Measuring contextual characteristics for community health. Export

@article{hillemeier_et_al_2003, abstract = {OBJECTIVE: To conceptualize and measure community contextual influences on population health and health disparities. DATA SOURCES: We use traditional and nontraditional secondary sources of data comprising a comprehensive array of community characteristics. STUDY DESIGN: Using a consultative process, we identify 12 overarching dimensions of contextual characteristics that may affect community health, as well as specific subcomponents relating to each dimension. DATA COLLECTION: An extensive geocoded library of data indicators relating to each dimension and subcomponent for metropolitan areas in the United States is assembled. PRINCIPAL FINDINGS: We describe the development of community contextual health profiles, present the rationale supporting each of the profile dimensions, and provide examples of relevant data sources. CONCLUSIONS: Our conceptual framework for community contextual characteristics, including a specified set of dimensions and components, can provide practical ways to monitor health-related aspects of the economic, social, and physical environments in which people live. We suggest several guiding principles useful for understanding how aspects of contextual characteristics can affect health and health disparities.}, author = {Hillemeier, M. M. and Lynch, J. and Harper, S. and Casper, M.}, citeulike-article-id = {3398868}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/14727793}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=14727793}, comment = {Presents a conceptual framework for describing the mechanisms by which contextual effects influence the health of communities. Identifies 12 principal dimensions of this framework. Suggests ways that this can be used to guide how interventions on contextual level characteristics can affect health. ``Furthermore, this approach [namely, interventions aimed at improving socio-environmental factors] provides critical data to ensure that decisions regarding the provision of health care services do not occur in a vacuum, but instead are integrated into the larger picture of health-promoting and health-endangering characteristics of communities.'' (p.1646) The twelve dimensions identified are categorised as: economic, employment, education, political, environment, housing, medical, governmental, public health, behavioural, psychosocial, transport. }, issn = {0017-9124}, journal = {Health services research}, keywords = {community, conceptual-framework, context, health-inequalities, morbidity, mortality, theory}, month = {December}, number = {6 Pt 2}, pages = {1645--1717}, posted-at = {2008-10-13 02:13:46}, priority = {0}, title = {Measuring contextual characteristics for community health.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/14727793}, volume = {38}, year = {2003} }

TY - JOUR ID - hillemeier_et_al_2003 L3 - citeulike-article-id:3398868 N2 - OBJECTIVE: To conceptualize and measure community contextual influences on population health and health disparities. DATA SOURCES: We use traditional and nontraditional secondary sources of data comprising a comprehensive array of community characteristics. STUDY DESIGN: Using a consultative process, we identify 12 overarching dimensions of contextual characteristics that may affect community health, as well as specific subcomponents relating to each dimension. DATA COLLECTION: An extensive geocoded library of data indicators relating to each dimension and subcomponent for metropolitan areas in the United States is assembled. PRINCIPAL FINDINGS: We describe the development of community contextual health profiles, present the rationale supporting each of the profile dimensions, and provide examples of relevant data sources. CONCLUSIONS: Our conceptual framework for community contextual characteristics, including a specified set of dimensions and components, can provide practical ways to monitor health-related aspects of the economic, social, and physical environments in which people live. We suggest several guiding principles useful for understanding how aspects of contextual characteristics can affect health and health disparities. IS - 6 Pt 2 JF - Health services research SN - 0017-9124 EP - 1717 TI - Measuring contextual characteristics for community health. VL - 38 SP - 1645 KW - community KW - conceptual-framework KW - context KW - health-inequalities KW - morbidity KW - mortality KW - theory N1 - Presents a conceptual framework for describing the mechanisms by which contextual effects influence the health of communities. Identifies 12 principal dimensions of this framework. Suggests ways that this can be used to guide how interventions on contextual level characteristics can affect health. ``Furthermore, this approach [namely, interventions aimed at improving socio-environmental factors] provides critical data to ensure that decisions regarding the provision of health care services do not occur in a vacuum, but instead are integrated into the larger picture of health-promoting and health-endangering characteristics of communities.'' (p.1646) The twelve dimensions identified are categorised as: economic, employment, education, political, environment, housing, medical, governmental, public health, behavioural, psychosocial, transport. AU - Hillemeier, MM AU - Lynch, J AU - Harper, S AU - Casper, M PY - 2003/12// UR - http://view.ncbi.nlm.nih.gov/pubmed/14727793 ER -