What does this research mean for the field?

Adverse health status in deprived urban areas is primarily driven by individual low socioeconomic status rather than contextual area factors, whereas living in a deprived area independently contributes to a higher prevalence of smoking. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To determine whether living in a deprived urban neighborhood directly contributes to adverse health outcomes and smoking independently of individual socioeconomic status.

February 1, 1998International Journal of EpidemiologyOpen Access

The impact of individual and area characteristics on urban socioeconomic differences in health and smoking

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Why the study?

Does living in a deprived area contribute to poor health and smoking beyond individual socioeconomic status in urban residents?

Population

5121 residents of Amsterdam, the Netherlands

Comparison

Living in a deprived area vs Living in less deprived areas

Design

Cross-sectional

Authors

SRS. A. RejineveldAmsterdam UMC Location University of Amsterdam

Discussion

Member takes

Implication

Area deprivation was associated with higher smoking beyond individual SES; leaves open causal effects and need for prospective studies before interventions.

Key Points

To determine whether living in a deprived urban neighborhood directly contributes to adverse health outcomes and smoking independently of individual socioeconomic status.
Analyzed survey data collected via face-to-face interviews with 5,121 residents across 22 areas in Amsterdam, the Netherlands (response rate: 61.4%).
Applied multilevel regression models nesting residents within neighborhoods to estimate odds ratios for smoking, self-rated health, long-term limitations, health complaints, and obesity across tertiles of area deprivation.
Age- and gender-adjusted prevalences of poor health and smoking were higher in deprived urban areas, but individual socioeconomic status explained most differences in poor self-rated health and health complaints.
Independent area-level disparities remained statistically significant for obesity, long-term limitations, and smoking prevalence after adjusting for individual socioeconomic status.

Structured PICO

Does living in a deprived area contribute to poor health and smoking beyond individual socioeconomic status in urban residents?

Population

5121 residents of Amsterdam, the Netherlands

Intervention

Living in a deprived area (measured by indicators on 22 areas)

Comparator

Living in less deprived areas (comparing tertiles of area deprivation)

Outcome

Poor health (poor self-rated health, long-term limitations, health complaints and obesity) and smokingpatient reported

Living in deprived urban areas independently contributes to higher smoking prevalence, highlighting the need for community-based preventive interventions.

Cite This Study

S. A. Rejineveld (1998) studied this question.

synapsesocial.com/papers/6a1bc2ab0a1f7575939cd7d4 https://doi.org/10.1093/ije/27.1.33

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Implication

Area deprivation was associated with higher smoking beyond individual SES; leaves open causal effects and need for prospective studies before interventions.

The impact of individual and area characteristics on urban socioeconomic differences in health and smoking

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

The impact of individual and area characteristics on urban socioeconomic differences in health and smoking

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider