Neighborhood economic conditions, social processes, and selfrated health in low-income neighborhoods in Texas: A multilevel latent variables model

Neighborhood economic conditions, social processes, and selfrated health in low-income neighborhoods in Texas: A multilevel latent variables model
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DOI:
10.1016/j.socscimed.2005.02.010
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发表时间:
2005-09-01
影响因子:
5.4
通讯作者:
ESquer, MEF
ESquer, MEF
中科院分区:
医学2区
文献类型:
--
作者:
Franzini, L;Caughy, M;ESquer, MEF

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本文开发并测试了一个综合模型,以解释邻里经济指标与邻里社会和物理组织的多个维度之间的关系,以及邻里社会和物理特征影响个人健康结果的途径。我们假设邻里贫困与集体效能较低、社会资本较低、社会和身体障碍程度较高、与儿童有关的社会过程(如信任)较差以及对犯罪和种族主义的恐惧程度较高有关。邻里的社会和物理特性被假设为调解邻里贫困对自测健康的影响,直接和间接地通过他们的影响邻里社会支持和健康行为的差异,这反过来又影响个人健康。研究结果表明,社区环境对健康的影响是由社区的社会特征和物理特征介导的。(c)2005爱思唯尔有限公司保留所有权利。
This paper develops and tests a comprehensive model to explain the relationships of neighborhood economic indicators to multiple dimensions of neighborhood social and physical organization as well as the pathways through which neighborhood social and physical characteristics influence individual health outcomes. We hypothesized that neighborhood poverty would be associated with lower collective efficacy, lower social capital, higher degrees of social and physical disorder, worse social processes pertaining to children such as trust, and higher degrees of fear of crime and racism. Neighborhood social and physical characteristics were hypothesized to mediate the effect of neighborhood poverty on self-rated health, both directly and indirectly through their influence on neighborhood differences in social support and health behaviors, which in turn affect individual health. The results, based on data from low-income neighborhoods in Texas, USA generally supported the model and indicated that the effect of neighborhood impoverishment on health is mediated by social and physical neighborhood characteristics. (c) 2005 Elsevier Ltd. All rights reserved.