Abstract:
BACKGROUND:Neighbourhood socioeconomic status (SES) may affect rich and poor residents differentially. Two models are proposed. Model 1: living in a non-deprived neighbourhood is better for health because better collective material and social resources are available. Model 2: being poor (rich) relative to the neighbourhood average is associated with worse (better) health because of the discrepancy between an individual's situation and those around them. METHODS:Individual data from the Whitehall II study covering health, SES, and perceived status were linked to census data on neighbourhood deprivation. RESULTS:Both individual and neighbourhood deprivation increased the risk of poor general and mental health. There was a suggestion that the effect of living in a deprived area was more marked for poorer individuals, although interactions were not statistically significant. Poor people in poor neighbourhoods reported more financial and neighbourhood problems and rated themselves lowest on the ladder of society. CONCLUSIONS:We found no evidence that personal poverty combined with affluent neighbourhood had negative health consequences. Rather, living in a deprived neighbourhood may have the most negative health effects on poorer individuals, possibly because they are more dependent on collective resources in the neighbourhood.
journal_name
Int J Epidemioljournal_title
International journal of epidemiologyauthors
Stafford M,Marmot Mdoi
10.1093/ije/dyg084keywords:
subject
Has Abstractpub_date
2003-06-01 00:00:00pages
357-66issue
3eissn
0300-5771issn
1464-3685journal_volume
32pub_type
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