Methods of estimating or accounting for neighborhood associations with health using complex survey data.

Abstract:

:Reasons for health disparities may include neighborhood-level factors, such as availability of health services, social norms, and environmental determinants, as well as individual-level factors. Investigating health inequalities using nationally or locally representative data often requires an approach that can accommodate a complex sampling design, in which individuals have unequal probabilities of selection into the study. The goal of the present article is to review and compare methods of estimating or accounting for neighborhood influences with complex survey data. We considered 3 types of methods, each generalized for use with complex survey data: ordinary regression, conditional likelihood regression, and generalized linear mixed-model regression. The relative strengths and weaknesses of each method differ from one study to another; we provide an overview of the advantages and disadvantages of each method theoretically, in terms of the nature of the estimable associations and the plausibility of the assumptions required for validity, and also practically, via a simulation study and 2 epidemiologic data analyses. The first analysis addresses determinants of repeat mammography screening use using data from the 2005 National Health Interview Survey. The second analysis addresses disparities in preventive oral health care using data from the 2008 Florida Behavioral Risk Factor Surveillance System Survey.

journal_name

Am J Epidemiol

authors

Brumback BA,Cai Z,Dailey AB

doi

10.1093/aje/kwu040

subject

Has Abstract

pub_date

2014-05-15 00:00:00

pages

1255-63

issue

10

eissn

0002-9262

issn

1476-6256

pii

kwu040

journal_volume

179

pub_type

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