This study examined whether neighborhood socioeconomic environment helps to explain the proportion of community members with self-reported poor health status.
A random sample of 9240 persons ages 25 to 74 years wer interviewed during 1988 and 1989.
The socioeconomic environment of each respondent's neighborhood was measured with the Care Need Index (CNI) and the Townsend score.
The data were analyzed with a multilevel model adjusted for the independent variables.
The second-level varialbes were the 2 neighborhood scores.
There was a clear gradient for poor health and education within every CNI interval so thath with an increasing CNI (indicating more deprivation), the prevalence of poor health increased in all 3 education groups (P=001).
In the full model, decreasing educational level, obesity, length and frequency of smoking, physical inactivity, and increasing CNI were associated with poor health.
Persons living in the most deprived neighborhoods had a prevalence ratio of 1.639 (95% confidence interval=1.44,1.98) for poor health compared with those living in the most affluent areas.
Both neighborhood socioeconomic environment and individual educational status are associated with self-reported poor health.
Mots-clés Pascal : Epidémiologie, Effet groupe voisin, Environnement, Suède, Europe, Homme, Statut socioéconomique, Classe sociale, Facteur sociodémographique, Niveau étude, Autoévaluation, Santé, Mode de vie, Pauvreté, Indice masse corporelle, Tabagisme, Exercice physique, Collectivité, Individu
Mots-clés Pascal anglais : Epidemiology, Neighbouring group effect, Environment, Sweden, Europe, Human, Socioeconomic status, Social class, Sociodemographic factor, Education level, Self evaluation, Health, Life style, Poverty, Body mass index, Tobacco smoking, Physical exercise, Collectivity, Individual
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0435217
Code Inist : 002B30A01A2. Création : 22/03/2000.