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A framework for measuring health inequity

Yukiko Asada, Department of Community Health and Epidemiology, Faculty of
Medicine, Dalhousie University, Halifax,  Canada;  [log in to unmask]
Journal of Epidemiology and Community Health -  August 2005;59:700-705;
doi:10.1136/jech.2004.031054

 Website:  http://jech.bmjjournals.com/cgi/content/full/59/8/700

Measuring health inequity entails three steps:
(1) defining when a health distribution becomes inequitable,
 (2) deciding on measurement strategies to operationalise a chosen concept
of equity, and
(3) quantifying health inequity information.

For step (1) a variety of perspectives on health equity exist under two
categories, health equity as equality in health, and health inequality as
an indicator of general injustice in society. In step (2), when we are
interested in health inequity, the choice of the measurement of health, the
unit of time, and the unit of analysis in health inequity analysis should
reflect moral considerations. In step (3) we must follow principles rather
than convenience and consider six questions that arise when quantifying
health inequity information. This proposed framework suggests various ways
to conceptualise the moral dimension of health inequality and emphasises
the logical consistency from conception to measurement70;..61;

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