Abstract:
PURPOSE:Interest in the effects of neighbourhood or local area social characteristics on health has increased in recent years, but to date the existing evidence has not been systematically reviewed. Multilevel or contextual analyses of social factors and health represent a possible reconciliation between two divergent epidemiological paradigms-individual risk factor epidemiology and an ecological approach. DATA SOURCES:Keyword searching of Index Medicus (Medline) and additional references from retrieved articles. STUDY SELECTION:All original studies of the effect of local area social characteristics on individual health outcomes, adjusted for individual socioeconomic status, published in English before 1 June 1998 and focused on populations in developed countries. DATA SYNTHESIS:The methodological challenges posed by the design and interpretation of multilevel studies of local area effects are discussed and results summarised with reference to type of health outcome. All but two of the 25 reviewed studies reported a statistically significant association between at least one measure of social environment and a health outcome (contextual effect), after adjusting for individual level socioeconomic status (compositional effect). Contextual effects were generally modest and much smaller than compositional effects. CONCLUSIONS:The evidence for modest neighbourhood effects on health is fairly consistent despite heterogeneity of study designs, substitution of local area measures for neighbourhood measures and probable measurement error. By drawing public health attention to the health risks associated with the social structure and ecology of neighbourhoods, innovative approaches to community level interventions may ensue.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Pickett KE,Pearl Mdoi
10.1136/jech.55.2.111keywords:
subject
Has Abstractpub_date
2001-02-01 00:00:00pages
111-22issue
2eissn
0143-005Xissn
1470-2738journal_volume
55pub_type
杂志文章,评审abstract:BACKGROUND:In the context of fiscal austerity in many European welfare states, policy innovation often takes the form of 'social investment', a contested set of policies aimed at strengthening labour markets. Social investment policies include employment subsidies, skills training and job-finding services, early childh...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211283
更新日期:2019-03-01 00:00:00
abstract:STUDY OBJECTIVE:To test the validity of proxy measures of household wealth and income that can be readily implemented in health surveys in rural Africa. DESIGN:Data are drawn from four different integrated household surveys. The assumptions underlying the choice of wealth proxy are described, and correlations with the...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.54.5.381
更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:Although long working hours have been shown to be associated with the onset of cardiometabolic diseases, the clinical risk factor profile associated with long working hours remains unclear. We compared the clinical risk profile between people who worked long hours and those who reported being never exposed t...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-210943
更新日期:2019-02-01 00:00:00
abstract::The incidence of malignant melanoma in developed countries has been rising rapidly in recent years. Its causes and the reasons for this trend are uncertain. Changes in histopathological criteria for classifying pigmented skin lesions could explain the rising incidence rates. With support from the International Agency ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.42.1.14
更新日期:1988-03-01 00:00:00
abstract:BACKGROUND:Chronic diseases are now a major health problem in developing countries as well as in the developed world. Although chronic diseases cannot be communicated from person to person, their risk factors (for example, smoking, inactivity, dietary habits) are readily transferred around the world. With increasing hu...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.060368
更新日期:2008-05-01 00:00:00
abstract::A dangerous distortion of priorities seems to be currently apparent in the dominant approaches to major public health problems, including cardiovascular disease, diabetes, obesity, cancer and some infectious diseases. Relevant examples suggest an apparently inappropriate tendency to prioritise technocratic, partial so...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech-2014-203884
更新日期:2014-09-01 00:00:00
abstract::A prospective study of human reproduction was conducted in Tamilnadu State, South India, from 1969 to 1975. This paper reports twinning rates and relates these to maternal age, parity, and consanguinity. Birth weights and other dimensions at birth and infant mortality are also studied. The overall twinning rate was 1 ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.37.2.117
更新日期:1983-06-01 00:00:00
abstract:BACKGROUND:Alcohol policies around the world seek to delay the initiation of drinking. This is partly based on the influential idea that earlier initiation is likely to cause adult alcohol problems. This study synthesises robust evidence for this proposition. METHODS:Systematic review of prospective cohort studies in ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,meta分析,评审
doi:10.1136/jech-2013-203402
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:To assess evidence for residential mobility in childhood having an adverse association with health outcomes through the life course. METHODS:A systematic search of medical and social sciences literature was undertaken to identify research defining residential mobility as an independent variable and in which ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,评审
doi:10.1136/jech.2007.060103
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Low socioeconomic status (SES) has been linked to increased risk of hypertension, a known risk factor for cardiovascular disease. How the risk is altered by intergenerational social mobility is not well known. The aim of this study is to investigate parental SES, adult SES and the intergenerational social mo...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2010.130567
更新日期:2012-06-01 00:00:00
abstract:STUDY OBJECTIVE:To investigate the impact of area of residence on functional health as represented by medical outcomes study SF-36 physical and mental component summary scores. DESIGN:Multilevel analysis of cross sectional data from the European Prospective Investigation into Cancer and Nutrition in Norfolk, UK (EPIC-...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2003.012518
更新日期:2004-04-01 00:00:00
abstract::A recent review of the literature identified several common methodological weaknesses in studies of the effects of occupational exposures on male and female reproductive processes. This paper suggests a strategy which addresses these problems, by the use of a standard method. The potential benefits include increased m...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.42.3.209
更新日期:1988-09-01 00:00:00
abstract:OBJECTIVES:To examine the epidemiology of suicide by jumping from the Clifton Suspension Bridge and its impact on local patterns of suicide. DESIGN:Case-control study of falls from the bridge (1974-93) matched by age and sex with those using other methods of suicide. Routine OPCS mortality statistics for Bristol and D...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.50.1.30
更新日期:1996-02-01 00:00:00
abstract:BACKGROUND:Evidence on the role of cannabis as a gateway drug is inconsistent. We characterise patterns of cannabis use among UK teenagers aged 13-18 years, and assess their influence on problematic substance use at age 21 years. METHODS:We used longitudinal latent class analysis to derive trajectories of cannabis use...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2016-208503
更新日期:2017-08-01 00:00:00
abstract::This article examines the main trends in the history of publicly organised school meals in Norway, while casting comparative glances at Britain. First, it argues that the status of school meals today is strongly influenced by three intertwined strains of past tradition: poor relief, universal welfare and the ideal of ...
journal_title:Journal of epidemiology and community health
pub_type: 历史文章,杂志文章
doi:10.1136/jech.2006.048132
更新日期:2007-05-01 00:00:00
abstract::Since the early 1960s notification rates for tuberculosis in England and Wales for the whole population have been influenced by high rates in certain ethnic groups. Using data based on country of birth from the British (Thoracic and) Tuberculosis Association surveys of 1965 and 1971, and based on ethnic origin from th...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.42.4.370
更新日期:1988-12-01 00:00:00
abstract:OBJECTIVE:To evaluate the short term effect of air pollution on cardiovascular admissions in 14 Spanish cities METHODS:The period under study was from 1995 to 1999. Daily emergency admissions for all cardiovascular diseases (CVD) and heart diseases (HD) were obtained from hospital records, and the corresponding daily ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章,多中心研究
doi:10.1136/jech.2005.037978
更新日期:2006-04-01 00:00:00
abstract:BACKGROUND:Previous studies show contradictory findings on the relationship between health and intergenerational living arrangements (ILAs), which may be due to variation in who selects themselves into and out of ILA. Addressing the selectivity into ILA and the health of the older generation, we assess whether there is...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2017-209896
更新日期:2018-03-01 00:00:00
abstract:OBJECTIVES:To describe the situation of the influenza in Portugal through the estimates of the incidence rates and the identification of the viral strains implicated on it during the period 1990-1996. DESIGN:The integrated clinical and laboratory surveillance system for influenza in Portugal is based on the Portuguese...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:
更新日期:1998-04-01 00:00:00
abstract:STUDY OBJECTIVE:To determine the validity of a self administered physical activity questionnaire to be used as part of a screening device for postmenopausal osteopaenia (with additional questions on medical history and calcium intake). DESIGN:A questionnaire was posted to 86 perimenopausal women to enquire about weekl...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.51.4.365
更新日期:1997-08-01 00:00:00
abstract:BACKGROUND:Frailty is a way to appreciate the variable vulnerability to declining health status of people as they age. No consensus for measuring frailty has been established. This study aimed to adapt a Frailty Index (FI) to the Canadian Longitudinal Study on Aging (CLSA) and evaluate its applicability in both younger...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2016-208853
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Policies to increase Australian Indigenous children's participation in preschool aim to reduce developmental inequities between Indigenous and non-Indigenous children. This study aims to understand the benefits of preschool participation by quantifying the association between preschool participation in the y...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2020-214672
更新日期:2020-12-08 00:00:00
abstract:BACKGROUND:While various measures of common mental disorders (CMD) have been found to be associated with mortality, a comparison of how different measures predict mortality may improve our understanding of the association. This paper compares how the Hospital Anxiety and Depression Scale (HADS) and the 30-item General ...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-201927
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:In India, excess female under-5 mortality is well documented. Under-5 mortality is also known to be patterned by socioeconomic factors. This study examines sex differentials and sex-specific wealth gradients in neonatal, postneonatal and child mortality in India. METHODS:Repeated cross-sectional study of na...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2018-211569
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND:Mortality risk is lower in married than in unmarried men and women. However, little is known about the association between mortality and relationship status in South Africa where marriage rates are low, migration is common, many couples are not co-resident and HIV prevalence is high. METHOD:Using demographi...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2014-205408
更新日期:2016-01-01 00:00:00
abstract::Nurses working in selected departments of general hospitals in Finland were collected from a central register on health personnel in Finland. Using the Hospital Discharge Register and the Register of Congenital Malformations, case nurses were selected who had had a spontaneous abortion (N = 217) or a malformed child (...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.39.2.141
更新日期:1985-06-01 00:00:00
abstract:OBJECTIVE:To assess comprehensively the validity of the data in the Finnish Medical Birth Registry (MBR) by the combined use of several controls and internal analysis of the data. DESIGN:The MBR data were individually linked to a medical record sample (n = 775) and to all perinatal death certificates in 1987. The data...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.47.3.242
更新日期:1993-06-01 00:00:00
abstract:BACKGROUND:Vitamin D has been suggested to have a role in infection defence and on the immune system. We therefore investigated the effect of serum 25-hydroxyvitamin D₃ (25(OH)D₃) on the risk of incident hospitalised pneumonia in an ageing general population in eastern Finland. METHODS:The study population included 72...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2012-202027
更新日期:2013-06-01 00:00:00
abstract:OBJECTIVE:There is concern about the health of populations living close to nuclear waste reprocessing plants. A comparative study was conducted on reproductive life events in the general population living near the nuclear waste reprocessing plant in Beaumont-Hague, France and a reference area in Brittany. DESIGN, SETT...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech.2007.061069
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:As the worldwide population has aged, the number of surgical procedures performed on older patients has increased. It is not known whether this increase has been proportional to growth in the elderly population. The aim of this study was to assess the population-adjusted incidence of acute and elective gener...
journal_title:Journal of epidemiology and community health
pub_type: 杂志文章
doi:10.1136/jech-2019-212283
更新日期:2020-01-01 00:00:00