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Clustering of Social Determinants of Health as an Indicator of Meaningful Subgroups within an African American Population: Application of Latent Class Analysis

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  • Sumihiro Suzuki

    (Department of Family and Preventive Medicine, Rush University Medical Center, Chicago, IL 60612, USA)

  • Joshua Longcoy

    (Center for Community Health Equity, Rush University Medical Center, Chicago, IL 60612, USA)

  • Zeynep Isgor

    (Center for Community Health Equity, Rush University Medical Center, Chicago, IL 60612, USA
    Department of Health Systems Management, Rush University Medical Center, Chicago, IL 60612, USA)

  • Elizabeth Avery

    (Department of Family and Preventive Medicine, Rush University Medical Center, Chicago, IL 60612, USA)

  • Tricia J. Johnson

    (Center for Community Health Equity, Rush University Medical Center, Chicago, IL 60612, USA
    Department of Health Systems Management, Rush University Medical Center, Chicago, IL 60612, USA)

  • Eric Yang

    (The Aspen Group, Chicago, IL 60607, USA)

  • Elizabeth B. Lynch

    (Department of Family and Preventive Medicine, Rush University Medical Center, Chicago, IL 60612, USA
    Center for Community Health Equity, Rush University Medical Center, Chicago, IL 60612, USA)

Abstract

Background: Health disparities between people who are African American (AA) versus their White counterparts have been well established, but disparities among AA people have not. The current study introduces a systematic method to determine subgroups within a sample of AA people based on their social determinants of health. Methods: Health screening data collected in the West Side of Chicago, an underserved predominantly AA area, in 2018 were used. Exploratory latent class analysis was used to determine subgroups of participants based on their responses to 16 variables, each pertaining to a specific social determinant of health. Results: Four unique clusters of participants were found, corresponding to those with “many unmet needs”, “basic unmet needs”, “unmet healthcare needs”, and “few unmet needs”. Conclusion: The findings support the utility of analytically determining meaningful subgroups among a sample of AA people and their social determinants of health. Understanding the differences within an underserved population may contribute to future interventions to eliminate health disparities.

Suggested Citation

  • Sumihiro Suzuki & Joshua Longcoy & Zeynep Isgor & Elizabeth Avery & Tricia J. Johnson & Eric Yang & Elizabeth B. Lynch, 2024. "Clustering of Social Determinants of Health as an Indicator of Meaningful Subgroups within an African American Population: Application of Latent Class Analysis," IJERPH, MDPI, vol. 21(6), pages 1-10, May.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:6:p:676-:d:1401460
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    References listed on IDEAS

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    1. Linzer, Drew A. & Lewis, Jeffrey B., 2011. "poLCA: An R Package for Polytomous Variable Latent Class Analysis," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 42(i10).
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