From pec@netcabo.pt Mon Nov 11 05:08:22 2002 Received: from mailscan5.cac.washington.edu (mailscan5.cac.washington.edu [140.142.32.14]) by lists.u.washington.edu (8.12.1+UW01.12/8.12.1+UW02.11) with SMTP id gABD8Jvu043848 for ; Mon, 11 Nov 2002 05:08:19 -0800 Received: FROM mxu2.u.washington.edu BY mailscan5.cac.washington.edu ; Mon Nov 11 05:08:18 2002 -0800 Received: from smtp.netcabo.pt (smtp.netcabo.pt [212.113.174.9]) by mxu2.u.washington.edu (8.12.1+UW01.12/8.12.1+UW02.09) with ESMTP id gABD8Gqk008464 for ; Mon, 11 Nov 2002 05:08:17 -0800 Received: from paulo ([212.113.166.76]) by smtp.netcabo.pt with Microsoft SMTPSVC(5.0.2195.5329); Mon, 11 Nov 2002 12:50:47 +0000 Message-ID: <003501c28981$22666e80$4ca671d4@paulo> From: "Paulo Netcabo" To: References: <32E2EFC59090D611A4AA00065B3DB9B979400A@AS-JNU3E> Subject: Re: waphgis: deprivation index Date: Mon, 11 Nov 2002 12:52:03 -0000 MIME-Version: 1.0 Content-Type: multipart/alternative; boundary="----=_NextPart_000_0032_01C28981.22263130" X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 6.00.2600.0000 X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2600.0000 X-OriginalArrivalTime: 11 Nov 2002 12:50:47.0230 (UTC) FILETIME=[F49945E0:01C28980] This is a multi-part message in MIME format. ------=_NextPart_000_0032_01C28981.22263130 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable Dear Alice, Do exist any similar index be applyed to African context? I read = something about indexes but almost all was used in developed countries; = parameters are not apllicable for poor areas. Best regards Paulo ----- Original Message -----=20 From: Rarig, Alice=20 To: 'waphgis@u.washington.edu'=20 Sent: Wednesday, October 30, 2002 7:01 PM Subject: RE: waphgis: deprivation index I developed a health status index, dependency ratio, and scale based = on per capita income (also a seasonal population scoring approach) = specifically for the use of the Denali Commission in ranking Alaskan = communities for these several dimensions as they considered "need" for = PRIMARY HEALTH CARE clinics and services. It is described in their = report (Volume II) of a year ago.=20 =20 I thought it was critical to use health status indicators and other = measures that had a clear role in predicting or reflecting need for = primary care. Without a context, any "index" can be created and mis-used = to characterize communities or counties or states in ways that can be = harmful. I do not like "scorecards" because they obscure rather than = enlighten by combining factors that are often unrelated. If you truly = want an aggregated picture showing the cumulative effects or scores of = some particular variables about a "place" it is very important to = remember what you have piled into the composite, to make sense of the = result. For the Denali Commission, we used county-level data for part = of the picture (the Health Status Score), and CDP-specific data where we = had it for the census measures. The per capita income measure was = challenged by one community because that community had high incomes in = 1989, but had crashed in the meantime. I was able to show that = county-level data on personal income in the course of the decade = indicated this community had languished but still ranked high in the = state - its relative ranking had scarcely shifted - so it would not gain = or lose "points" with the Denali Commission process despite the feeling = that they were economically worse off than ten years earlier.=20 =20 Generally for each of the indices in the Denali Commission model, = communities had points assigned according to the quintile of their rank. = Thus the scoring was less sensitive to the precise rank order. More = points were given to health status score (a county-level score) than to = "seasonality" - in accordance with the emphasis the Steering Committee = wanted to give to the elements. "Community readiness" to undertake a = project was a qualitative assessment element that was also important to = the process. =20 I see that the Denali Commission has done what appears to be an update = of my approach - see the website http://www.denali.gov/ and go to Health = Care Facilities and then Distressed Community Criteria & Surrogate = Standard! I'll have to read it over myself to see how it looks! = Colleagues in Community Health and EMS Section of the Alaska Division of = Public Health (I'm manager of the DPH Data and Evaluation Unit) have = been the main staff support (for the primary care assessments) and = contacts in DPH for the Denali Commission. =20 I look forward to hearing from others about other "applications" using = census indicators and health status measures (appropriately, we hope) to = support program decisions or planning. =20 Alice J. Rarig, MA, MPH, PhD Manager, Data and Evaluation Unit Division of Public Health Alaska Department of Health and Social Services PO Box 110618 Juneau, AK 99811-0618 (907) 465 1285 phone (907) 465 8637 fax =20 =20 -----Original Message----- From: HealthMaps [mailto:healthmaps@attbi.com]=20 Sent: Wednesday, October 30, 2002 8:30 AM To: WAPHGIS Subject: waphgis: deprivation index =20 I am interested in developing a "deprivation" index, something along = the lines of one that is used in the UK, ( see = http://www.avon.nhs.uk/phnet/PHinfo/understanding.htm#Deprivation ) but = for US census data.=20 =20 Can anyone suggest recent bibliography on this topic? Clearly this is = a research interest for sociologists, demographers and geographers, but = I am not familiar with their literature in this area.=20 =20 Any ideas about development of a deprivation index with US Census = data? Something similar to the UK site's could be made with recent = census data, but has there been much use of such an index in public = health? Pros/cons?=20 =20 Thanks,=20 =20 =20 Richard E Hoskins PhD MPH Spatial Epidemiology Unit WA State Dept of Health 1102 Quince Street Olympia, WA 98504-7812 richard.hoskins@doh.wa.gov GMT -8 to join WAPHGIS: send email to listproc@u.washington.edu=20 with the following request: subscribe WAPHGIS Your Name=20 new on-line GIS, geography & health journal: http://www.ij-healthgeographics.com/start.asp =20 ------=_NextPart_000_0032_01C28981.22263130 Content-Type: text/html; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable
Dear Alice,
 
Do exist any similar index be = applyed to=20 African context? I read something about indexes but almost all was used = in=20 developed countries; parameters are not apllicable for poor = areas.
Best regards
Paulo
----- Original Message -----
From:=20 Rarig, Alice
Sent: Wednesday, October 30, = 2002 7:01=20 PM
Subject: RE: waphgis: = deprivation=20 index

I developed = a health=20 status index, dependency ratio, and scale based on per capita income = (also a=20 seasonal population scoring approach) specifically for the use of the = Denali=20 Commission in ranking Alaskan communities for these several dimensions = as they=20 considered "need" for PRIMARY HEALTH CARE clinics and services. It is=20 described in their report (Volume II) of a year ago.=20

 

I thought = it was=20 critical to use health status indicators and other measures that had a = clear=20 role in predicting or reflecting need for primary care. Without a = context, any=20 "index" can be created and mis-used to = characterize=20 communities or counties or states in ways that can be harmful. I do = not like=20 "scorecards" because they obscure rather than enlighten by combining = factors=20 that are often unrelated. If you truly want an aggregated picture = showing the=20 cumulative effects or scores of some particular variables about a = "place" it=20 is very important to remember what you have piled into the composite, = to make=20 sense of the result.  = For the=20 Denali Commission, we used county-level data for part of the picture = (the=20 Health Status Score), and CDP-specific data where we had it for the = census=20 measures. The per capita income measure was challenged by one = community=20 because that community had high incomes in 1989, but had crashed in = the=20 meantime. I was able to show that county-level data on personal income = in the=20 course of the decade indicated this community had languished but still = ranked=20 high in the state - its relative ranking had scarcely shifted - so it = would=20 not gain or lose "points" with the Denali Commission process despite = the=20 feeling that they were economically worse off than ten years earlier.=20

 

Generally = for each of=20 the indices in the Denali Commission model, communities had points = assigned=20 according to the quintile of their rank. Thus the scoring was less = sensitive=20 to the precise rank order. More points were given to health status = score (a=20 county-level score) than to "seasonality" - in accordance with the = emphasis=20 the Steering Committee wanted to give to the elements. "Community = readiness"=20 to undertake a project was a qualitative assessment element that was = also=20 important to the process.

 

I see that = the Denali=20 Commission has done what appears to be an update of my approach - see = the=20 website http://www.denali.gov/ = and go to=20 Health Care Facilities  and then Distressed = Community=20 Criteria & Surrogate Standard! I'll have to read it over myself to = see how=20 it looks!  Colleagues in = Community=20 Health and EMS Section of the Alaska Division of Public Health (I'm = manager of=20 the DPH Data and Evaluation Unit) have been the main staff support = (for the=20 primary care assessments) and contacts in DPH for the Denali=20 Commission.

 

I look = forward to=20 hearing from others about other "applications" using census indicators = and=20 health status measures (appropriately, we hope) to support program = decisions=20 or planning.

 

Alice J. Rarig, MA, MPH,=20 PhD

Manager, Data and = Evaluation=20 Unit

Division of Public=20 Health

Alaska Department of = Health and=20 Social Services

PO=20 Box=20 110618

Juneau,=20 AK=20 99811-0618

(907) 465 1285=20 phone

(907) 465 8637=20 fax

 

 

-----Original=20 Message-----
From: = HealthMaps=20 [mailto:healthmaps@attbi.com]
Sent: Wednesday, October 30,=20 2002 = 8:30=20 AM
To: WAPHGIS
Subject: waphgis: deprivation=20 index

 

I am interested in = developing a=20 "deprivation" index, something along the lines of one that is used in = the UK,=20 ( see http://www.avon.nhs.uk/phnet/PHinfo/understanding.htm#Deprivation&n= bsp;=20 ) but for US census data.

 

Can anyone suggest  = recent=20 bibliography on this topic? Clearly this is a research interest for=20 sociologists, demographers and geographers, but I am not familiar = with=20 their literature in this area.

 

Any ideas about = development of a=20 deprivation index with US Census data? Something similar to the UK = site's=20 could be made with recent census data, but has there been much use of = such an=20 index in public health? Pros/cons?

 

Thanks,=20

 

 

Richard E Hoskins PhD = MPH
Spatial=20 Epidemiology Unit
WA State Dept of Health
1102 Quince = Street
Olympia,=20 WA 98504-7812
richard.hoskins@doh.wa.gov
GMT = -8
to join = WAPHGIS:=20 send  email to listproc@u.washington.edu =
with=20 the following request:

subscribe WAPHGIS Your = Name 


new = on-line GIS,=20 geography & health journal:

http://www.ij-healthgeographics.com/start.asp=

 

= ------=_NextPart_000_0032_01C28981.22263130-- .