IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0129819.html
   My bibliography  Save this article

Neighborhood Deprivation Is Strongly Associated with Participation in a Population-Based Health Check

Author

Listed:
  • Anne Mette Bender
  • Ichiro Kawachi
  • Torben Jørgensen
  • Charlotta Pisinger

Abstract

Background: We sought to examine whether neighborhood deprivation is associated with participation in a large population-based health check. Such analyses will help answer the question whether health checks, which are designed to meet the needs of residents in deprived neighborhoods, may increase participation and prove to be more effective in preventing disease. In Europe, no study has previously looked at the association between neighborhood deprivation and participation in a population-based health check. Methods: The study population comprised 12,768 persons invited for a health check including screening for ischemic heart disease and lifestyle counseling. The study population was randomly drawn from a population of 179,097 persons living in 73 neighborhoods in Denmark. Data on neighborhood deprivation (percentage with basic education, with low income and not in work) and individual socioeconomic position were retrieved from national administrative registers. Multilevel regression analyses with log links and binary distributions were conducted to obtain relative risks, intraclass correlation coefficients and proportional change in variance. Results: Large differences between neighborhoods existed in both deprivation levels and neighborhood health check participation rate (mean 53%; range 35-84%). In multilevel analyses adjusted for age and sex, higher levels of all three indicators of neighborhood deprivation and a deprivation score were associated with lower participation in a dose-response fashion. Persons living in the most deprived neighborhoods had up to 37% decreased probability of participating compared to those living in the least deprived neighborhoods. Inclusion of individual socioeconomic position in the model attenuated the neighborhood deprivation coefficients, but all except for income deprivation remained statistically significant. Conclusion: Neighborhood deprivation was associated with participation in a population-based health check in a dose-response manner, in which increasing neighborhood deprivation was associated with decreasing participation. This suggests the need to develop preventive health checks tailored to deprived neighborhoods.

Suggested Citation

  • 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.
    • Handle: RePEc:plo:pone00:0129819
    DOI: 10.1371/journal.pone.0129819
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0129819
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0129819&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0129819?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Ross, Catherine E., 2000. "Walking, exercising, and smoking: does neighborhood matter?," Social Science & Medicine, Elsevier, vol. 51(2), pages 265-274, July.
    2. Ulf-G. Gerdtham & Magnus Johannesson, 2004. "Absolute Income, Relative Income, Income Inequality, and Mortality," Journal of Human Resources, University of Wisconsin Press, vol. 39(1).
    3. Ohlsson, Henrik & Merlo, Juan, 2011. "Place effects for areas defined by administrative boundaries: A life course analysis of mortality and cause specific morbidity in Scania, Sweden," Social Science & Medicine, Elsevier, vol. 73(8), pages 1145-1151.
    4. Meijer, Mathias & Röhl, Jeannette & Bloomfield, Kim & Grittner, Ulrike, 2012. "Do neighborhoods affect individual mortality? A systematic review and meta-analysis of multilevel studies," Social Science & Medicine, Elsevier, vol. 74(8), pages 1204-1212.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Abirami Srivarathan & Rikke Lund & Ulla Christensen & Maria Kristiansen, 2020. "Social Relations, Community Engagement and Potentials: A Qualitative Study Exploring Resident Engagement in a Community-Based Health Promotion Intervention in a Deprived Social Housing Area," IJERPH, MDPI, vol. 17(7), pages 1-18, March.
    2. Nadja Kabisch & Dagmar Haase & Matilda Annerstedt van den Bosch, 2016. "Adding Natural Areas to Social Indicators of Intra-Urban Health Inequalities among Children: A Case Study from Berlin, Germany," IJERPH, MDPI, vol. 13(8), pages 1-20, August.
    3. 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.
    4. 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.
    5. Tadao Ooka & Yuka Akiyama & Ryoji Shinohara & Hiroshi Yokomichi & Zentaro Yamagata, 2019. "Individual and Regional Characteristics Associated with Maternal Smoking During Pregnancy in Japan: Healthy Parents and Children 21," IJERPH, MDPI, vol. 17(1), pages 1-20, December.
    6. Jakobsen, Andreas Lindegaard & Lund, Rolf Lyneborg, 2022. "Neighborhood social context and suicide mortality: A multilevel register-based 5-year follow-up study of 2.7 million individuals," Social Science & Medicine, Elsevier, vol. 311(C).
    7. Marianne Rasmussen & Eva Kanstrup Poulsen & Anne Stoffersen Rytter & Tine Mechlenborg Kristiansen & Carsten Kronborg Bak, 2016. "Experiences with Recruitment of Marginalized Groups in a Danish Health Promotion Program: A Document Evaluation Study," PLOS ONE, Public Library of Science, vol. 11(6), pages 1-13, June.

    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. Hystad, Perry & Carpiano, Richard M. & Demers, Paul A. & Johnson, Kenneth C. & Brauer, Michael, 2013. "Neighbourhood socioeconomic status and individual lung cancer risk: Evaluating long-term exposure measures and mediating mechanisms," Social Science & Medicine, Elsevier, vol. 97(C), pages 95-103.
    2. Per E Gustafsson & Miguel San Sebastian & Urban Janlert & Töres Theorell & Hugo Westerlund & Anne Hammarström, 2013. "Residential Selection across the Life Course: Adolescent Contextual and Individual Determinants of Neighborhood Disadvantage in Mid-Adulthood," PLOS ONE, Public Library of Science, vol. 8(11), pages 1-11, November.
    3. Mary C. Daly & Daniel J. Wilson & Norman J. Johnson, 2013. "Relative Status and Well-Being: Evidence from U.S. Suicide Deaths," The Review of Economics and Statistics, MIT Press, vol. 95(5), pages 1480-1500, December.
    4. McNeill, Lorna Haughton & Kreuter, Matthew W. & Subramanian, S.V., 2006. "Social Environment and Physical activity: A review of concepts and evidence," Social Science & Medicine, Elsevier, vol. 63(4), pages 1011-1022, August.
    5. Sasaki, Shusaku & Kurokawa, Hirofumi & Ohtake, Fumio, 2019. "Positive and negative effects of social status on longevity: Evidence from two literary prizes in Japan," Journal of the Japanese and International Economies, Elsevier, vol. 53(C), pages 1-1.
    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. Vincent Hildebrand & Philippe Kerm, 2009. "Income inequality and self-rated health status: Evidence from the european community household panel," Demography, Springer;Population Association of America (PAA), vol. 46(4), pages 805-825, November.
    8. Regidor, Enrique & Vallejo, Fernando & Reques, Laura & Cea, Lucía & Miqueleiz, Estrella & Barrio, Gregorio, 2015. "Area-level socioeconomic context, total mortality and cause-specific mortality in Spain: Heterogeneous findings depending on the level of geographic aggregation," Social Science & Medicine, Elsevier, vol. 141(C), pages 142-150.
    9. 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.
    10. Dirk Gansefort & Tilman Brand & Christina Princk & Hajo Zeeb, 2018. "Community Readiness for the Promotion of Physical Activity in Older Adults—A Cross-Sectional Comparison of Rural and Urban Communities," IJERPH, MDPI, vol. 15(3), pages 1-11, March.
    11. Steffen Andreas Schüle & Gabriele Bolte, 2015. "Interactive and Independent Associations between the Socioeconomic and Objective Built Environment on the Neighbourhood Level and Individual Health: A Systematic Review of Multilevel Studies," PLOS ONE, Public Library of Science, vol. 10(4), pages 1-31, April.
    12. Gerdtham, Ulf-G & Lundborg, Petter & Lyttkens, Carl Hampus & Nystedt, Paul, 2012. "Do Socioeconomic Factors Really Explain Income-Related Inequalities in Health? Applying a Twin Design to Standard Decomposition Analysis," Working Papers 2012:21, Lund University, Department of Economics.
    13. Lång, Elisabeth & Nystedt, Paul, 2018. "Blowing up money? The earnings penalty of smoking in the 1970s and the 21st century," Journal of Health Economics, Elsevier, vol. 60(C), pages 39-52.
    14. Luo, Weixiang & Xie, Yu, 2020. "Economic growth, income inequality and life expectancy in China," Social Science & Medicine, Elsevier, vol. 256(C).
    15. Persson, Sofie & Dahlquist, Gisela & Gerdtham, Ulf-G. & Steen Carlsson, Katarina, 2014. "Childhood Health and Labor Market Outcomes in the Case of Type 1 Diabetes," Working Papers 2014:43, Lund University, Department of Economics.
    16. Angus Deaton, 2003. "Health, Inequality, and Economic Development," Journal of Economic Literature, American Economic Association, vol. 41(1), pages 113-158, March.
    17. Kendzor, Darla E. & Reitzel, Lorraine R. & Mazas, Carlos A. & Cofta-Woerpel, Ludmila M. & Cao, Yumei & Ji, Lingyun & Costello, Tracy J. & Vidrine, Jennifer Irvin & Businelle, Michael S. & Li, Yisheng , 2012. "Individual- and area-level unemployment influence smoking cessation among African Americans participating in a randomized clinical trial," Social Science & Medicine, Elsevier, vol. 74(9), pages 1394-1401.
    18. Do, D. Phuong & Wang, Lu & Elliott, Michael R., 2013. "Investigating the relationship between neighborhood poverty and mortality risk: A marginal structural modeling approach," Social Science & Medicine, Elsevier, vol. 91(C), pages 58-66.
    19. Gerdtham, Ulf-G. & Ruhm, Christopher J., 2006. "Deaths rise in good economic times: Evidence from the OECD," Economics & Human Biology, Elsevier, vol. 4(3), pages 298-316, December.
    20. Paula K. Lorgelly & Joanne Lindley, 2008. "What is the relationship between income inequality and health? Evidence from the BHPS," Health Economics, John Wiley & Sons, Ltd., vol. 17(2), pages 249-265, February.

    More about this item

    Statistics

    Access and download statistics

    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:plo:pone00:0129819. 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: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    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.