The Older Persons' Index of Multiple Deprivation: Measuring the deprivation circumstances of older populations in Aotearoa New Zealand. (July 2022)

• Record Type: Journal Article
• Authors: Exeter, Daniel J.; Browne, Michael; Robinson-Chen, Tommi; Colbert, Jessie; Kerse, Ngaire; Lee, Arier
• Is Part Of: Health & place. Volume 76(2022)
• Publication Date: 2022-07
• Subjects: Deprivation -- Older people -- Inequities -- Socioeconomic position -- New Zealand; Health -- Social aspects -- Periodicals; Health services accessibility -- Periodicals; Public health -- Periodicals; Political planning -- Periodicals; Social medicine -- Periodicals; Epidemiology -- Periodicals; Health Policy -- Periodicals; Health Services Accessibility -- Periodicals; Public Health -- Periodicals; Public Policy -- Periodicals; Sociology, Medical -- Periodicals; Épidémiologie -- Périodiques; Politique sanitaire -- Périodiques; Santé, Services de -- Accessibilité -- Périodiques; Health services accessibility; Health -- Social aspects; Political planning; Public health; Social medicine; Periodicals; 613
• DOI: 10.1016/j.healthplace.2022.102850
• Languages: English
• ISSNs: 1353-8292

Abstract

Abstract: Existing indices of multiple deprivation exclude indicators specifically relevant to the population aged ≥65 years. In this study we create a whole-of-population cohort of people aged ≥65 years living in private dwellings and who completed the 2013 New Zealand Census of Populations and Dwellings to create an Older Persons' Index of Multiple Deprivation (OPIMD). We combined 22 indicators representing 6 domains of deprivation (Income, Housing, Health, Assets, Connectedness and Geographic access) to establish this individual-level measure of deprivation. We used smoking data from the census to validate the OPIMD and describe the geography of the OPIMD by District Health Board, contrasting these patterns with a conventional area deprivation index. The OPIMD has the potential to inform policies concerning resource allocation for the older population. An accompanying website with an interactive atlas and an online OPIMD calculator is available for wider use of the data. Further research is required to explore associations between the OPIMD and other major health and social outcomes affecting this population. Highlights: Deprivation indexes are commonly measure inequities among older people. However, most conventional deprivation indexes use data about working-age people. This is the first whole-of-population deprivation index specific to people aged 65+. The OPIMD uses 22 indicators in 6 domains to measure deprivation of individuals. We validate the OPIMD using smoking and conventional deprivation data.