Skip to main content
. 2022 Mar 20;19(6):3697. doi: 10.3390/ijerph19063697

Table A1.

Overview of summary measures of health inequality: formulas, characteristics and interpretation.

Summary Measure Formula Absolute/Relative Simple/Complex Ordered/Non-ordered Weighted/Unweighted Unit Value of No Inequality Interpretation
Simple measures
Difference (D) D=y1y2 Absolute Simple N/A Unweighted Unit of indicator Zero The larger the absolute value of D, the higher the level of inequality.
Ratio (R) R=y1/y2 Relative Simple N/A Unweighted No unit One R assumes only positive values. The further the value of R from 1, the higher the level of inequality.
Complex measures
Ordered measures
Disproportionality measures
Absolute concentration index (ACI) ACI=jpj(2Xj1)yj Absolute Complex Ordered Weighted Unit of indicator Zero Positive (negative) values indicate a concentration of the indicator among the advantaged (disadvantaged). The larger the absolute value of ACI, the higher the level of inequality.
Relative concentration index (RCI) RCI=ACIμ100 Relative Complex Ordered Weighted No unit Zero RCI is bounded between −100 and +100. Positive (negative) values indicate a concentration of the indicator among the advantaged (disadvantaged). The larger the absolute value of RCI, the higher the level of inequality.
Regression-based measures
Slope index of inequality (SII) SII=v1v0 Absolute Complex Ordered Weighted Unit of indicator Zero Positive values indicate a concentration among the advantaged and negative values indicate a concentration among the disadvantaged. The larger the absolute value of SII, the higher the level of inequality.
Relative index of inequality (RII) RII=v1/v0 Relative Complex Ordered Weighted No unit One RII assumes only positive values. Values > 1 indicate a concentration among the advantaged and values < 1 values indicate a concentration among the disadvantaged. The further the value of RII from 1, the higher the level of inequality.
Non-ordered measures
Variance measures
Between-group variance (BGV) BGV=jpj(yjμ)2 Absolute Complex Non-ordered Weighted Squared unit ofindicator Zero BGV assumes only positive values with larger values indicating higher levels of inequality.
Between-group standard deviation (BGSD) BGSD=jpj(yjμ)2 Absolute Complex Non-ordered Weighted Unit of indicator Zero BGSD assumes only positive values with larger values indicating higher levels of inequality.
Coefficient of variation (COV) COV=BGSDμ100 Relative Complex Non-ordered Weighted Unit of indicator Zero COV assumes only positive values with larger values indicating higher levels of inequality.
Mean difference measures
Mean difference from mean (unweighted) (MDMU) MDMU=1nj|yjμ| Absolute Complex Non-ordered Unweighted Unit of indicator Zero MDMU assumes only positive values with larger values indicating higher levels of inequality.
Mean difference from mean (weighted) (MDMW) MDMW=jpj|yjμ| Absolute Complex Non-ordered Weighted Unit of indicator Zero MDMW assumes only positive values with larger values indicating higher levels of inequality.
Mean difference from best-performing subgroup (unweighted) (MDBU) MDBU=1nj|yjyref| Absolute Complex Non-ordered Unweighted Unit of indicator Zero MDBU assumes only positive values with larger values indicating higher levels of inequality.
Mean difference from best-performing subgroup (weighted) (MDBW) MDBW=jpj|yjyref| Absolute Complex Non-ordered Weighted Unit of indicator Zero MDBW assumes only positive values with larger values indicating higher levels of inequality.
Index of disparity (unweighted) (IDIS) IDISU=1nj|yjμ|μ100 Relative Complex Non-ordered Unweighted No unit Zero IDISU assumes only positive values with larger values indicating higher levels of inequality.
Index of disparity (weighted) (IDISW) IDISW=jpj|yjμ|μ100 Relative Complex Non-ordered Weighted No unit Zero IDISW assumes only positive values with larger values indicating higher levels of inequality.
Disproportionality measures
Theil index (TI) TI=jpjyjμlnyjμ1000 Relative Complex Non-ordered Weighted No unit Zero The larger the absolute value of TI, the greater the level of inequality.
Mean log deviation (MLD) MLD=jpj(ln(yjμ))1000 Relative Complex Non-ordered Weighted No unit Zero The larger the absolute value of MLD, the higher the level of inequality.
Impact measures
Population attributable risk (PAR) PAR=yrefμ Absolute Complex Ordered/
Non-ordered
Weighted Unit of indicator Zero PAR assumes only positive values for favourable indicators and only negative values for adverse indicators. The larger the absolute value, the higher the level of inequality.
Population attributable fraction (PAF) PAF=PARμ100 Relative Complex Ordered/
Non-ordered
Weighted No unit Zero PAF assumes only positive values for favourable indicators and only negative values for adverse indicators. The larger the absolute value of PAF, the larger the level of inequality.

y1 = Estimate for subgroup 1. Usually the most-advantaged subgroup (ordered dimensions) or the best-performing subgroup (non-ordered dimensions). y2 = Estimate for subgroup 2. Usually the most-disadvantaged subgroup (ordered dimensions) or the worst-performing subgroup (non-ordered dimensions). yj = Estimate for subgroup j. yref = Estimate for reference subgroup. Usually the most-advantaged subgroup (ordered dimensions) or the best-performing subgroup (non-ordered dimensions). pj = Population share for subgroup j. Xj=jpj0.5pj = Relative rank of subgroup j. μ = Setting average. v0 = Predicted value of the hypothetical person at the bottom of the social-group distribution (rank 0). v1 = Predicted value of the hypothetical person at the top of the social-group distribution (rank 1). n = Number of subgroups.