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Am J Public Health. 2007 May;97(5):926-32. Epub 2007 Mar 29.

The relationship between neighborhood characteristics and self-rated health for adults with chronic conditions.

Author information

  • 1Division of General Internal Medicine and Health Services Research, University of California, Los Angeles 90024, USA. abrown@mednet.ucla.edu

Abstract

OBJECTIVES:

We sought to determine whether the association between neighborhood characteristics and health differs for people with and without a chronic condition.

METHODS:

We analyzed data from 2536 adults from the Los Angeles Family and Neighborhood Survey and evaluated the relationship between the presence of a chronic condition at the individual level, neighborhood socioeconomic status (SES), and self-rated health. We constructed multilevel models to evaluate the relationship between the neighborhood SES index and self-rated health for people with and without chronic conditions, after adjustment for other individual characteristics.

RESULTS:

Having a chronic condition was associated with substantially poorer self-rated health among participants in a deprived area than among those in a more advantaged area.

CONCLUSIONS:

Residence in a disadvantaged neighborhood may be associated with barriers to the management of a chronic condition. Further work is needed to identify the specific characteristics of disadvantaged areas associated with poorer self-rated health for adults with chronic conditions.

PMID:
17395847
[PubMed - indexed for MEDLINE]
PMCID:
PMC1854885
Free PMC Article
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