A Multilevel Analysis of Urban Neighborhood Socioeconomic Disadvantage and Health in Late Life  

Oleh:

Wight, Richard G. ; Cummings, Janet R. ; Miller-Martinez, Dana ; Karlamangla, Arun S. ; Seeman, Teresa E. ; Aneshensel, Carol S.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 66 no. 4 (Feb. 2008), page 862-872.
Topik: USA; Health Status; Residence Characteristics; Socioeconomic Factors; Multilevel Modelling; Elderly

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.18 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

The association between neighborhood context and various indications of health are receiving growing empirical attention, but much of this research is regionally circumscribed or assumes similar effects across the life course. This study utilizes a U.S. national sample to investigate the association between urban neighborhood socioeconomic disadvantage and heatlh specifically among older adults. Data are from 3442 participants aged 70 years and older in the 1993 Asset and Health Dynamics Among the Oldest Old (AHEAD) Study, and the 1990 U.S. Cencus. Our approach underscores the importance of multiple dimensions of health (self-reported physician-diganosed cardiovascualr disease [CVD], functional status, and self-rated health) as well as multiple dimensions of neighborhood disadvantage, which are conceptualized as environmental hazards that may lead to a physiologically consequential stress responses. We find that individual-level factors attenuate the association between neighborhood disadvantage and both CVD and functional status, but not self-rated health. Net of covariates, high neighborhood socioeconomic disadvantage is significantly associated with reporting poor health. In late life, neighborhood socioeconomic disadvantage is more consequential to subjective appraisals of health than diagnosed CVD or functional limitations.

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