Into a SEIFA SES cul-de-sac?

Use of the Australian Bureau of Statistics' SEIFA scores has almost become an automatic practice in area-based research on socio-economic status (SES) correlates of health inequalities in Australia in recent years. This article questions the wisdom of this emerging heavy, often singular, reliance on the SEIFA indexes for representing a real socio-economic condition. It is argued that improvements in our understanding of the social and economic processes that produce health inequalities will not occur unless we move beyond SEIFA's broad brush. Data for New England Area Health local government areas are used to support the argument.