International Journal of Epidemiology, Vol 28, 90-94, Copyright © 1999 by International Epidemiological Association
IH Yen and GA Kaplan
BACKGROUND: Previous evidence from the Alameda County Study indicated that
residential area has an independent effect on risk for mortality, adjusting
for a variety of important individual characteristics. The current research
examined the effect of poverty area residence on risk for developing
depressive symptoms and decline in perceived health status in a sample of
1737. METHODS: Data were from a longitudinal population-based cohort.
Multiple logistic regression analyses were used. RESULTS: Age- and
sex-adjusted risk for incident high levels of depressive symptoms in 1974
was higher for poverty area residents (odds ratio [OR] 2.14; confidence
interval [CI]: 1.49-3.06). Those reporting excellent/good health in 1965
were at higher risk for having fair/poor health in 1974 if they lived in a
poverty area (age- and sex-adjusted OR 3.30; CI: 2.32-4.71). Independent of
individual income, education, smoking status, body mass index, and alcohol
consumption, poverty area residence remained associated with change in
outcome variables. CONCLUSION: These results further support the hypothesis
that characteristics of place affect health conditions and health status.
ARTICLES
Poverty area residence and changes in depression and perceived health status: evidence from the Alameda County Study
Behavioral Risk Factors Program, School of Public Health, University of California, Berkeley 94720, USA.
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