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Characterising socio-economic inequalities in exposure to air pollution: a comparison of socio-economic markers and scales of measurement
Authors:Goodman Anna  Wilkinson Paul  Stafford Mai  Tonne Cathryn
Affiliation:a Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, UK;b Department of Social and Environmental Health Research, London School of Hygiene and Tropical Medicine, London UK, 15-17 Tavistock Place, London, WC1H 9SH, UK;c Epidemiology & Public Health, UCL Division of Population Health, 1-19 Torrington Place, London, London, WC1E 6BT, UK;d MRC-HPA Centre for Environment and Health, King's College London, School of Biomedical & Health Sciences, 150 Stamford Street, London, SE1 9NH, UK
Abstract:This study examines traffic-related air pollution in London in relation to area- and individual-level socio-economic position (SEP). Mean air pollution concentrations were generally higher in postcodes of low SEP as classified by small-area markers of deprivation (Index of Multiple Deprivation (IMD) domains) and by the postcode-level ACORN geodemographic marker. There were exceptions, however, including reversed directions of associations in central London and for SEP markers relating to education. ACORN predicted air pollution independently of IMD and explained additional variation at the postcode level, indicating the potential value of using both markers in air pollution epidemiology studies. By contrast, after including IMD and ACORN there remained little relationship between air pollution and individual-level SEP or smoking, suggesting limited residual socio-economic confounding in epidemiological studies with comprehensive area-level adjustment.
Keywords:Air pollution   Socio-economic factors   Area deprivation   Methods   Confounding factors
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