Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois
Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois
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DOI：
10.1016/j.socscimed.2006.06.025
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发表时间：
2006-11-01
影响因子：
5.4
通讯作者：
Cacioppo, John T.
中科院分区：
文献类型：
--
作者：
Wen, Ming;Hawkley, Louise C.;Cacioppo, John T.
本文探讨了客观评估的邻里社会经济地位（SES），邻里环境的主观看法，个人SES和心理社会因素，和自我评价的健康之间的关系中老年人。对伊利诺伊州库克县50-67岁成年人代表性样本的数据分析显示，在控制年龄，性别和种族/民族后，客观的社区SES和自测健康之间存在显着关联，但这种影响主要由个人SES和社区感知来解释。相比之下，感知的邻域质量（即，社区物理、社会和服务环境的主观评价）在控制了个人社会人口因素以及社区SES之后表现出显著的效果。反过来，感知的邻里环境对健康的影响部分解释了孤独，抑郁，敌意和压力的心理社会因素，但不是由感知的社会支持或社交网络。总之，本研究支持一个模型，在该模型中，社区SES对自测健康的影响通过个人SES，社区质量的看法和心理社会状态的顺序路径。(c)2006爱思唯尔有限公司保留所有权利。
This article investigates the relationship among objectively assessed neighborhood socio-economic status (SES), subjective perceptions of neighborhood environment, individual SES and psychosocial factors, and self-rated health among middle-aged and older adults. Analysis of data from a representative sample of adults, aged 50-67 years in Cook County, Illinois, shows a significant association between objective neighborhood SES and self-rated health after controlling for age, gender, and race/ethnicity, but the effect is substantially explained by individual SES and neighborhood perceptions. By contrast, perceived neighborhood quality (i.e., subjective ratings of neighborhood physical, social, and service environments) exhibits a significant effect after controlling for individual socio-demographic factors as well as neighborhood SES. In turn, the effects of perceived neighborhood environment on health are partially explained by the psychosocial factors of loneliness, depression, hostility, and stress, but not by perceived social support or social networks. In sum, the research supports a model in which the effects of neighborhood SES on self-rated health act through sequential pathways of individual SES, perceptions of neighborhood quality, and psychosocial status. (c) 2006 Elsevier Ltd. All rights reserved.