Invited Commentary: The Enduring Role of "Place" in Health-A Historic Perspective.

Abstract:

:In public health, it has long been observed that "place"-specifically, where one lives-affects individual health, with the main research question distinguishing between the effects of "context" (defined as area characteristics) and "composition" (the characteristics of inhabitants) on health outcomes. There have been many studies in which the spatial patterning of disease has been explored, but they were often ecological in design, used broad census geographic levels, lacked individual-level data, or when available, did not simultaneously analyze community- and individual-level risk factors using appropriate modeling techniques. The paper by Diez-Roux et al. (Am J Epidemiol. 1997;146(1):48-63) represents an important expansion of the literature in terms of analytic methods used and level of geography studied. The authors demonstrated that both neighborhood- and individual-level measures of socioeconomic status work together to play an important role in shaping disease risk. Analyses incorporating both levels of data have the potential to provide epidemiologists with a deeper understanding of the divergent pathways via which neighborhood affects health.

journal_name

Am J Epidemiol

authors

Cozier YC

doi

10.1093/aje/kwx085

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

1203-1205

issue

11

eissn

0002-9262

issn

1476-6256

pii

3849428

journal_volume

185

pub_type

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