Associations between neighborhood characteristics and self-rated health: A cross-sectional investigation in the Multi-Ethnic Study of Atherosclerosis (MESA) cohort
Kristin Tomey, Ana V. Diez Roux, Philippa Clarke and Teresa Seeman
Education Employment Income Neighborhood Self-rated health
Quantifying the effects of specific neighborhood features on self-reported health is important in understanding the global health impact of neighborhood context. We investigated associations of neighborhood poverty, sociability and walkability with self-rated physical and mental health in the Multi-Ethnic Study of Atherosclerosis (MESA). In separate models, each neighborhood variable was associated with physical health but associations with sociability and walkability were stronger than those for poverty. Only walkability remained significant after adjusting for the other neighborhood variables. There was no evidence that self-rated mental health as assessed by the SF12 was associated with neighborhood poverty, walkability or sociability. This study provides information on how neighborhood context is associated with global health in diverse midlife and older persons.
•Neighborhood walkability is more strongly associated with physical health than neighborhood sociability or neighborhood poverty.•Physical health was associated with neighborhood walkability more strongly in those with lower income levels.•Mental health was associated with neighborhood sociability only in those not employed.
Associations between neighborhood characteristics and self-rated health: A cross-sectional investigation in the Multi-Ethnic Study of Atherosclerosis (MESA) cohort
Creators
Kristin Tomey - University of Michigan
Ana V. Diez Roux - University of Michigan School of Public Health, Department of Epidemiology, Ann Arbor, MI 48109-2029, USA
Philippa Clarke - University of Michigan
Teresa Seeman - University of California, Los Angeles
Publication Details
Health & place, v 24
Publisher
Elsevier
Resource Type
Journal article
Language
English
Academic Unit
Urban Health Collaborative; Drexel University
Web of Science ID
WOS:000326985300034
Scopus ID
2-s2.0-84887215492
Other Identifier
991020112076204721
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