Unemployment and self-rated health: Neighborhood influence
This work contributes to the study of the relationship between health, work and context by investigating the interaction between them in Brazil, a country with great social inequalities. It investigates whether unemployment and socioeconomic characteristics of the neighborhoods in which people live are associated with poor self-rated health after adjustment for individual sociodemographic characteristics, behavioral risk factors and health status. Moreover, it tests whether living in an area of socioeconomic deprivation modifies the association between unemployment and self-rated health. The study involved participants whose ages ranged from 15 up to 64 years, and who lived in four Brazilian cities included in the National Household Survey on Risk Behaviors and Reported Morbidity from Non-Communicable Diseases, carried out by the Ministry of Health in 2002/2003. Data from the 2000 Brazilian Population Census were used to calculate two neighborhood socioeconomic indicators: the proportion of householders with low income, a compositional variable of individual level characteristics, and residing in slums, a contextual variable not captured by individual properties. Logistic regression analysis was estimated by Generalized Estimating Equations. Of the 6426 participants, 20.6% reported poor self-rated health. Unemployment as well as residing in slums or in low income household areas were significantly associated with poor self-rated health. The magnitudes of these associations were attenuated after adjustment for sociodemographic characteristics, behavioral risk factors and other health status indicators. However, the association between unemployment and poor self-rated health was not modified by neighborhood socioeconomic indicators. Results confirm the association between unemployment and poor self-rated health, regardless of the personal or contextual characteristics studied here. Similarly, they show a clear independent association between self-rated health and neighborhood context. Even so, they do not show that the neighborhood contexts investigated modify the associations between unemployment and poor self-rated health.
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Volume (Year): 71 (2010)
Issue (Month): 4 (August)
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- Broom, Dorothy H. & D'Souza, Rennie M. & Strazdins, Lyndall & Butterworth, Peter & Parslow, Ruth & Rodgers, Bryan, 2006. "The lesser evil: Bad jobs or unemployment? A survey of mid-aged Australians," Social Science & Medicine, Elsevier, vol. 63(3), pages 575-586, August.
- Virtanen, Marianna & Kivimäki, Mika & Kouvonen, Anne & Elovainio, Marko & Linna, Anne & Oksanen, Tuula & Vahtera, Jussi, 2007. "Average household income, crime, and smoking behaviour in a local area: The Finnish 10-Town study," Social Science & Medicine, Elsevier, vol. 64(9), pages 1904-1913, May.
- Sundquist, Kristina & Theobald, Holger & Yang, Min & Li, Xinjun & Johansson, Sven-Erik & Sundquist, Jan, 2006. "Neighborhood violent crime and unemployment increase the risk of coronary heart disease: A multilevel study in an urban setting," Social Science & Medicine, Elsevier, vol. 62(8), pages 2061-2071, April.
- Siegrist, Johannes, 2000. "Place, social exchange and health: proposed sociological framework," Social Science & Medicine, Elsevier, vol. 51(9), pages 1283-1293, November.
- Bernard, Paul & Charafeddine, Rana & Frohlich, Katherine L. & Daniel, Mark & Kestens, Yan & Potvin, Louise, 2007. "Health inequalities and place: A theoretical conception of neighbourhood," Social Science & Medicine, Elsevier, vol. 65(9), pages 1839-1852, November.
- Franzini, Luisa & Caughy, Margaret & Spears, William & Eugenia Fernandez Esquer, Maria, 2005. "Neighborhood economic conditions, social processes, and self-rated health in low-income neighborhoods in Texas: A multilevel latent variables model," Social Science & Medicine, Elsevier, vol. 61(6), pages 1135-1150, September.
- Matheson, Flora I. & Moineddin, Rahim & Dunn, James R. & Creatore, Maria Isabella & Gozdyra, Piotr & Glazier, Richard H., 2006. "Urban neighborhoods, chronic stress, gender and depression," Social Science & Medicine, Elsevier, vol. 63(10), pages 2604-2616, November.
- Ross, Catherine E., 2000. "Walking, exercising, and smoking: does neighborhood matter?," Social Science & Medicine, Elsevier, vol. 51(2), pages 265-274, July.
- Macintyre, Sally & Ellaway, Anne & Cummins, Steven, 2002. "Place effects on health: how can we conceptualise, operationalise and measure them?," Social Science & Medicine, Elsevier, vol. 55(1), pages 125-139, July.
- Béland, Francois & Birch, Stephen & Stoddart, Greg, 2002. "Unemployment and health: contextual-level influences on the production of health in populations," Social Science & Medicine, Elsevier, vol. 55(11), pages 2033-2052, December.
- Fergusson, David M. & John Horwood, L. & Woodward, Lianne J., 2001. "Unemployment and psychosocial adjustment in young adults: causation or selection?," Social Science & Medicine, Elsevier, vol. 53(3), pages 305-320, August.
- Cummins, Steven & Curtis, Sarah & Diez-Roux, Ana V. & Macintyre, Sally, 2007. "Understanding and representing 'place' in health research: A relational approach," Social Science & Medicine, Elsevier, vol. 65(9), pages 1825-1838, November.
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