A neighborhood wealth metric for use in health studies.
A neighborhood wealth metric for use in health studies.
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DOI：
10.1016/j.amepre.2011.03.009
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发表时间：
2011-07
影响因子：
5.5
通讯作者：
Drewnowski A
中科院分区：
文献类型：
--
作者：
Moudon AV;Cook AJ;Ulmer J;Hurvitz PM;Drewnowski A
在健康研究中使用的邻里剥夺措施通常是基于传统的区域为基础的SES。本研究的目的是检查新的数据和措施的SES用于健康研究。具体而言，评估的财产价值被引入作为一个新的个人层面的财富指标，并测试他们的能力，以取代传统的区域为基础的SES作为邻里剥夺的措施。这项分析是在2010年进行的，使用的数据来自西雅图肥胖研究（SOS）2008- 2009年调查的1922名参与者。它比较了个人层面的邻里财富指标（评估的财产价值）和地区层面的SES指标（包括教育，收入和贫困以上的百分比作为单一变量，并作为复合辛格指数）之间的关联的相对强度对二元结果公平/较差的一般健康状况。分析调整了性别，分类年龄，种族，就业状况，房屋所有权和家庭收入。邻里财富的措施是更好的预测公平/较差的健康状况比地区一级的SES措施，计算作为单一变量或指数（较低的DIC措施，所有模型）。在调整个人水平的SES测量后，社区财产价值每增加50，000美元，健康状况一般/较差的几率下降0.85 [0.77，0.93]。如果在其他地区复制，拟议的个人层面的邻里财富度量，可以取代基于区域的SES措施，从而简化对健康的背景影响的分析。
Measures of neighborhood deprivation used in health research are typically based on conventional area-based SES. The aim of this study is to examine new data and measures of SES for use in health research. Specifically, assessed property values are introduced as a new individual-level metric of wealth and tested for their ability to substitute for conventional area-based SES as measures of neighborhood deprivation. The analysis was conducted in 2010 using data from 1922 participants in the 2008– 2009 survey of the Seattle Obesity Study (SOS). It compared the relative strength of the association between the individual-level neighborhood wealth metric (assessed property values) and area-level SES measures (including education, income, and percentage above poverty as single variables, and as the composite Singh index) on the binary outcome fair/poor general health status. Analyses were adjusted for gender, categoric age, race, employment status, home ownership, and household income. The neighborhood wealth measure was more predictive of fair/poor health status than area-level SES measures, calculated either as single variables or as indices (lower DIC measures for all models). The odds of having a fair/poor health status decreased by 0.85 [0.77, 0.93] per $50,000 increase in neighborhood property values after adjusting for individual-level SES measures. The proposed individual-level metric of neighborhood wealth, if replicated in other areas, could replace area-based SES measures, thus simplifying analyses of contextual effects on health.
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影响因子：
120.7
作者：
ADLER, NE;BOYCE, WT;SYME, SL
通讯作者：
SYME, SL
影响因子：
3.5
作者：
Fuchs, VR
通讯作者：
Fuchs, VR
DOI：
10.1068/a280237
发表时间：
1996-02-01
期刊：
ENVIRONMENT AND PLANNING A
影响因子：
--
作者：
Fieldhouse, EA;Tye, R
通讯作者：
Tye, R
影响因子：
4.4
作者：
Clarke, SO;Schellenbaum, GD;Rea, TD
通讯作者：
Rea, TD
影响因子：
5
作者：
Idler, EL;Benyamini, Y
通讯作者：
Benyamini, Y