Social Exclusion Index-for Health Surveys (SEI-HS): a prospective nationwide study to extend and validate a multidimensional social exclusion questionnaire
| Autor: | Annelies van Loon, Hanneke Schreurs, Addi P. L. van Bergen, Albert M. van Hemert, Stella J. M. Hoff |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Psychometrics Social exclusion Applied psychology Poison control Sample (statistics) Public health monitoring 03 medical and health sciences 0302 clinical medicine Public health surveillance Non-linear canonical correlation analysis Surveys and Questionnaires Environmental health 050602 political science & public administration Humans Medicine Prospective Studies OVERALS Health inequalities Aged Netherlands Retrospective Studies Embedded measure Health Equity business.industry lcsh:Public aspects of medicine Public health 05 social sciences Public Health Environmental and Occupational Health Reproducibility of Results Construct validity lcsh:RA1-1270 Middle Aged Social engagement Health Surveys 030227 psychiatry 0506 political science Social research Psychological Distance Social Isolation Socioeconomic Factors Female Public Health business Research Article |
| Zdroj: | BMC Public Health BMC Public Health, 17 BMC Public Health, Vol 17, Iss 1, Pp 1-13 (2017) |
| Popis: | Background Social exclusion (SE) refers to the inability of certain groups or individuals to fully participate in society. SE is associated with socioeconomic inequalities in health, and its measurement in routine public health monitoring is considered key to designing effective health policies. In an earlier retrospective analysis we demonstrated that in all four major Dutch cities, SE could largely be measured with existing local public health monitoring data. The current prospective study is aimed at constructing and validating an extended national measure for SE that optimally employs available items. Methods In 2012, a stratified general population sample of 258,928 Dutch adults completed a version of the Netherlands Public Health Monitor (PHM) questionnaire in which 9 items were added covering aspects of SE that were found to be missing in our previous research. Items were derived from the SCP social exclusion index, a well-constructed 15-item instrument developed by the Netherlands Institute for Social Research (SCP). The dataset was randomly divided into a development sample (N =129,464) and a validation sample (N = 129,464). Canonical correlation analysis was conducted in the development sample. The psychometric properties were studied and compared with those of the original SCP index. All analyses were then replicated in the validation sample. Results The analysis yielded a four dimensional index, the Social Exclusion Index for Health Surveys (SEI-HS), containing 8 SCP items and 9 PHM items. The four dimensions: “lack of social participation”, “material deprivation”, “lack of normative integration” and “inadequate access to basic social rights”, were each measured with 3 to 6 items. The SEI-HS showed adequate internal consistency for both the general index and for two of four dimension scales. The internal structure and construct validity of the SEI-HS were satisfactory and similar to the original SCP index. Replication of the SEI-HS in the validation sample confirmed its generalisability. Conclusion This study demonstrates that the SEI-HS offers epidemiologists and public health researchers a uniform, reliable, valid and efficient means of assessing social exclusion and its underlying dimensions. The study also provides valuable insights in how to develop embedded measures for public health surveillance. Electronic supplementary material The online version of this article (doi:10.1186/s12889-017-4175-1) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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