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J Aging Health. 2010 Mar;22(2):197-218. doi: 10.1177/0898264309355980. Epub 2010 Jan 7.

Urban neighborhood context and mortality in late life.

Author information

  • 1University of California, Los Angeles, CA 90095, USA. rwight@ucla.edu

Abstract

OBJECTIVE:

To examine the contextual effects of urban neighborhood characteristics on mortality among older adults.

METHOD:

Data are from the Study of Assets and Health Dynamics Among the Oldest Old (AHEAD). Death is assessed between the baseline assessment (1993) and the first follow-up interview (1995). Neighborhood data are from the 1990 Census.

RESULTS:

The log odds of dying between the two time points are higher in high proportion Hispanic neighborhoods, net of individual-level sociodemographic variables, but this effect is partly mediated by individual-level health. The log odds of dying are significantly (p < .05) lower in affluent neighborhoods, controlling for all individual-level variables and neighborhood proportion Hispanic.

DISCUSSION:

There are survival-related benefits of living in an affluent urban neighborhood, which we posit may be manifested through the diffusion of innovations in health care and health-promotion activities.

PMID:
20056813
[PubMed - indexed for MEDLINE]
PMCID:
PMC3155256
Free PMC Article
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