184905 Measuring racial disparity in small areas: The problem of aggregation bias in foster care admission disparities

Sunday, October 26, 2008

Bridgette E. Lery, MSW, PhD , Chapin Hall Center for Children, University of Chicago, Chicago, IL
Background: Disparity is a place-based construct. Relative disparity, measured as the ratio of incidence rates between two groups, is necessarily geographically bounded. For instance, disparity is often described among states or counties, but never individuals. The choice of geographic boundary may reveal an aggregation bias such that relative disparity changes depending on spatial scale.

Methods: Administrative foster care records containing removal home addresses of a cohort of 2,508 children who entered foster care for the first time in one Tennessee county between 2000 and 2006 are geocoded and assigned to census tracts. Admission rates for African American and white children and a relative disparity ratio are constructed and compared to rates at two larger spatial scales – state and county.

Results: The underlying populations of children in each area impact the calculation of African American to white admission disparity. The statewide disparity ratio is 1.2 while disparity for the region of Shelby is 3.5, and disparity within Shelby County ranges from 0.0 to 27.4. Furthermore, disparity cannot be described in 25% of the census tracts because they are highly segregated and contain nearly no white children upon which to make a disparity calculation.

Conclusion: Disparity is an artifact of data aggregation. As such, relative disparity can be a misleading metric by which to understand local system dynamics. A thorough analysis of disparity should include consideration of absolute disparity and its component parts (in this case, African American and white admission rates), which are not vulnerable to the same pitfalls as disparity.

Learning Objectives:
Construct a relative disparity ratio and its component parts. Identify aggregation bias that can occur in any ecological study. Discuss variation in disparity across a county.

Keywords: Child Health, Health Disparities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am currently conducting health disparities research supported by an NIH Health Disparities Loan Repayment grant. I have also co-authored two reports published by Chapin Hall Center for Children on racial disparities in foster care admissions.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.