Measuring concordance and discordance between selected individual characteristics and corresponding neighborhood-level social determinants of health.

ABSTRACT:

Background

Individuals reside within communities influenced by various social determinants impacting health, which may harmonize or conflict at individual and neighborhood levels. While some experience concordant circumstances, discordance is prevalent, yet poorly understood due to the lack of a universally accepted method for quantifying it. This paper proposes a methodology to address this gap.

Methods

We propose a systematic approach to operationalize concordance and discordance between individual and neighborhood social determinants, using household income (HHI) (continuous) and race/ethnicity (categorical) as examples for individual social determinants. We demonstrated our method with a small dataset that combines self-reported individual data with geocoded neighborhood

SUBMITTER: Ngai KM 

PROVIDER: S-EPMC11075104 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature