Home > Review Articles > Health research > The New Zealand Indices of Multiple Deprivation (IMD): A new suite of indicators for social and health research in Aotearoa, New Zealand

The New Zealand Indices of Multiple Deprivation (IMD): A new suite of indicators for social and health research in Aotearoa, New Zealand

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Summary:

This paper describes the development of a new deprivation index for New Zealand, a theoretical and methodological shift from the New Zealand Deprivation Index that has been used since the 1990s as the universal measure of area-based social circumstances. The study researchers developed a customised geographical boundary file known as Data Zones, which uses routine datasets and methods comparable to current international deprivation indices. They identified 28 indicators of deprivation from national health, social development, taxation, education, police databases, geospatial data providers and the 2013 Census, all of which represented 7 Domains (Employment, Income, Crime, Housing, Health, Education, and Geographical Access). These Domains have been combined into the New Zealand Index of Multiple Deprivation (IMD) and may be used individually or in combination, to explore the geography of deprivation and its association with a given health or social outcome. Geographical variations in the distribution of the IMD and its Domains among the country’s 20 District Health Boards suggest that factors underpinning overall deprivation are inconsistent across the country.

Comment:
As the authors say, the hope is to provide a better understanding of the wider determinants that impact on health. My hope is that a better awareness will lead to policies that dismantle the systems supporting the unequal distribution of these determinants.
Reference: PLoS One. 2017;12(8):e0181260
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

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