Small area variations in health related behaviours; do these depend on the behaviour itself, its measurement, or on personal characteristics?

Small area variations in health related behaviours; do these depend on the behaviour itself, its measurement, or on personal characteristics?
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DOI:
10.1016/s1353-8292(00)00008-3
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发表时间:
2000-12-01
期刊:
影响因子:
4.8
通讯作者:
Macintyre, S
Macintyre, S
中科院分区:
医学2区
文献类型:
--
作者:
Ecob, R;Macintyre, S

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在本文中,我们研究的模式,小面积,四个健康相关的行为(吸烟,饮酒,饮食和运动)在苏格兰西部,控制一系列的个人/家庭特征后。使用多层次模型。吸烟和饮酒都是作为二元和连续变量进行测量的,饮食和运动分别以两种方式进行测量:“好”(促进健康)和“坏”(损害健康)。“区域效应”(未归因于邮政编码部门的变化)被发现只有“坏”的饮食。“好”和“坏”的饮食,“坏”的锻炼模式和目前的吸烟与邮政编码部门的剥夺。对于“坏”的饮食,这种影响只被发现为个人在更富裕的家庭,和“好”的运动和目前吸烟的关联与地区剥夺不同的青少年和成年人之间。我们的结论是,区域对健康相关行为的影响因行为和测量方式而异,区域剥夺和/或区域的影响可能因年龄和家庭剥夺而异。(C)2000爱思唯尔科技有限公司版权所有。
In this paper we examine the patterning, by small areas, of four health related behaviours (smoking, alcohol consumption, diet, and exercise) in the West of Scotland, after controlling for a range of individual/household characteristics. using multilevel models. Smoking and drinking were measured both as binary and as continuous variables, and diet and exercise were each measured in two ways: 'good' (health promoting) and 'bad' (health damaging). 'Area effects' (unattributed variation by post code sector) were found for 'bad' diet only. 'Good' and 'bad' diet,'bad' exercise patterns and current smoking were associated with postcode sector deprivation. For 'bad' diet this effect was found only for individuals in more affluent households, and for 'good' exercise and current smoking the association with area deprivation differed between adolescents and adults. We conclude that the influence of area on health related behaviours varies according to the behaviour and the way it is measured, and that the influence of area deprivation and/or of area can vary by age and household deprivation. (C) 2000 Elsevier Science Ltd. All rights reserved.