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Neighbourhood deprivation and self-rated health: The role of perceptions of the neighbourhood and of housing problems

Poortinga, Wouter, Dunstan, Frank David John and Fone, David Lawrence 2008. Neighbourhood deprivation and self-rated health: The role of perceptions of the neighbourhood and of housing problems. Health & Place 14 (3) , pp. 562-575. 10.1016/j.healthplace.2007.10.003

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Abstract

It has been known for a long time that people living in socially and economically deprived neighbourhoods generally experience poorer health. However, it is often not clear what processes underlie the relationship between neighbourhood deprivation and individual health. In this study we explore the association between neighbourhood socio-economic status and self-rated health using the Caerphilly Health and Social Needs Survey (n=10,892). We found that the association between neighbourhood deprivation and self-rated health was substantially reduced after adjusting for individual socio-economic status, but remained statistically significant. This suggests that the health effects of neighbourhood deprivation are partly contextual. We also found that the association between neighbourhood deprivation and self-rated health was further attenuated when controlling for perceptions of the neighbourhood and of housing problems, suggesting that these variables may play a role in mediating the health effects of neighbourhood deprivation. The implications of the results are that health policy should target 'places' as well as 'people'; and that policies aimed at improving the quality of housing, access to amenities, neighbourhood safety, and social cohesion may help to reduce health inequalities.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Architecture
Medicine
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HA Statistics
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Uncontrolled Keywords: Neighbourhoods; Deprivation; Self-rated health; Housing problems; Social cohesion
Publisher: Elsevier
ISSN: 1353-8292
Last Modified: 15 Nov 2013 09:31
URI: http://orca-mwe.cf.ac.uk/id/eprint/9515

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