Non-residential neighborhood exposures suppress neighborhood effects on self-rated health
Non-residential neighborhood exposures suppress neighborhood effects on self-rated health
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DOI：
10.1016/j.socscimed.2007.05.051
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发表时间：
2007-10-01
影响因子：
5.4
通讯作者：
Finch, Brian K.
中科院分区：
文献类型：
--
作者：
Inagami, Sanae;Cohen, Deborah A.;Finch, Brian K.
在先前的研究中，邻里效应在预测死亡率和发病率的具体原因方面往往很弱或不一致。为了确定居住区的影响是否受到其他环境的抑制，我们研究了个人日常生活中的非居住环境对成人自测健康的影响。我们将2000年美国人口普查数据与洛杉矶家庭和邻里研究（L.A.FANS）数据库相关联，该数据库包括从洛杉矶县社区抽样的3323名成年人。受访者居住、工作、购物、就医、崇拜和度过“其他”时间的人口普查区域的特征来自2000年美国人口普查。加权多水平线性和聚类广义有序逻辑回归被用来估计自我评价的健康和非住宅区暴露后，调整个人层面的因素和暴露于住宅区neighborhoods.We发现，居住在弱势社区与更差的自我评价的健康。在剂量-反应模式中，在日常活动过程中暴露于不太不利的非居民区越多，自我评价健康改善的幅度就越大。包括非居民区暴露在内的模型增加了居民区与健康之间关联的程度和意义。总之，个人对非住宅社区的暴露混淆并抑制了住宅社区与健康的关联，这可以解释为什么以前的研究可能没有发现住宅社区预测因子与健康之间的强关联。爱思唯尔有限公司出版
In prior research, neighborhood effects have often been weak or inconsistent in predicting specific causes of mortality and morbidity. To determine whether residential neighborhood effects are suppressed by exposure to other environments, we examined the effect on adult self-rated health of non-residential environments that figure in individuals' daily routines. We linked the 2000 US Census data with the Los Angeles Family and Neighborhood Study (L.A.FANS) database, which consists of 3323 adults sampled from neighborhoods in LA County. Characteristics of census tracts where respondents lived, worked, shopped, sought medical care, worshipped and spent "other" time were obtained from the 2000 US Census. Weighted multilevel linear and clustered generalized ordered logistic regressions were used to estimate associations between self-rated health and non-residential neighborhood exposures after adjustment for individual-level factors and exposure to residential neighborhoods.We found that residence in disadvantaged neighborhoods was associated with worse self-rated health. In a dose-response fashion, the greater the exposure to less disadvantaged non-residential neighborhoods in the course of routine activities, the greater the magnitude in improved self-rated health. Models including non-residential neighborhood exposure increase the magnitude and significance of the association between residential neighborhoods and health. In conclusion, individuals' exposure to non-residential neighborhoods confounds and suppresses the association of residential neighborhoods with health and could explain why previous studies may not have found robust associations between residential neighborhood predictors and health. Published by Elsevier Ltd.