Neighborhood socioeconomic deprivation characteristics in child (0-18 years) health studies: a review

Abstract

Background: Growing up in socioeconomically deprived neighborhoods has been shown to have negative health effects on children. However, the most recent review on which measures are used to investigate the association between neighborhood characteristics and child (0-18 year) health included studies only until 2004. Insight into more recent research is needed for the further development of these measures.

Objectives: To review neighborhood socioeconomic deprivation characteristics used in recent studies investigating the relationship between neighborhood socioeconomic deprivation and child health.

Methods: Sensitive search in MEDLINE, Embase, PsycINFO, Sociological Abstracts databases (2004-2013).

Results: Ultimately, 19 studies were included. We found ten neighborhood socioeconomic deprivation constructs, of which income/wealth, employment, and education were most frequently used. The choice for neighborhood characteristics seemed independent of the health outcome and in most cases was not based on a specific theoretical background or earlier work.

Conclusion: Studies vary regarding study designs, measures and outcomes. Researchers should clearly specify their choice of neighborhood socioeconomic deprivation characteristics; preferably, these should be theory-based and used consistently.

Keywords: All child; Health outcome; Neighborhood socioeconomic deprivation; Residence characteristics.