed socially disadvantaged people with poor health identified by the EPICES score who were not by the administrative classification. These results showed that the EPICES score can be a useful tool to improve the identification of deprived people having health problems associated to deprivation.

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References

1987Deprivation 2004Pathways between socioeconomic determinants of health 1989Deprivation and mortality: an alternative to social class?2004The Index of Multiple Deprivation 2000 and accessibility effects on health 2005Association Among Individual Deprivation, Glycemic Control, and Diabetes Complications

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2012Payer nuit gravement à la santé : une étude de l’impact du renoncement financier aux soins sur l’état de santé 2012Detecting and measuring deprivation in primary care: development, reliability and validity of a self-reported questionnaire: the DiPCare-Q 2008Diabète et précarité Étude d’une vaste population française 2008Metabolic syndrome and psychosocial deprivation. Data collected from a Paris suburb 2014General Practitioners Can Evaluate the Material, Social and Health Dimensions of Patient Social Status

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