IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i20p3798-d274591.html
   My bibliography  Save this article

Neighborhood Deprivation and Risks of Autoimmune Disorders: A National Cohort Study in Sweden

Author

Listed:
  • Xinjun Li

    (Center for Primary Health Care Research, Lund University, 205 02 Malmö, Sweden)

  • Jan Sundquist

    (Center for Primary Health Care Research, Lund University, 205 02 Malmö, Sweden
    Department of Family Medicine and Community Health, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10001, USA
    Center for Community-based Healthcare Research and Education (CoHRE), Department of Functional Pathology, School of Medicine, Shimane University, Izumo 690-2406, Japan)

  • Tsuyoshi Hamano

    (Department of Sports Sociology and Health Sciences, Kyoto Sangyo University, Kyoto 520-0461, Japan
    Department of Functional Pathology, Shimane University School of Medicine, Izumo 690-2406, Japan)

  • Kristina Sundquist

    (Center for Primary Health Care Research, Lund University, 205 02 Malmö, Sweden
    Department of Family Medicine and Community Health, Department of Population Health Science and Policy, Icahn School of Medicine at Mount Sinai, New York, NY 10001, USA
    Center for Community-based Healthcare Research and Education (CoHRE), Department of Functional Pathology, School of Medicine, Shimane University, Izumo 690-2406, Japan)

Abstract

Background: No study to date, as far as we know, has analyzed the potential effect of neighborhood-level deprivation on autoimmune disorders (ADs), when adjusted for individual-level characteristics. Methods: A total of 5.4 million individuals from 8363 neighborhoods, comprising the whole Swedish population (ages 25–74 years), were followed for the period 1 January 2000, until admission due to diagnosis of ADs during the period of the study, or the conclusion of the study (31 December 2010). We used a neighborhood deprivation index, constructed from variables such as low education, low income, unemployment, and social welfare assistance, to assess the level of neighborhood deprivation. Multilevel logistic regression was used in the analysis with individual level characteristics at the first level and level of neighborhood deprivation at the second level. Results: A significant association between level of neighborhood deprivation and ADs was found. The crude odds were 1.32 (95% confidence interval 1.27–1.36) for those residing in the high-deprived neighborhoods compared to those living in low-deprivation neighborhoods. In the full model, where individual level characteristics were taken into account, the odds of ADs were 1.18 (1.14–1.22) in the most deprived neighborhoods. Certain Ads—angiitis hypersensitive (5.14), ankylosing spondylitis (1.66), celiac disease (1.65), Crohn’s disease (1.21), diabetes mellitus type 1 (1.45), Graves’s disease (1.13), Hashimoto thyroiditis (1.51), psoriasis (1.15), rheumatoid arthritis (1.15), sarcoidosis (1.20), and systemic sclerosis (1.27)—remained significantly associated with high level of neighborhood deprivation after adjustment for the individual-level variables. Conclusion: This study is the largest to date analyzing the potential influence of neighborhood deprivation on ADs. Our results indicate that neighborhood deprivation may affect risk of ADs, independent of individual level sociodemographic characteristics. For health care policies, both individual and neighborhood level approaches seem to be of importance.

Suggested Citation

  • Xinjun Li & Jan Sundquist & Tsuyoshi Hamano & Kristina Sundquist, 2019. "Neighborhood Deprivation and Risks of Autoimmune Disorders: A National Cohort Study in Sweden," IJERPH, MDPI, vol. 16(20), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3798-:d:274591
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/20/3798/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/20/3798/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. John Lynch & George Smith & Marianne Hillemeier & Trivellore Raghunathan & George Kaplan & Mary Shaw, 2001. "Income Inequality, the Psycho-social Environment and Health Comparisons of Wealthy Nations," LIS Working papers 269, LIS Cross-National Data Center in Luxembourg.
    2. Sundquist, Jan & Johansson, Sven-Erik & Yang, Min & Sundquist, Kristina, 2006. "Low linking social capital as a predictor of coronary heart disease in Sweden: A cohort study of 2.8 million people," Social Science & Medicine, Elsevier, vol. 62(4), pages 954-963, February.
    3. Anne Mette Bender & Ichiro Kawachi & Torben Jørgensen & Charlotta Pisinger, 2015. "Neighborhood Deprivation Is Strongly Associated with Participation in a Population-Based Health Check," PLOS ONE, Public Library of Science, vol. 10(6), pages 1-10, June.
    4. Lochner, K. & Pamuk, E. & Makuc, D. & Kennedy, B.P. & Kawachi, I., 2001. "State-level income inequality and individual mortality risk: A prospective, multilevel study," American Journal of Public Health, American Public Health Association, vol. 91(3), pages 385-391.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yiwen Zhang & Junfeng Jiang, 2019. "Social Capital and Health in China: Evidence from the Chinese General Social Survey 2010," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 142(1), pages 411-430, February.
    2. Paul D. Juarez & Mohammad Tabatabai & Robert Burciaga Valdez & Darryl B. Hood & Wansoo Im & Charles Mouton & Cynthia Colen & Mohammad Z. Al-Hamdan & Patricia Matthews-Juarez & Maureen Y. Lichtveld & D, 2020. "The Effects of Social, Personal, and Behavioral Risk Factors and PM 2.5 on Cardio-Metabolic Disparities in a Cohort of Community Health Center Patients," IJERPH, MDPI, vol. 17(10), pages 1-19, May.
    3. Hanibuchi, Tomoya & Murata, Yohei & Ichida, Yukinobu & Hirai, Hiroshi & Kawachi, Ichiro & Kondo, Katsunori, 2012. "Place-specific constructs of social capital and their possible associations to health: A Japanese case study," Social Science & Medicine, Elsevier, vol. 75(1), pages 225-232.
    4. Wong, Irene O.L. & Cowling, Benjamin J. & Lo, Su-Vui & Leung, Gabriel M., 2009. "A multilevel analysis of the effects of neighbourhood income inequality on individual self-rated health in Hong Kong," Social Science & Medicine, Elsevier, vol. 68(1), pages 124-132, January.
    5. Melissa P L Chan & Robert S Weinhold & Reuben Thomas & Julia M Gohlke & Christopher J Portier, 2015. "Environmental Predictors of US County Mortality Patterns on a National Basis," PLOS ONE, Public Library of Science, vol. 10(12), pages 1-25, December.
    6. Islam, M. Kamrul & Gerdtham, Ulf-G. & Gullberg, Bo & Lindström, Martin & Merlo, Juan, 2008. "Social capital externalities and mortality in Sweden," Economics & Human Biology, Elsevier, vol. 6(1), pages 19-42, March.
    7. Livio Di Matteo & Thomas Barbiero, 2020. "Spend Less, Get More? Explaining Health Spending and Outcome Differences Between Canada and Italy," Review of Economic Analysis, Digital Initiatives at the University of Waterloo Library, vol. 12(4), pages 403-438, December.
    8. Irakli Japaridze & Nagham Sayour, 2021. "Dying from envy: The role of inequality," Health Economics, John Wiley & Sons, Ltd., vol. 30(6), pages 1374-1392, June.
    9. Tamilina, Larysa & Tamilina, Natalya, 2019. "Social Trust Formation in the Workplace: Applying the Job Strain Model to Explain Variations in Social Trust Levels among Employed Individuals," MPRA Paper 93559, University Library of Munich, Germany.
    10. Grönqvist, Hans & Johansson, Per & Niknami, Susan, 2012. "Income inequality and health: Lessons from a refugee residential assignment program," Journal of Health Economics, Elsevier, vol. 31(4), pages 617-629.
    11. Alassane Drabo, 2011. "Impact of Income Inequality on Health: Does Environment Quality Matter?," Environment and Planning A, , vol. 43(1), pages 146-165, January.
    12. Georgios Nikolopoulos & Pantelis Bagos & Theodoros Lytras & Stefanos Bonovas, 2011. "An Ecological Study of the Determinants of Differences in 2009 Pandemic Influenza Mortality Rates between Countries in Europe," PLOS ONE, Public Library of Science, vol. 6(5), pages 1-8, May.
    13. Deaton, Angus & Lubotsky, Darren, 2003. "Mortality, inequality and race in American cities and states," Social Science & Medicine, Elsevier, vol. 56(6), pages 1139-1153, March.
    14. Sugeng Setyadi & Saharuddin Didu & Lili Indriyani & Ananda Kurnia Fitri & Anita Wiidiastuti, 2023. "Modeling Life Expectancy in Indonesia Using System GMM Model," Review of Applied Socio-Economic Research, Pro Global Science Association, vol. 25(1), pages 83-98, June.
    15. Angus Deaton, 2003. "Health, Inequality, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 113-158, March.
    16. Alice Blukacz & Báltica Cabieses & Alexandra Obach & Alejandra Carreño Calderón & María Inés Álvarez & Paula Madrid & Isabel Rada, 2023. "Promoting the Participation of “Hard-to-Reach” Migrant Populations in Qualitative Public Health Research during the COVID-19 Pandemic in Chile," IJERPH, MDPI, vol. 20(3), pages 1-17, January.
    17. Petri Böckerman, 2013. "Top Income Shares and Mortality: Evidence from Advanced Countries," Journal of Income Distribution, Ad libros publications inc., vol. 22(1), pages 57-69, March.
    18. Yasuharu Tokuda & Masamine Jimba & Haruo Yanai & Seiji Fujii & Takashi Inoguchi, 2008. "Interpersonal Trust and Quality-of-Life: A Cross-Sectional Study in Japan," PLOS ONE, Public Library of Science, vol. 3(12), pages 1-10, December.
    19. Daiane Borges Machado & Davide Rasella & Darci Neves dos Santos, 2015. "Impact of Income Inequality and Other Social Determinants on Suicide Rate in Brazil," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-12, April.
    20. Ionut Jianu, 2020. "The impact of government health and education expenditure on income inequality in European Union," Papers 2007.11409, arXiv.org.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3798-:d:274591. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.