Perceptions of the neighbourhood environment and self rated health: a multilevel analysis of the Caerphilly Health and Social Needs Study.
Perceptions of the neighbourhood environment and self rated health: a multilevel analysis of the Caerphilly Health and Social Needs Study.
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对邻里环境和自我评级健康的看法：对Caerphilly健康和社会需求研究的多层次分析。
DOI：
10.1186/1471-2458-7-285
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发表时间：
2007-10-09
影响因子：
4.5
通讯作者：
Fone DL
中科院分区：
文献类型：
--
作者：
Poortinga W;Dunstan FD;Fone DL
在这项研究中，我们研究了（1）邻里方面的便利设施，邻里质量，邻里障碍，邻里社会凝聚力与人们的自我评价的健康，（2）这些健康影响反映了社会人口组成和/或邻里剥夺的差异，（3）与邻里环境的不同方面的协会在男性和女性之间存在差异。采用多层次模型对Caerphilly健康和社会需求调查的数据进行了分析，其中个人嵌套在枚举区内。在这项研究中，我们使用了75岁以下人群的回答（n = 10，892）。该亚组的有效率为62.3%。所有个人的回应都与Caerphilly县自治市的325个人口普查区进行了地理参考。邻里属性差的设施，邻里质量差，邻里混乱，缺乏社会凝聚力，邻里剥夺与健康状况不佳的报告。当控制个人和集体的社会经济地位时，这些影响减弱了。缺乏社会凝聚力大大增加了妇女报告健康状况不佳的几率，但并没有增加男子报告健康状况不佳的几率。相比之下，失业严重影响男子的健康，但不影响妇女的健康。这项研究表明，邻里环境的不同方面与人们的自我评价的健康，这可能部分反映了邻里的社会经济地位的健康影响。研究结果进一步表明，社会环境对妇女的健康更为重要，但个人的社会经济地位对男子的健康更为重要。
In this study we examined whether (1) the neighbourhood aspects of access to amenities, neighbourhood quality, neighbourhood disorder, and neighbourhood social cohesion are associated with people's self rated health, (2) these health effects reflect differences in socio-demographic composition and/or neighbourhood deprivation, and (3) the associations with the different aspects of the neighbourhood environment vary between men and women. Data from the cross-sectional Caerphilly Health and Social Needs Survey were analysed using multilevel modelling, with individuals nested within enumeration districts. In this study we used the responses of people under 75 years of age (n = 10,892). The response rate of this subgroup was 62.3%. All individual responses were geo-referenced to the 325 census enumeration districts of Caerphilly county borough. The neighbourhood attributes of poor access to amenities, poor neighbourhood quality, neighbourhood disorder, lack of social cohesion, and neighbourhood deprivation were associated with the reporting of poor health. These effects were attenuated when controlling for individual and collective socio-economic status. Lack of social cohesion significantly increased the odds of women reporting poor health, but did not increase the odds of men reporting poor health. In contrast, unemployment significantly affected men's health, but not women's health. This study shows that different aspects of the neighbourhood environment are associated with people's self rated health, which may partly reflect the health impacts of neighbourhood socio-economic status. The findings further suggest that the social environment is more important for women's health, but that individual socio-economic status is more important for men's health.
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影响因子：
4.5
作者：
Fone DL;Lloyd K;Dunstan FD
通讯作者：
Dunstan FD
影响因子：
4.7
作者：
Ellaway, A;Macintyre, S;Kearns, A
通讯作者：
Kearns, A
DOI：
10.1023/a:1026595011371
发表时间：
2000-12-01
期刊：
Prevention science : the official journal of the Society for Prevention Research
影响因子：
--
作者：
MacKinnon, D P;Krull, J L;Lockwood, C M
通讯作者：
Lockwood, C M
影响因子：
5.4
作者：
Fone, David;Dunstan, Frank;Palmer, Stephen
通讯作者：
Palmer, Stephen
影响因子：
3.3
作者：
Fone, David L;Farewell, Daniel M;Dunstan, Frank D
通讯作者：
Dunstan, Frank D