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Health Place. 2013 Jul;22:82-9. doi: 10.1016/j.healthplace.2013.03.006. Epub 2013 Apr 6.

Who does well where? Exploring how self-rated health differs across diverse people and neighborhoods.

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1
McCaughey VicHealth Centre for Community Wellbeing, University of Melbourne, Melbourne, Level 5, 207 Bouverie Street, Carlton, VIC 3010, Australia. hannah.badland@unimelb.edu.au

Abstract

This work establishes whether neighborhood disadvantage amplifies the impact of socioeconomic position (SEP) on a graded measure of self-rated health (SRH). SRH data were taken from 10,932 adults recruited across 200 Brisbane neighborhoods. After adjusting for demographics, those who lived in the most disadvantaged neighborhoods were more likely to report poor SRH than those living in the least disadvantaged neighborhoods (OR=2.67). Those with the lowest SEP and lived in the most advantaged neighborhoods had a similar probability of reporting excellent SRH as those with the highest SEP living in the most disadvantaged neighborhoods. This work highlights the importance of examining SEP and neighborhood-level disadvantage simultaneously when planning communities.

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