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American Journal of Epidemiology Advance Access originally published online on September 12, 2006
American Journal of Epidemiology 2006 164(9):841-844; doi:10.1093/aje/kwj315
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American Journal of Epidemiology Copyright © 2006 by the Johns Hopkins Bloomberg School of Public Health All rights reserved; printed in U.S.A.

Response to Invited Commentary

Subramanian et al. Respond to "Think Conceptually, Act Cautiously"

S. V. Subramanian, J. T. Chen, D. H. Rehkopf, P. D. Waterman and N. Krieger

From the Department of Society, Human Development, and Health, Harvard School of Public Health, Boston, MA

Correspondence to Dr. S. V. Subramanian, Department of Society, Human Development, and Health, Harvard School of Public Health, 677 Huntington Avenue, 7th Floor, Boston, MA 02115-6096 (e-mail: svsubram@hsph.harvard.edu).

Received for publication June 29, 2006. Accepted for publication July 21, 2006.

Abbreviations: ABSM, area-based socioeconomic measure; IBSM, individual-based socioeconomic measure

The first 10% of the full text of this article appears below.


   INTRODUCTION
 
The importance of socioeconomic position, measured at multiple levels (e.g., individual, household, area) and across the life course, for studying health disparities is now well recognized (1Go–7Go). Our multilevel study (8Go) reported that individual-based socioeconomic measures (IBSMs) and area-based socioeconomic measures (ABSMs) together capture birth weight inequalities that otherwise would have been missed by considering one or the other. We found additionally that, in the absence of IBSMs, the bulk of birth weight disparities captured by ABSMs was approximately similar to that which would have been captured by IBSMs (8Go). Geronimus (9Go) critiques these findings, in part, by (mis)interpreting our study as an examination of how well ABSMs serve as "proxies" for IBSMs, even though we explicitly conceptualized ABSMs as capturing some important mix of individual- and area-level influences on health, thereby providing valuable information on socioeconomic disparities in health (8Go). . . . [Full Text of this Article]


   MODEL CONCEPTUALIZATION: SINGLE-LEVEL OR MULTILEVEL?
 

   ABSMs: CONTINUOUS OR CATEGORICAL?
 

   ABSMs: SAME OR DIFFERENT?
 

   SOCIAL DISPARITIES IN HEALTH: ETIOLOGIC OR SURVEILLANCE RESEARCH?
 

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Related articles in Am. J. Epidemiol.:

Comparing Individual- and Area-based Socioeconomic Measures for the Surveillance of Health Disparities: A Multilevel Analysis of Massachusetts Births, 1989–1991
S. V. Subramanian, J. T. Chen, D. H. Rehkopf, P. D. Waterman, and N. Krieger
Am. J. Epidemiol. 2006 164: 823-834. [Abstract] [FREE Full Text]  



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