Socioeconomic determinants of mortality in two Canadian provinces: Multilevel modelling and neighborhood context Export

@article{roos_et_al_2004, abstract = {The influence of individual and contextual socioeconomic variables on mortality is compared in two Canadian provinces, Manitoba and Nova Scotia. Although differing substantially in size, ethnic mix, and history, both provinces provide greater access to health and social services as well as fewer income inequalities than the United States. A total of 8032 Manitoba respondents (followed from 1996\&\#x2013;97 to 2002) and 2116 Nova Scotia respondents (followed from 1990 to 1999) were linked to the appropriate Canadian census as a source of neighborhood characteristics. Data were analyzed using individual- and multi-level logistic regression. Well-educated and higher income individuals were less likely to die during follow-up. No significant direct effect was found between neighborhood socioeconomic characteristics and mortality. However, both provinces showed an increased importance of individual income vis-\&\#xe0;-vis mortality in advantaged neighborhoods relative to disadvantaged neighborhoods. Additional Manitoba analyses showed a \&\#x201c;healthy mover\&\#x201d; effect among respondents changing place of residence, regardless of whether they moved to more advantaged or more disadvantaged neighborhoods. The findings are discussed in the context of differences in health and health care among Canada, the United States, and other OECD countries.}, author = {Roos, Leslie L. and Magoon, Jennifer and Gupta, Sumit and Chateau, Dan and Veugelers, Paul J.}, citeulike-article-id = {3463730}, citeulike-linkout-0 = {http://dx.doi.org/10.1016/j.socscimed.2004.01.024}, citeulike-linkout-1 = {http://linkinghub.elsevier.com/retrieve/pii/S0277-9536(04)00029-2}, doi = {10.1016/j.socscimed.2004.01.024}, issn = {02779536}, journal = {Social Science \& Medicine}, keywords = {canada, context, education, income, manitoba, mortality, multilevel, nova-scotia}, month = {October}, number = {7}, pages = {1435--1447}, posted-at = {2008-10-29 22:06:18}, priority = {2}, title = {Socioeconomic determinants of mortality in two Canadian provinces: Multilevel modelling and neighborhood context}, url = {http://dx.doi.org/10.1016/j.socscimed.2004.01.024}, volume = {59}, year = {2004} }

TY - JOUR ID - roos_et_al_2004 L3 - citeulike-article-id:3463730 N2 - The influence of individual and contextual socioeconomic variables on mortality is compared in two Canadian provinces, Manitoba and Nova Scotia. Although differing substantially in size, ethnic mix, and history, both provinces provide greater access to health and social services as well as fewer income inequalities than the United States. A total of 8032 Manitoba respondents (followed from 1996–97 to 2002) and 2116 Nova Scotia respondents (followed from 1990 to 1999) were linked to the appropriate Canadian census as a source of neighborhood characteristics. Data were analyzed using individual- and multi-level logistic regression. Well-educated and higher income individuals were less likely to die during follow-up. No significant direct effect was found between neighborhood socioeconomic characteristics and mortality. However, both provinces showed an increased importance of individual income vis-à-vis mortality in advantaged neighborhoods relative to disadvantaged neighborhoods. Additional Manitoba analyses showed a “healthy mover” effect among respondents changing place of residence, regardless of whether they moved to more advantaged or more disadvantaged neighborhoods. The findings are discussed in the context of differences in health and health care among Canada, the United States, and other OECD countries. IS - 7 JF - Social Science & Medicine SN - 02779536 EP - 1447 TI - Socioeconomic determinants of mortality in two Canadian provinces: Multilevel modelling and neighborhood context VL - 59 SP - 1435 KW - canada KW - context KW - education KW - income KW - manitoba KW - mortality KW - multilevel KW - nova-scotia AU - Roos, Leslie AU - Magoon, Jennifer AU - Gupta, Sumit AU - Chateau, Dan AU - Veugelers, Paul PY - 2004/10// UR - http://dx.doi.org/10.1016/j.socscimed.2004.01.024 ER -