IDEAS home Printed from https://ideas.repec.org/a/eee/socmed/v335y2023ics0277953623006032.html
   My bibliography  Save this article

Segmenting citizens according to their self-sufficiency: A tool for local government

Author

Listed:
  • Fluit, Marleen
  • Bortolotti, Thomas
  • Broekhuis, Manda
  • van Teerns, Mayan

Abstract

Identifying subgroups of citizens with varying levels of self-sufficiency in a large local or regional population provides local government with essential input for providing matching services and well-grounded spending of health and well-being expenditures. This paper identifies self-sufficiency levels of citizens by segmenting a broad adult population. We used data from a citizen survey based on a randomly selected response group containing questions on a wide range of topics, including finances, health and living conditions, and complemented these data with registration data, including information on housing type and household composition. We conducted a latent class cluster analysis using six indicators: perception of making ends meet, perceived health, quality of life, self-efficacy, access to socialsupport and social network. High scores on the indicators translate to high levels of self-sufficiency. We used a biased-adjusted, three-step approach to characterise the segments. Six meaningful segments were identified and labelled as ‘highly self-sufficient,’ ‘self-sufficient – medium access to social support,’ ‘self-sufficient – medium self-efficacy,’ ‘moderately self-sufficient – low self-efficacy & high social network,’ ‘moderately self-sufficient – low access to social support/social network & high perceived health’ and ‘not self-sufficient.’ At a macro level, perception of making ends meet and quality of life have discriminating value in assessing self-sufficiency. For a more detailed differentiation between groups with similar levels of self-sufficiency, perceived health, self-efficacy, access to socialsupport, and social network are valuable indicators. Overall, this study introduces a comprehensive tool to assess self-sufficiency in larger groups of citizens by using a parsimonious number of indicators. Local and regional governments can apply this tool to effectively assess the self-sufficiency levels of their population and signal potentially vulnerable groups. In this way, the tool makes the identification of self-sufficiency levels of larger populations more feasible and more efficient and can be widely adopted in different contexts.

Suggested Citation

  • Fluit, Marleen & Bortolotti, Thomas & Broekhuis, Manda & van Teerns, Mayan, 2023. "Segmenting citizens according to their self-sufficiency: A tool for local government," Social Science & Medicine, Elsevier, vol. 335(C).
  • Handle: RePEc:eee:socmed:v:335:y:2023:i:c:s0277953623006032
    DOI: 10.1016/j.socscimed.2023.116246
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0277953623006032
    Download Restriction: Full text for ScienceDirect subscribers only

    File URL: https://libkey.io/10.1016/j.socscimed.2023.116246?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Vermunt, Jeroen K., 2010. "Latent Class Modeling with Covariates: Two Improved Three-Step Approaches," Political Analysis, Cambridge University Press, vol. 18(4), pages 450-469.
    2. Johan P. Mackenbach & José Rubio Valverde & Barbara Artnik & Matthias Bopp & Henrik Brønnum-Hansen & Patrick Deboosere & Ramune Kalediene & Katalin Kovács & Mall Leinsalu & Pekka Martikainen & Gwenn M, 2018. "Trends in health inequalities in 27 European countries," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 115(25), pages 6440-6445, June.
    3. Brigit Obrist & Nelly Iteba & Christian Lengeler & Ahmed Makemba & Christopher Mshana & Rose Nathan & Sandra Alba & Angel Dillip & Manuel W Hetzel & Iddy Mayumana & Alexander Schulze & Hassan Mshinda, 2007. "Access to Health Care in Contexts of Livelihood Insecurity: A Framework for Analysis and Action," PLOS Medicine, Public Library of Science, vol. 4(10), pages 1-5, October.
    4. Carey, Gemma & Crammond, Brad, 2015. "Action on the social determinants of health: Views from inside the policy process," Social Science & Medicine, Elsevier, vol. 128(C), pages 134-141.
    5. Eissens van der Laan, M.R. & van Offenbeek, M.A.G. & Broekhuis, H. & Slaets, J.P.J., 2014. "A person-centred segmentation study in elderly care: Towards efficient demand-driven care," Social Science & Medicine, Elsevier, vol. 113(C), pages 68-76.
    6. Rowan G M Smeets & Arianne M J Elissen & Mariëlle E A L Kroese & Niels Hameleers & Dirk Ruwaard, 2020. "Identifying subgroups of high-need, high-cost, chronically ill patients in primary care: A latent class analysis," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-16, January.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fetene B. Tekle & Dereje W. Gudicha & Jeroen K. Vermunt, 2016. "Power analysis for the bootstrap likelihood ratio test for the number of classes in latent class models," Advances in Data Analysis and Classification, Springer;German Classification Society - Gesellschaft für Klassifikation (GfKl);Japanese Classification Society (JCS);Classification and Data Analysis Group of the Italian Statistical Society (CLADAG);International Federation of Classification Societies (IFCS), vol. 10(2), pages 209-224, June.
    2. Roberto Rocci & Stefano Antonio Gattone & Roberto Di Mari, 2018. "A data driven equivariant approach to constrained Gaussian mixture modeling," Advances in Data Analysis and Classification, Springer;German Classification Society - Gesellschaft für Klassifikation (GfKl);Japanese Classification Society (JCS);Classification and Data Analysis Group of the Italian Statistical Society (CLADAG);International Federation of Classification Societies (IFCS), vol. 12(2), pages 235-260, June.
    3. Agnieszka Strzelecka, 2021. "The Field of “Public Health” as a Component of Sustainable Development—Poland Compared to the European Union," Sustainability, MDPI, vol. 13(18), pages 1-20, September.
    4. Winter, Vera & Thomsen, Mette Kjærgaard & Schreyögg, Jonas & Blankart, Katharina & Duminy, Lize & Schoenenberger, Lukas & Ansah, John P. & Matchar, David & Blankart, Carl Rudolf & Oppel, Eva & Jensen,, 2019. "Improving Service Provision - The Health Care Services' Perspective," SMR - Journal of Service Management Research, Nomos Verlagsgesellschaft mbH & Co. KG, vol. 3(4), pages 163-183.
    5. Kibria, Abu SMG & Costanza, Robert & Soto, José R, 2022. "Modeling the complex associations of human wellbeing dimensions in a coupled human-natural system: In contexts of marginalized communities," Ecological Modelling, Elsevier, vol. 466(C).
    6. Layland, Eric K. & Maggs, Jennifer L. & Kipke, Michele D. & Bray, Bethany C., 2022. "Intersecting racism and homonegativism among sexual minority men of color: Latent class analysis of multidimensional stigma with subgroup differences in health and sociostructural burdens," Social Science & Medicine, Elsevier, vol. 293(C).
    7. Jennifer Oser & Marc Hooghe & Zsuzsa Bakk & Roberto Mari, 2023. "Changing citizenship norms among adolescents, 1999-2009-2016: A two-step latent class approach with measurement equivalence testing," Quality & Quantity: International Journal of Methodology, Springer, vol. 57(5), pages 4915-4933, October.
    8. Ralf Krumkamp & Nimako Sarpong & Benno Kreuels & Lutz Ehlkes & Wibke Loag & Norbert Georg Schwarz & Hajo Zeeb & Yaw Adu-Sarkodie & Jürgen May, 2013. "Health Care Utilization and Symptom Severity in Ghanaian Children – a Cross-Sectional Study," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-1, November.
    9. Patrick Sakdapolrak & Thomas Seyler & Christina Ergler, 2013. "Burden of direct and indirect costs of illness: Empirical findings from slum settlements in Chennai, South India," Progress in Development Studies, , vol. 13(2), pages 135-151, April.
    10. Sasso, Alessandro & Hernández-Alava, Mónica & Holmes, John & Field, Matt & Angus, Colin & Meier, Petra, 2022. "Strategies to cut down drinking, alcohol consumption, and usual drinking frequency: Evidence from a British online market research survey," Social Science & Medicine, Elsevier, vol. 310(C).
    11. Sarah R Lowe & Ethan J Raker & Mary C Waters & Jean E Rhodes, 2020. "Predisaster predictors of posttraumatic stress symptom trajectories: An analysis of low-income women in the aftermath of Hurricane Katrina," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-19, October.
    12. Aely Park & Youngmi Kim & Jennifer Murphy, 2023. "Adverse Childhood Experiences and Substance Use Among Korean College Students: Different by Gender?," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 16(4), pages 1811-1825, August.
    13. Han, Lu & Koenig-Archibugi, Mathias & Opsahl, Tore, 2018. "The social network of international health aid," Social Science & Medicine, Elsevier, vol. 206(C), pages 67-74.
    14. Bakk, Zsuzsa & Kuha, Jouni, 2020. "Relating latent class membership to external variables: an overview," LSE Research Online Documents on Economics 107564, London School of Economics and Political Science, LSE Library.
    15. Herwig Immervoll & Daniele Pacifico & Marieke Vandeweyer, 2019. "Faces of joblessness in Australia: An anatomy of employment barriers using household data," OECD Social, Employment and Migration Working Papers 226, OECD Publishing.
    16. Sarah Brown & William Greene & Mark Harris, 2020. "A novel approach to latent class modelling: identifying the various types of body mass index individuals," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 183(3), pages 983-1004, June.
    17. Chen, Runting & Huang, Yueyi & Yu, Meng, 2021. "The latent profile analysis of Chinese adolescents’ depression: Examination and validation," Children and Youth Services Review, Elsevier, vol. 125(C).
    18. Padmore Adusei Amoah & Joseph Edusei & David Amuzu, 2018. "Social Networks and Health: Understanding the Nuances of Healthcare Access between Urban and Rural Populations," IJERPH, MDPI, vol. 15(5), pages 1-15, May.
    19. Gugerty, Mary Kay & Mitchell, George E. & Santamarina, Francisco J., 2021. "Discourses of evaluation: Institutional logics and organizational practices among international development agencies," World Development, Elsevier, vol. 146(C).
    20. Pallant, Jason I. & Pallant, Jessica L. & Sands, Sean J. & Ferraro, Carla R. & Afifi, Eslam, 2022. "When and how consumers are willing to exchange data with retailers: An exploratory segmentation," Journal of Retailing and Consumer Services, Elsevier, vol. 64(C).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:335:y:2023:i:c:s0277953623006032. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.