Effects of area deprivation on health risks and outcomes: a multilevel, cross-sectional, Australian population study
Effects of area deprivation on health risks and outcomes: a multilevel, cross-sectional, Australian population study
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DOI：
10.1007/s00038-009-7113-x
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发表时间：
2009-05-01
影响因子：
4.6
通讯作者：
Wilson, David H.
中科院分区：
文献类型：
--
作者：
Adams, Robert J.;Howard, Natasha;Wilson, David H.
我们的目的是检查当地的社会经济劣势后，占个人的社会经济地位（SES）的影响，并确定这些不同的各种健康和风险因素variable.The西北阿德莱德健康研究（NWAHS）是一个生物医学的成年人的代表性人口研究。根据澳大利亚统计局在收集区一级（200个住宅）的人口普查数据编制的相对社会经济不利地位指数被用作当地不利地位的指标。多水平模型技术研究了IRSD水平对各种健康结果和风险因素的影响，在考虑了个体社会经济因素后，发现IRSD与肥胖、吸烟和健康相关生活质量之间存在显著的独立关联，其中5%至7.2%的方差位于社区水平。IRSD与估计的心血管疾病风险、糖尿病、体力活动或有风险的酒精使用之间没有独立的关联。汇总的地区水平特征对吸烟、肥胖和生活质量有适度但显著的独立贡献，但对其他健康结果没有贡献。
Our aim was to examine the effect of local area socio-economic disadvantage after accounting for individual socio-economic status (SES), and to determine if these differ between various health and risk factor variables.The North West Adelaide Health Study (NWAHS) is a biomedical representative population study of adults. The Index of Relative Socio-Economic Disadvantage (IRSD), produced from the Australian Bureau of Statistics (ABS) Census data at the level of Collector Districts (200 dwellings) was used as an indicator of local area disadvantage. Multi-level modeling techniques examined the effects of IRSD level on a variety of health outcomes and risk factors, after accounting for individual socio-economic factors.Significant, independent associations were seen between IRSD and obesity, smoking, and health-related quality of life, with 5 % to 7.2 % of the variance located at the neighborhood level. No independent associations were seen between IRSD and estimated cardiovascular disease risk, diabetes, physical activity, or at-risk alcohol use.Aggregated area-level characteristics make modest, but significant independent contributions to smoking, obesity and quality of life, but not for other health outcomes.