TY - JOUR
T1 - Effects of area deprivation on health risks and outcomes
T2 - A multilevel, cross-sectional, Australian population study
AU - Adams, Robert J.
AU - Howard, Natasha
AU - Tucker, Graeme
AU - Appleton, Sarah
AU - Taylor, Anne W.
AU - Chittleborough, Catherine
AU - Gill, Tiffany
AU - Ruffin, Richard E.
AU - Wilson, David H.
N1 - Funding Information:
Study funding was provided by the University of Adelaide and the South Australian Department of Health.
PY - 2009
Y1 - 2009
N2 - Objectives: Our aim was to examine the effect of local area socio-economic disadvantage after accounting for individual socio-economic status (SES), and to determine if these differ between various health and risk factor variables. Methods: The North West Adelaide Health Study (NWAHS) is a biomedical representative population study of adults. The Index of Relative Socio-Economic Disadvantage (IRSD), produced from the Australian Bureau of Statistics (ABS) Census data at the level of Collector Districts (200 dwellings) was used as an indicator of local area disadvantage. Multi-level modeling techniques examined the effects of IRSD level on a variety of health outcomes and risk factors, after accounting for individual socio-economic factors. Results: Significant, independent associations were seen between IRSD and obesity, smoking, and health-related quality of life, with 5 % to 7.2 % of the variance located at the neighborhood level. No independent associations were seen between IRSD and estimated cardiovascular disease risk, diabetes, physical activity, or at-risk alcohol use. Conclusions: Aggregated area-level characteristics make modest, but significant independent contributions to smoking, obesity and quality of life, but not for other health outcomes.
AB - Objectives: Our aim was to examine the effect of local area socio-economic disadvantage after accounting for individual socio-economic status (SES), and to determine if these differ between various health and risk factor variables. Methods: The North West Adelaide Health Study (NWAHS) is a biomedical representative population study of adults. The Index of Relative Socio-Economic Disadvantage (IRSD), produced from the Australian Bureau of Statistics (ABS) Census data at the level of Collector Districts (200 dwellings) was used as an indicator of local area disadvantage. Multi-level modeling techniques examined the effects of IRSD level on a variety of health outcomes and risk factors, after accounting for individual socio-economic factors. Results: Significant, independent associations were seen between IRSD and obesity, smoking, and health-related quality of life, with 5 % to 7.2 % of the variance located at the neighborhood level. No independent associations were seen between IRSD and estimated cardiovascular disease risk, diabetes, physical activity, or at-risk alcohol use. Conclusions: Aggregated area-level characteristics make modest, but significant independent contributions to smoking, obesity and quality of life, but not for other health outcomes.
KW - Health-related quality of life
KW - Multilevel modeling
KW - Obesity
KW - Social determinants of health
KW - Socio-economic disadvantage
UR - http://www.scopus.com/inward/record.url?scp=67649687398&partnerID=8YFLogxK
U2 - 10.1007/s00038-009-7113-x
DO - 10.1007/s00038-009-7113-x
M3 - Article
C2 - 19214382
AN - SCOPUS:67649687398
SN - 1661-8556
VL - 54
SP - 183
EP - 192
JO - International Journal of Public Health
JF - International Journal of Public Health
IS - 3
ER -