Neighbourhood deprivation and health: does it affect us all equally?
Neighbourhood deprivation and health: does it affect us all equally?
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DOI：
10.1093/ije/dyg084
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发表时间：
2003-06-01
影响因子：
7.7
通讯作者：
Marmot, M
中科院分区：
文献类型：
--
作者：
Stafford, M;Marmot, M
背景邻里社会经济地位（SES）可能会影响富人和穷人的居民差异。提出了两种模型。模式1：生活在非贫困社区更有利于健康，因为可以获得更好的集体物质和社会资源。模式二：被贫穷（丰富）相对于邻里平均值是与更差（更好）的健康，因为个人的情况和周围themes.Methods从白厅II研究覆盖健康，SES，和感知状态的差异个人数据被链接到人口普查数据对neighborhood deprivation.Results个人和邻里剥夺增加了一般和心理健康不佳的风险。有人认为，生活在贫困地区对穷人的影响更为显著，尽管相互作用在统计上并不显著。穷人在贫困的社区报告更多的财政和邻里问题，并评价自己最低的阶梯上的society.Conclusions，我们没有发现任何证据表明，个人贫困与富裕的社区有负面的健康后果。相反，生活在贫困的社区可能对较贫穷的个人产生最不利的健康影响，这可能是因为他们更依赖社区的集体资源。
Background Neighbourhood socioeconomic status (SES) may affect rich and poor residents differentially. TWO models are proposed. Model 1: living in a non-deprived neighbourhood is better for health because better collective material and social resources are available. Model 2: being poor (rich) relative to the neighbourhood average is associated with worse (better) health because of the discrepancy between an individual's situation and those around them.Methods individual data from the Whitehall II study covering health, SES, and perceived status were linked to census data on neighbourhood deprivation.Results Both individual and neighbourhood deprivation increased the risk of poor general and mental health. There was a suggestion that the effect of living in a deprived area was more marked for poorer individuals, although interactions were not statistically significant. Poor people in poor neighbourhoods reported more financial and neighbourhood problems and rated themselves lowest on the ladder of society.Conclusions We found no evidence that personal poverty combined with affluent neighbourhood had negative health consequences. Rather, living in a deprived neighbourhood may have the most negative health effects on poorer individuals, possibly because they are more dependent on collective resources in the neighbourhood.