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Type: Journal article
Title: Association of perceived neighborhood problems and census tract income with poor self-rated health in adults: a multilevel approach
Author: Höfelmann, D.
Roux, A.
Antunes, J.
Peres, M.
Citation: Cadernos de Saúde Pública, 2015; 31(Suppl. 1):S79-S91
Publisher: Cadernos de Saúde Pública
Issue Date: 2015
ISSN: 0102-311X
Statement of
Doroteia Aparecida Höfelmann, Ana V. Diez Roux, José Leopoldo Ferreira Antunes, Marco Aurélio Peres
Abstract: Neighborhood problems constitute sources of chronic stress that may increase the risk of poor self-rated health. The associations of census tract level income and perceived neighborhood problems with self-rated health were examined in Florianópolis, Santa Catarina State, Brazil (1,720 adults). Odds ratios (OR) and their 95% confidence intervals (95%CI) of poor self-rated health were estimated through multilevel models. Residents in census tracts in the lower and intermediate tertiles of income reported poorer health than those in the highest tertile. OR of reporting poorer health was 2.44 (95%CI: 2.35- 2.54) in the higher tertile of social disorder (adjusting for mental health). The chances of reporting the poorer health with neighborhood problems ranged from 1.07 (95%CI: 1.03-1.11) to 2.02 (95%CI: 1.95-2.10) for the higher tertile of social disorder (physical health) and physical problem (health-related variables). Perceived neighborhood problems were independently associated with poor health. The perception of a neighborhood among its residents should be considered by health policymakers.
Keywords: Housing; residence characteristics; socioeconomic factors; urban health
Rights: This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
DOI: 10.1590/0102-311X00210913
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