Developing and Validating an Individual-Level Deprivation Index for Children’s Health in France

Remi Laporte (), Philippe Babe, Elisabeth Jouve, Alexandre Daguzan, Franck Mazoue, Philippe Minodier, Guilhem Noel, Diego Urbina and Stephanie Gentile
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Remi Laporte: Permanence d’Accès aux Soins de Santé Mère-Enfant, Hôpital Nord, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France
Philippe Babe: Permanence d’Accès aux Soins de Santé Pédiatrique, Hôpitaux Pédiatriques de Nice CHU-Lenval, 06200 Nice, France
Elisabeth Jouve: Service d’Evaluation Medicale, Assistance Publique-Hôpitaux de Marseille, 13005 Marseille, France
Alexandre Daguzan: Equipe de Recherche EA 3279 “Santé Publique, Maladies Chroniques et Qualité de Vie”, Faculté de Médecine, Aix Marseille University, 13005 Marseille, France
Franck Mazoue: Equipe de Recherche EA 3279 “Santé Publique, Maladies Chroniques et Qualité de Vie”, Faculté de Médecine, Aix Marseille University, 13005 Marseille, France
Philippe Minodier: Service d’Accueil des Urgences Pédiatriques, Hôpital Nord, APHM, 13005 Marseille, France
Guilhem Noel: Service d’Accueil des Urgences Pédiatriques, Hôpital Nord, APHM, 13005 Marseille, France
Diego Urbina: Service d’Accueil des Urgences Pédiatriques, Hôpital Nord, APHM, 13005 Marseille, France
Stephanie Gentile: Equipe de Recherche EA 3279 “Santé Publique, Maladies Chroniques et Qualité de Vie”, Faculté de Médecine, Aix Marseille University, 13005 Marseille, France

IJERPH, 2022, vol. 19, issue 24, 1-15

Abstract: Background: Deprivation generates many health inequalities. This has to be taken in account to enhance appropriate access to care. This study aimed to develop and validate a pediatric individual-level index measuring deprivation, usable in clinical practice and in public health. Methods: The French Individual Child Deprivation Index (FrenChILD-Index) was designed in four phases: item generation then reduction using the literature review and expert opinions, and index derivation then validation using a cross-sectional study in two emergency departments. During these last two phases, concordance with a blinded evaluation by an expert enabled us to determine thresholds for two levels of moderate and severe deprivation. Results: The generation and reduction phases retained 13 items. These were administered to 986 children for the derivation and validation phases. In the validation phase, the final 12 items of the FrenChILD-Index showed for moderate deprivation (requiring single specific care for deprived children) a sensitivity of 96.0% [92.6; 98.7] and specificity of 68.3% [65.2; 71.4]. For severe deprivation (requiring a multidisciplinary level of care), the sensitivity was 96.3% [92.7; 100] and specificity was 91.1% [89.2; 92.9]. Conclusions: The FrenChILD-Index is the first pediatric individual-level index of deprivation validated in Europe. It enables clinical practice to address the social determinants of health and meet public health goals.

Keywords: social determinants of health; screening; deprivation; health inequalities; social support; access to health care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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