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IJE Advance Access originally published online on March 21, 2007
International Journal of Epidemiology 2007 36(2):355-357; doi:10.1093/ije/dym033
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2007; all rights reserved.

Commentary: Investigating neighbourhood effects on health—avoiding the ‘Local Trap’

Steven Cummins

Department of Geography, Queen Mary, University of London, Mile End Road, London E1 4NS, UK.

E-mail: s.c.j.cummins@qmul.ac.uk

Accepted 8 February 2007

The first 10% of the full text of this article appears below.


   Introduction
 
In recent years, the challenge in understanding neighbourhood effects in epidemiology has moved on from simply describing that ‘place’ matters independently of the ‘individual’ to identifying the plausible causal pathways by which neighbourhood social and material environment may affect health. Much of this more recent work has relied on an underlying conceptual model described by Macintyre1 as ‘deprivation–amplification’—a situation where residents of deprived neighbourhoods have poorer local access to health-promoting resources than their counterparts in more affluent areas. This theoretical model forms the basis of Pearce and colleagues’2 interesting national study of spatial accessibility . . . [Full Text of this Article]


   Falling into the ‘Local Trap’
 

   Conclusion
 

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