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editorial
. 2018 Nov;108(11):1503–1505. doi: 10.2105/AJPH.2018.304705

TABLE 1—

Trade-Offs Between Credit Scores and Common Measures of Socioeconomic Position

Consumer Credit Income Wealth Education
Responsiveness to life events Sensitive to short- and long-term economic changes; reported monthly Changes infrequently Varies over life but generally increases Often stable after early adulthood
Data access Proprietary; based on unpublished formulas; self-report can be collected in surveys Self-report widely available Self-report widely available Self-report widely available
Data availability ∼20% of adults do not have credit history; large volume of credit data across the nation Self-report missing in < 33% in population-based US health surveysa Missing in < 20%; underreported in high-wealth householdsb; many have no or negative wealth Widely available with < 1% missinga; applicable to nearly everyone
Data interpretation Quantifiable score capturing access to additional capital to address health; scores across bureaus have different meanings May not be predictive of purchasing power Difficult to ascertain accurately for those with a mix of assets Easy to ascertain but has different returns and meanings across cohorts and cultures
a

Based on the US National Health Interview Survey, as reported in http://www.stat.columbia.edu/∼gelman/stuff_for_blog/s6.pdf.

b

Based on missing at least one item used in wealth calculations in the Panel Study of Income Dynamics, as reported in https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5351882.