Minority Health Archive

An Approach to Studying Social Disparities in Health and Health Care

Braveman, Paula A. and Egerter, Susan A. and Cubbin, Catherine and Marchi, Kristen S. (2004) An Approach to Studying Social Disparities in Health and Health Care. American Journal of Public Health, 94 (12). pp. 2139-2148. ISSN 0090-0036

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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 relativegroup 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 “atrisk” 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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Item Type: Article
Additional Information: This article is available at the publisher’s Web site. Access to the full text is subject to the publisher’s access restrictions.
Uncontrolled Keywords: prenatal care; social advantage; social group; at-risk groups
Subjects: Health
Health > Disparities
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Depositing User: Users 141 not found.
Date Deposited: 03 Oct 2008
Last Modified: 30 Jun 2011 10:08
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/1039

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