Neighbourhood deprivation and health: does it affect us all equally? Export

@article{stafford_and_marmot_2002, abstract = {Background Neighbourhood socioeconomic status (SES) may affect rich and poor residents differentially. Two models are proposed. Model 1: living in a non-deprived neighbourhood is better for health because better collective material and social resources are available. Model 2: being poor (rich) relative to the neighbourhood average is associated with worse (better) health because of the discrepancy between an individual's situation and those around them. Methods Individual data from the Whitehall II study covering health, SES, and perceived status were linked to census data on neighbourhood deprivation. Results Both individual and neighbourhood deprivation increased the risk of poor general and mental health. There was a suggestion that the effect of living in a deprived area was more marked for poorer individuals, although interactions were not statistically significant. Poor people in poor neighbourhoods reported more financial and neighbourhood problems and rated themselves lowest on the ladder of society. Conclusions We found no evidence that personal poverty combined with affluent neighbourhood had negative health consequences. Rather, living in a deprived neighbourhood may have the most negative health effects on poorer individuals, possibly because they are more dependent on collective resources in the neighbourhood. 10.1093/ije/dyg084}, author = {Stafford, Mai and Marmot, Michael}, citeulike-article-id = {3396462}, citeulike-linkout-0 = {http://dx.doi.org/10.1093/ije/dyg084}, citeulike-linkout-1 = {http://ije.oxfordjournals.org/cgi/content/abstract/32/3/357}, citeulike-linkout-2 = {http://view.ncbi.nlm.nih.gov/pubmed/12777420}, citeulike-linkout-3 = {http://www.hubmed.org/display.cgi?uids=12777420}, comment = {Study testing the mechanisms of the social gradient in health comparing the suitability of two different theoretical models: 1) the deprivation of an area affects health over and above individual socio-economic characteristics; 2) the health effects of living in a deprived area are felt differently by poor and rich people. These models are characterised as the ``collective resources model'' and ``local social inequality model'' respectively. Findings tend to support the first model; poor people living in wealthy areas were not found to be under more stress, in poor health, or have a low view of themselves on the social ladder. However a larger study size may yield more conclusive results.}, day = {1}, doi = {10.1093/ije/dyg084}, journal = {Int. J. Epidemiol.}, keywords = {composition-vs-context, deprivation, interaction, multilevel, relative-vs-absolute, whitehall-ii}, month = {June}, number = {3}, pages = {357--366}, posted-at = {2008-10-11 15:42:47}, priority = {0}, title = {Neighbourhood deprivation and health: does it affect us all equally?}, url = {http://dx.doi.org/10.1093/ije/dyg084}, volume = {32}, year = {2003} }

TY - JOUR ID - stafford_and_marmot_2002 L3 - citeulike-article-id:3396462 N2 - Background Neighbourhood socioeconomic status (SES) may affect rich and poor residents differentially. Two models are proposed. Model 1: living in a non-deprived neighbourhood is better for health because better collective material and social resources are available. Model 2: being poor (rich) relative to the neighbourhood average is associated with worse (better) health because of the discrepancy between an individual's situation and those around them. Methods Individual data from the Whitehall II study covering health, SES, and perceived status were linked to census data on neighbourhood deprivation. Results Both individual and neighbourhood deprivation increased the risk of poor general and mental health. There was a suggestion that the effect of living in a deprived area was more marked for poorer individuals, although interactions were not statistically significant. Poor people in poor neighbourhoods reported more financial and neighbourhood problems and rated themselves lowest on the ladder of society. Conclusions We found no evidence that personal poverty combined with affluent neighbourhood had negative health consequences. Rather, living in a deprived neighbourhood may have the most negative health effects on poorer individuals, possibly because they are more dependent on collective resources in the neighbourhood. 10.1093/ije/dyg084 IS - 3 JF - Int. J. Epidemiol. EP - 366 TI - Neighbourhood deprivation and health: does it affect us all equally? VL - 32 SP - 357 KW - composition-vs-context KW - deprivation KW - interaction KW - multilevel KW - relative-vs-absolute KW - whitehall-ii N1 - Study testing the mechanisms of the social gradient in health comparing the suitability of two different theoretical models: 1) the deprivation of an area affects health over and above individual socio-economic characteristics; 2) the health effects of living in a deprived area are felt differently by poor and rich people. These models are characterised as the ``collective resources model'' and ``local social inequality model'' respectively. Findings tend to support the first model; poor people living in wealthy areas were not found to be under more stress, in poor health, or have a low view of themselves on the social ladder. However a larger study size may yield more conclusive results. AU - Stafford, Mai AU - Marmot, Michael PY - 2003/06/01/ UR - http://dx.doi.org/10.1093/ije/dyg084 ER -