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Health Place. 2017 Mar;44:70-76. doi: 10.1016/j.healthplace.2017.01.003. Epub 2017 Feb 6.

A prospective investigation of neighborhood socioeconomic deprivation and self-rated health in a large US cohort.

Author information

1
Department of Health and Human Physiology, University of Iowa, Iowa City, IA, USA. Electronic address: qian-xiao@uiowa.edu.
2
Division of Cancer Control and Population Sciences, National Cancer Institute, USA.
3
Division of Cancer Epidemiology and Genetics, National Cancer Institute, USA.

Abstract

BACKGROUND:

Neighborhood characteristics play a critical role in health. Self-rated health (SRH) is an important indicator of quality of life and a strong predictor of premature death. Prospective study on neighborhood deprivation and SRH is limited.

METHODS:

We examined neighborhood socioeconomic deprivation with reporting fair/poor SRH at follow-up (2004-2006) in 249,265 men and women (age 50-71) who reported SRH as good or better at baseline (1995-1996) in the NIH-AARP Health and Diet Study. Baseline addresses were geocoded and linked to 2000 Census. Census tract level variables were used to generate a socioeconomic deprivation index by principle component analysis.

RESULTS:

Residents of more deprived neighborhoods had a higher risk of developing poor/fair SRH at follow-up, even after adjusting for individual-level factors (Odds ratio (95% confidence interval) Q5 vs Q1: 1.26 (1.20, 1.32), p-trend: <0.0001). The results were largely consistent across subgroups with different demographics, health behaviors, and disease conditions and after excluding participants who moved away from their baseline address.

CONCLUSION:

Neighborhood disadvantage predicts SRH over 10 years.

KEYWORDS:

Neighborhood; Self-rated health; Socioeconomic deprivation

PMID:
28183012
PMCID:
PMC5425289
DOI:
10.1016/j.healthplace.2017.01.003
[Indexed for MEDLINE]
Free PMC Article

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