Neighbourhood characteristics and health outcomes: evaluating the association between socioeconomic status, tobacco store density and health outcomes in Baltimore City

Neighbourhood characteristics and health outcomes: evaluating the association between socioeconomic status, tobacco store density and health outcomes in Baltimore City
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DOI:
10.1136/tobaccocontrol-2017-053945
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发表时间:
2018-07-01
期刊:
影响因子:
5.2
通讯作者:
Hansel, Nadia N.
Hansel, Nadia N.
中科院分区:
医学2区
文献类型:
--
作者:
Galiatsatos, Panagis;Kineza, Cynthia;Hansel, Nadia N.

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几项研究表明,一个人的健康受到他或她所生活的社区的社会经济地位(SES)的影响。该分析旨在了解大型城市社区中社会经济地位、烟草商店密度和邻里健康结果之间的关系。方法回顾巴尔的摩市55个社区的数据,并通过参数检验比较低收入和高收入社区的人口统计学和健康结果,以家庭收入中位数的第50百分位定义。汇总统计量以中位数表示。烟草储存密度被评价为结果和预测因子。使用Moran's I和空间回归分析来确定烟草商店密度与健康结果之间的关联,以解释自相关。结果与高收入社区相比,低收入社区的烟草商店密度更高(每万人30.5家比16.5家,P=0.01),预期寿命更低(68.5比74.9岁,P=0.01)
Introduction Several studies suggest that the health of an individual is influenced by the socioeconomic status (SES) of the community in which he or she lives. This analysis seeks to understand the relationship between SES, tobacco store density and health outcomes at the neighbourhood level in a large urban community.Methods Data from the 55 neighbourhoods of Baltimore City were reviewed and parametric tests compared demographics and health outcomes for low-income and high-income neighbourhoods, defined by the 50th percentile in median household income. Summary statistics are expressed as median. Tobacco store density was evaluated as both an outcome and a predictor. Association between tobacco store densities and health outcomes was determined using Moran's I and spatial regression analyses to account for autocorrelation.Results Compared with higher-income neighbourhoods, lower-income neighbourhoods had higher tobacco store densities (30.5 vs 16.5 stores per 10 000 persons, P=0.01), lower life expectancy (68.5 vs 74.9 years, P