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Soc Psychiatry Psychiatr Epidemiol. 2003 Dec;38(12):698-706.

Mediators of neighbourhood socioeconomic deprivation and quality of life.

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1
Dept. of Psychiatry & Neuropsychology, South Limburg Mental Health Research Network, EURON, Maastricht University, Maastricht, The Netherlands.

Abstract

OBJECTIVE:

We examined associations between neighbourhood socioeconomic deprivation and health-related quality of life, and estimated the mediating effects of individual-level lifestyle, housing, and perception of the neighbourhood environment.

METHODS:

Two different data sources were used: 1) neighbourhood- level objective socioeconomic indicators, and 2) individual-level questionnaires from a community survey (response rate: 48%) to assess quality of life, neighbourhood perceptions, housing variables, and lifestyle. Multilevel analyses were conducted using both neighbourhood-level and individual-level data.

RESULTS:

Neighbourhood-level socioeconomic deprivation was associated with two aspects of individual-level quality of life: mental health and perceived health. Individual-level neighbourhood perceptions regarding social cohesion mediated these associations. Lifestyle also had mediating effects.

CONCLUSION:

Neighbourhood socioeconomic deprivation variables may impact on the individual through cognitive mechanisms that are associated with appraisal of the wider social environment.

PMID:
14689174
DOI:
10.1007/s00127-003-0690-8
[Indexed for MEDLINE]
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