Neighbourhood effects on health: Does it matter where you draw the boundaries?
Neighbourhood effects on health: Does it matter where you draw the boundaries?
复制标题
DOI：
10.1016/j.socscimed.2007.11.042
复制
发表时间：
2008-03-01
影响因子：
5.4
通讯作者：
Sabel, Clive E.
中科院分区：
文献类型：
--
作者：
Flowerdew, Robin;Manley, David J.;Sabel, Clive E.
在卫生地理学和相关领域，对邻里对健康的影响进行了大量讨论：一个地理区域内的人的健康可能不仅受到该区域人口组成的影响，而且还受到该区域地理环境的影响。因此，邻近地区的健康与否，对当地人的健康可能有重要影响。虽然社区及其边界有时对当地居民来说是显而易见的，但更常见的是，对社区的规模和内容存在相当大的分歧。在本文中，我们使用英国人口普查枚举区作为构建模块，以构建替代的分区系统，并进行实验，看看以不同的方式定义的社区是否对健康有类似的影响，众所周知的可修改的面积单位问题表明，分析结论可能会有很大的不同，根据数据如何汇总。边界可以被绘制成最大化大小的平等、形状的紧凑、社会组成的同质性、与“自然”边界的一致性，以及可能还有许多其他因素;这些标准中哪一个在界定与健康有关的区域时更有效？一个结论是，邻里条件的影响，应该看看使用几种不同的方式来定义邻里，这些邻里的大小和组成可能是不同的研究区域的不同部分。(c)2007爱思唯尔有限公司版权所有。
There has been considerable discussion in health geography and related areas of neighbourhood effects on health: the idea that people's health in one geographical area may be influenced not only by the composition of that area's population, but also by the area's geographical context. Hence, the healthiness or otherwise of the neighbourhood may have an important effect on local people's health. Although neighbourhoods and their boundaries are sometimes obvious to local residents, it is more common to find considerable disagreement on the size and contents of a neighbourhood. In this paper, we use British census Enumeration Districts as building blocks to construct alternative zonal systems, and experiment to see if neighbourhoods defined in different ways have similar implications for health, The well known modifiable areal unit problem shows that analytical conclusions may differ substantially according to how data are aggregated. Boundaries can be drawn to maximize equality of size, compactness of shape, homogeneity in social composition, accordance with 'natural' boundaries, and probably many other factors; which of these criteria are more effective in defining zones relevant to health? One conclusion is that the effect of neighbourhood conditions should be looked at using several different ways to define neighbourhoods, and that the size and composition of these neighbourhoods may be different in different parts of a study area. (c) 2007 Elsevier Ltd. All rights reserved.