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Perceptions of the neighbourhood environment and self rated health: a multilevel analysis of the Caerphilly Health and Social Needs Study
- Source :
- BMC Public Health, BMC Public Health, Vol 7, Iss 1, p 285 (2007)
- Publication Year :
- 2007
- Publisher :
- Springer Science and Business Media LLC, 2007.
-
Abstract
- Background In this study we examined whether (1) the neighbourhood aspects of access to amenities, neighbourhood quality, neighbourhood disorder, and neighbourhood social cohesion are associated with people's self rated health, (2) these health effects reflect differences in socio-demographic composition and/or neighbourhood deprivation, and (3) the associations with the different aspects of the neighbourhood environment vary between men and women. Methods Data from the cross-sectional Caerphilly Health and Social Needs Survey were analysed using multilevel modelling, with individuals nested within enumeration districts. In this study we used the responses of people under 75 years of age (n = 10,892). The response rate of this subgroup was 62.3%. All individual responses were geo-referenced to the 325 census enumeration districts of Caerphilly county borough. Results The neighbourhood attributes of poor access to amenities, poor neighbourhood quality, neighbourhood disorder, lack of social cohesion, and neighbourhood deprivation were associated with the reporting of poor health. These effects were attenuated when controlling for individual and collective socio-economic status. Lack of social cohesion significantly increased the odds of women reporting poor health, but did not increase the odds of men reporting poor health. In contrast, unemployment significantly affected men's health, but not women's health. Conclusion This study shows that different aspects of the neighbourhood environment are associated with people's self rated health, which may partly reflect the health impacts of neighbourhood socio-economic status. The findings further suggest that the social environment is more important for women's health, but that individual socio-economic status is more important for men's health.
- Subjects :
- Adult
Male
Gerontology
medicine.medical_specialty
Adolescent
education
Self-concept
Social Environment
Social support
RA0421
Residence Characteristics
Poverty Areas
Surveys and Questionnaires
Health Status Indicators
Humans
Medicine
Social isolation
Neighbourhood (mathematics)
Aged
Self-rated health
Wales
business.industry
lcsh:Public aspects of medicine
Public health
Multilevel model
Public Health, Environmental and Occupational Health
Social Support
Social environment
lcsh:RA1-1270
social sciences
Middle Aged
Self Concept
Cross-Sectional Studies
Social Isolation
Socioeconomic Factors
Quality of Life
Regression Analysis
Women's Health
population characteristics
Female
medicine.symptom
Men's Health
business
Attitude to Health
human activities
Needs Assessment
geographic locations
Research Article
Subjects
Details
- ISSN :
- 14712458
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- BMC Public Health
- Accession number :
- edsair.doi.dedup.....a7400770e2a18b1a60d68b8b2aca56cd