NDLI: An Index of Community-Level Socioeconomic Composition for Global Health Research

Content Provider	Springer Nature Link
Author	Patel, Shivani A. Sherman, Susan G. Khatry, Subarna K. LeClerq, Steven C. Katz, Joanne Tielsch, James M. Christian, Parul
Copyright Year	2015
Abstract	Despite increasing recognition that community-level socioeconomic factors are critical to individual health outcomes globally, guidance on their measurement remains limited in low and middle income countries. We outline the steps needed to develop and validate a theory-based, multidimensional index of community-level socioeconomic composition using information that is often available in global settings. Census indicators describing human and social capital were analyzed using principal components analysis to construct a community socioeconomic composition index (CSCI) for 30 communities in the Southern plains of Nepal. The index was validated against subsequent child nutrition, household assets, and village infrastructure using data from 1822 children and their households. At the community-level, the CSCI was positively correlated with child height-for-age, and child weight-for-age, household assets, and community infrastructure (r = 0.54, 0.58, 0.85, 0.67, respectively). In multilevel analyses, +1SD of the CSCI was associated with +0.14SD of the household asset index (p < 0.01) after adjusting for confounders. These results suggest that an exclusively census-based strategy to measure socioeconomic composition has construct validity in this setting. This approach to measuring community-level socioeconomic composition may be feasibly reproduced in other resource-constrained settings where census data are available, potentially expanding the scope of place and health research globally.
Starting Page	639
Ending Page	658
Page Count	20
File Format	PDF
ISSN	03038300
Journal	Social Indicators Research
Volume Number	129
Issue Number	2
e-ISSN	15730921
Language	English
Publisher	Springer Netherlands
Publisher Date	2015-10-08
Publisher Place	Dordrecht
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Community socioeconomic composition Socioeconomic status Index Child nutrition Nepal Sociology Quality of Life Research Microeconomics Public Health Human Geography
Content Type	Text
Resource Type	Article
Subject	Sociology and Political Science Arts and Humanities Developmental and Educational Psychology

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