Individuals and their ecologies: analysing the geography of chronic illness within a multilevel modelling framework

Individuals and their ecologies: analysing the geography of chronic illness within a multilevel modelling framework
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DOI:
10.1016/1353-8292(95)00004-6
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发表时间:
1995-03-01
期刊:
影响因子:
4.8
通讯作者:
Duncan, Craig
Duncan, Craig
中科院分区:
医学2区
文献类型:
--
作者:
Jones, Kelvyn;Duncan, Craig

文献摘要

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本文论证了地域差异在认识慢性病中的重要性。对个体效应和生态效应进行了概念上的区分,认为聚合分析为研究地区差异提供了一种不合适的方法。相比之下,多层次建模允许同时分析个体及其生态环境。这一方法适用于来自近400个地方的9000多名英国人的全国代表性样本的数据。
This paper argues for the importance of place differences in understanding chronic illness. A conceptual distinction is drawn between individual and ecological effects and it is argued that aggregate analysis provides an inappropriate methodology for studying place differences. Multilevel modelling, in contrast, allows For the simultaneous analysis of individuals and their ecologies. This approach is applied to data derived from a nationally representative sample of over 9 000 United Kingdom individuals in nearly 400 places.