The New Zealand Socioeconomic Index: developing and validating an occupationally-derived indicator of socio-economic status

Objective: Following revision of the international standard classification (ISCO88), to update and validate on health data an occupationally derived i ndicator of socio-economic status (SES) adapted to changing occupational an d demographic conditions. Method: The development of the New Zealand Socioeconomic Index (NZSEI) is b ased on a 'returns to human capital' model of the stratification process an d uses data from the 1991 New Zealand Census (n=1,051,926) to generate scor es for 97 occupational groups. The construct validation of the scale is car ried out on data from the 1992-93 nationwide Household Health Survey (n=3,0 00) using three health indicators (self-assessed health, cigarette smoking, general practitioner visits). Results: In general, the results are consistent with expected socio-economi c patterns drawn from the literature for the three indicators. Conclusions: While further work is required on a number of methodological a nd conceptual issues, the NZSEI provides a robust, standardised and interna tionally comparable occupational scale of SES for both males and females in either full- or part-time employment. Implications: The NZSEI can be used on routinely collected occupational dat a. It has a clear conceptual rationale, updates existing SES scales, and pr ovides a link to international standards in SES and occupational classifica tion.