Do inaccuracies in small area deprivation analyses matter?
OBJECTIVE
To assess the accuracy of computerised matching of postcode to enumeration district (ED) and to determine whether any mismatching reduces the validity of methods to distinguish socioeconomic differences in "small area" deprivation studies.


METHODS
Computerised and manual matching of postcodes to EDs were compared and the census based Townsend deprivation score was compared with socioeconomic data on individual families.


METHODS
County of Northumberland, England, 1989.


METHODS
Random sample of 301 families with a child aged less than 15 months.


RESULTS
With computerised matching only 47% of postcodes were matched to the correct ED. Eighty per cent of the deprivation scores of the computer matched EDs, however, approximated (+/- 2) to the deprivation score of the actual ED. When EDs were divided into quintiles according to the deprivation score, accurate manual matching showed that 75% of families in the most deprived EDs were classed as deprived compared with 4% in the most affluent EDs. With the inaccuracies introduced by computer matching of postcodes, the corresponding figures were 56% and 12% respectively.


CONCLUSIONS
Computerised matching of postcodes to EDs is highly inaccurate, but this has little effect on the allocation of deprivation scores. The socioeconomic inequalities shown by the deprivation score are blunted, but not eradicated, by this mismatching.
Reading
R
R
Department of Community Paediatrics, Northumberland Health Authority.
Openshaw
S
S
D003201:Computers; D004739:England; D005192:Family Health; D006297:Health Services Accessibility; D006801:Humans; D007223:Infant; D007224:Infant Care; D011897:Random Allocation; D012042:Registries; D012680:Sensitivity and Specificity; D017062:Small-Area Analysis; D012923:Social Class; D012959:Socioeconomic Factors