Living in 'Birdsville': Exploring the impact of neighbourhood stigma on health
Living in 'Birdsville': Exploring the impact of neighbourhood stigma on health
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DOI：
10.1016/j.healthplace.2009.11.010
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发表时间：
2010-03-01
期刊：
影响因子：
4.8
通讯作者：
Tacticos, Theonie
中科院分区：
文献类型：
--
作者：
Kelaher, Margaret;Warr, Deborah J.;Tacticos, Theonie
目的：在澳大利亚维多利亚，与居民区更新（NR）地区的居民讨论时，生活在贫困地区的耻辱感是一个一致的主题。尽管如此，在关于邻里不利处境和健康的研究中，很少明确审查成见问题。本研究将探讨四个问题：（1）弱势地区居民如何描述他们的邻里污名经验？(2)邻里耻辱的经历在邻里之间是否存在差异？(3)邻里耻辱感与健康有关吗？(4)邻里耻辱和健康之间的关系是否可以用其他可能导致健康状况较差的社会因素来解释？设计图：横断面社区访谈比较人生活在NR地区（n=4029）的人生活在同一地方政府区域（LGAs）的其他部分（n=1857）。招募是通过在NR地区进行社区访谈和在LGAs进行分层随机抽样来实现的。主要结局指标：邻里耻辱变量，自我报告的健康状况，和满意度lifes.Results：约有一半（47.7%）的居民生活在NR社区相比，9.4%的居民生活在其他地方在相同的LGAs认为，他们的社区没有一个良好的声誉，在周边地区。在NR地区，出生在非英语国家、领取福利或养老金、受教育程度超过10年或报告有残疾的人中，报告的邻里耻辱感更高。报告的邻里耻辱随着年龄的增长而减少。污名与健康状况一般/较差（OR=1.33，1.06-1.89）和生活满意度（OR=0.66，0.55-0.8）相关。结论：社区污名可能是描述“地点”及其与健康关系的变量组合的一个有用的补充。(C)2009爱思唯尔有限公司保留所有权利。
Aims: The stigma of living in a disadvantaged area is a consistent theme in discussions with residents of neighbourhood renewal (NR) areas in Victoria, Australia. Despite this, stigma is rarely examined explicitly in studies of neighbourhood disadvantage and health. This study will address four questions: (1) How do residents of disadvantaged areas describe their experiences of neighbourhood stigma? (2) Do experiences of neighbourhood stigma vary within neighbourhoods? (3) Is neighbourhood stigma related to health? (4) Is the relationship between neighbourhood stigma and health explained by other social factors that may contribute to poorer health?Design: Cross-sectional community interviews comparing people living in NR areas (n=4029) to people living in other parts of the same local government areas (LGAs) (n=1857). Recruitment was achieved using community interviewers in NR areas and stratified random sampling in LGAs. Main outcome measures: A neighbourhood stigma variable, self-reported health, and satisfaction with life.Results: About half (47.7%) of residents living in NR neighbourhoods compared to 9.4% of residents living elsewhere in the same LGAs felt that their neighbourhoods did not have a good reputation in surrounding areas. In NR areas, reported neighbourhood stigma was higher among people born in a non-English speaking country, receiving benefits or pensions, educated above year 10, or who reported having a disability. Reported neighbourhood stigma decreased with age. Stigma was associated with being in fair/poor health status (OR=1.33, 1.06-1.89) and life satisfaction (OR=0.66, 0.55-0.8).Conclusions: Neighbourhood stigma may be a useful addition to the portfolio of variables that describe 'place' and its relationship with health. (C) 2009 Elsevier Ltd. All rights reserved.