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Calculation and internal validation of a new synthetic and autocorrelate index to combine the determinants of health of a population
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Calculation and internal validation of a new synthetic and autocorrelate index to combine the determinants of health of a population
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Calculation and internal validation of a new synthetic and autocorrelate index to combine the determinants of health of a population
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Journal Article
Calculation and internal validation of a new synthetic and autocorrelate index to combine the determinants of health of a population
2021
Overview
Background
The status of health of an individual and - more broadly - of a community or population is defined by the status of their determinants of health. A “systemic” approach to define the health determinants is necessary in order to explore the complex relations existing among them. This study is aimed at identifying a ‘composite systemic’ index of health to measure the impact of socioeconomic factors on public health at local level and to analyze possible spatial autocorrelations between neighboring regions.
Results
A Composite Index of Health (CIH) was constructed on the basis of known indicators of socio-economic well-being by using the COMIC (COMposite Indices Creator) Software and was validated on the Italian population and a nationwide comparison has been performed.
Analysis of the determinants showed a significant direct correlation between health, environment, work and wealth and inverse correlation between health and social distress. The analysis of data from Italian provinces confirmed the South-North gradient of well-being.
Conclusion
The CIH is a reliable and robust index to evaluate the health of a local population. Although it was validated on Italian data, the index can be easily adapted to any Country.
