Discrepancies between personal income and neighbourhood status: Effects on physical and mental health

被引：33

作者：

Deeg D.J.H. ^{[1
]}

Thomése G.C.F. ^{[2
]}

机构：

[1] Institute for Research in Extramural Medicine, LASA, Vrije Universiteit Medical Centre, 1081 BT Amsterdam

[2] Department of Socio-Cultural Sciences, Faculty of Social Sciences, Vrije Universiteit, Amsterdam

来源：

European Journal of Ageing | 2005年 / 2卷 / 2期

关键词：

Income; Mental health; Neighbourhood; Perceptions; Physical health;

D O I：

10.1007/s10433-005-0027-4

中图分类号：

学科分类号：

摘要：

During their life course, older persons' income level may become discrepant with the socio-economic status of their neighbourhood. This study examines whether and how such discrepancies affect older persons' physical and mental health. Using baseline data from the Longitudinal Aging Study Amsterdam, 2,540 non-institutionalised persons aged 55-85 years were classified based on self-reported income and neighbourhood status. Two categories defined discrepancies: discrepant-low (DL, low income in high-status neighbourhood), and discrepant-high (DH, high income in low-status neighbourhood). Both categories were compared with the same reference category: matched-high (MH, high personal and high neighbourhood income status). A range of health indicators were examined, as well as mediating effects of neighbourhood and individual characteristics. Among the 504 persons who reported a high income, 16% lived in a low-status neighbourhood (DH). Conversely, among the 757 persons living in a high-status neighbourhood, 24% had a low income (DL). The DL category mainly lived in rural areas, and the DH category predominantly in large cities. The data show discrepant income effects (DL vs. MH) on physical and cognitive ability, self-rated health, and loneliness, and discrepant neighbourhood effects (DH vs. MH) on physical and cognitive ability, depressive symptoms, and loneliness. Personal income effects were partly mediated by other personal characteristics, and neighbourhood effects were fully mediated by socio-economic neighbourhood characteristics as well as by older persons' perceptions of their neighbourhood and their income. It is concluded that discrepancies between personal income and neighbourhood status, accrued throughout the life course, are associated with poor health. © Springer-Verlag 2005.

引用

页码：98 / 108

页数：10

共 49 条

[1]

Balfour J.L., Kaplan G.A., Neighborhood environment and loss of physical function in older adults: Evidence from the Alameda County Study, Am. J. Epidemiol., 155, pp. 507-515, (2002)

[2]

Beekman A.T.F., Deeg D.J.H., Van Limbeek J., Braam A.W., De Vries M.Z., Van Tilburg W., Criterion validity of the Center for Epidemiologic Studies Depression scale (CES-D): Results from a community based sample of older subjects in the Netherlands, Psychol. Med., 27, pp. 231-235, (1997)

[3]

Blakely T., Woodward A., Ecological effects in multi-level studies, J. Epidemiol. Community Health, 54, pp. 367-374, (2000)

[4]

Boyle P., Norman P., Rees P., Does migration exaggerate the relationship between deprivation and limiting long-term illness? A Scottish analysis, Social Sci. Med., 55, pp. 21-31, (2002)

[5]

Braam G.P.A., Ouderen sterk onderbelicht in armoedeonderzoek, Tijdschr. Gerontol. Geriatr., 32, pp. 146-149, (2001)

[6]

Brown V., The effects of poverty environments on elders' subjective well-being: A conceptual model, Gerontologist, 35, pp. 541-548, (1995)

[7]

Deeg D.J.H., Knipscheer C.P.M., Van Tilburg W., Autonomy and well-being in the aging population: Concepts and design of the Longitudinal Aging Study Amsterdam, (1993)

[8]

Deeg D.J.H., Van Tilburg T., Smit J.H., De Leeuw E.D., Attrition in the Longitudinal Aging Study Amsterdam: The effect of differential inclusion in side studies, J. Clin. Epidemiol., 55, pp. 319-328, (2002)

[9]

De Jong Gierveld J., Kamphuis F.H., The development of a Rasch-type loneliness-scale, Appl. Psychol. Measure, 9, pp. 289-299, (1985)

[10]

Den Dulk C.J., Van de Stadt H., Vliegen J.M., Een nieuwe maatstaf voor stedelijkheid: De omgevingsadressendichtheid, Maandstat Bevolking, 40, pp. 14-27, (1992)

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