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Neighbourhood socioeconomic deprivation and health-related quality of life: A multilevel analysis

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  • Vânia Rocha
  • Ana Isabel Ribeiro
  • Milton Severo
  • Henrique Barros
  • Sílvia Fraga

Abstract

Objective: To assess the relationship between socioeconomic deprivation and health-related quality of life in urban neighbourhoods, using a multilevel approach. Methods: Of the population-based cohort EPIPorto, 1154 georeferenced participants completed the 36-Item Short-Form Health Survey. Neighbourhood socioeconomic deprivation classes were estimated using latent-class analysis. Multilevel models measured clustering and contextual effects of neighbourhood deprivation on physical and mental HRQoL. Results: Residents from the least deprived neighbourhoods had higher physical HRQoL. Neighbourhood socioeconomic deprivation together with individual-level variables (age, gender and education) and health-related factors (smoking, alcohol consumption, sedentariness and chronic diseases) explained 98% of the total between-neighbourhood variance. Neighbourhood socioeconomic deprivation was significantly associated with physical health when comparing least and most deprived neighbourhoods (class 2—beta coefficient: -0.60; 95% confidence interval:-1.76;-0.56; class 3 –beta coefficient: -2.28; 95% confidence interval:-3.96;-0.60), and as neighbourhood deprivation increases, a decrease in all values of physical health dimensions (physical functioning, role physical, bodily pain and general health) was also observed. Regarding the mental health dimension, no neighbourhood clustering or contextual effects were found. However, as neighbourhood deprivation increases, the values of vitality and role emotional dimensions significantly decreased. Conclusion: Neighbourhood socioeconomic deprivation is associated with HRQoL, affecting particularly physical health. This study suggests that to improve HRQoL, people and places should be targeted simultaneously.

Suggested Citation

  • Vânia Rocha & Ana Isabel Ribeiro & Milton Severo & Henrique Barros & Sílvia Fraga, 2017. "Neighbourhood socioeconomic deprivation and health-related quality of life: A multilevel analysis," PLOS ONE, Public Library of Science, vol. 12(12), pages 1-16, December.
    • Handle: RePEc:plo:pone00:0188736
    DOI: 10.1371/journal.pone.0188736
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    References listed on IDEAS

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    1. Ana Isabel Ribeiro & Andreia Olhero & Hugo Teixeira & Alexandre Magalhães & Maria Fátima Pina, 2014. "Tools for Address Georeferencing – Limitations and Opportunities Every Public Health Professional Should Be Aware Of," PLOS ONE, Public Library of Science, vol. 9(12), pages 1-13, December.
    2. Hong, Seunghye & Zhang, Wei & Walton, Emily, 2014. "Neighborhoods and mental health: Exploring ethnic density, poverty, and social cohesion among Asian Americans and Latinos," Social Science & Medicine, Elsevier, vol. 111(C), pages 117-124.
    3. 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.
    4. Malmström, M. & Sundquist, J. & Johansson, S.-E., 1999. "Neighborhood environment and self-reported health status: A multilevel analysis," American Journal of Public Health, American Public Health Association, vol. 89(8), pages 1181-1186.
    5. Ivory, Vivienne C. & Collings, Sunny C. & Blakely, Tony & Dew, Kevin, 2011. "When does neighbourhood matter? Multilevel relationships between neighbourhood social fragmentation and mental health," Social Science & Medicine, Elsevier, vol. 72(12), pages 1993-2002, June.
    6. 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.
    7. Kathleen A. Cagney & Christopher R. Browning & Ming Wen, 2005. "Racial Disparities in Self-Rated Health at Older Ages: What Difference Does the Neighborhood Make?," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 60(4), pages 181-190.
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