Effect of a transient, geographically localised economic recovery on community health and income studied with longitudinal household cohort interview method.
Study objective-The main purpose of the study was to determine whether the health or economic status of a cohort of residents in an economically troubled geographical area changed between 1990 and 1993.
Design-Longitudinal, single cohort, interview survey method with the key variables of health status and economic status.
Quasi-experimental pre-post design with economic rebound as the intervention.
Setting-A relatively low income geographical area in a rural, mountainous region before and after an economic rebound.
In 1990, the local economy and health care system collapsed because of the closure of a series of manufacturing plants ; outward migration from the area peaked.
Between 1990 and 1993, new industries opened, and state and private community assistance programmes intervened, resulting in an economic rebound, migration into the area, and marked growth of the health service sector.
Participants-A 2% sample of residents of households, using a combination of random, stratified, and clustered sampling.
Residents included in the study had lived within the area throughout the 1990-1993 period of the study.
Main results-Stable, non-migrating residents had a statistically significant 7% reduction in health status between 1990 and 1993, as measured by a composite of subjective and objective measures. (...)
Mots-clés Pascal : Santé communautaire, Santé, Statut socioéconomique, Revenu, Répartition géographique, Epidémiologie, Facteur risque, Homme, Etude cohorte, Entretien, Etats Unis, Amérique du Nord, Amérique, Economie, Santé physique
Mots-clés Pascal anglais : Community health, Health, Socioeconomic status, Tempering, Geographic distribution, Epidemiology, Risk factor, Human, Cohort study, Interview, United States, North America, America, Economy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0512609
Code Inist : 002B30A01A2. Création : 23/03/1999.