The impact of regional and neighbourhood deprivation on physical health in Germany: a multilevel study

Voigtländer S, Berger U, Razum O (2010)
BMC Public Health 10(1).

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Abstract
Background There is increasing evidence that individual health is at least partly determined by neighbourhood and regional factors. Mechanisms, however, remain poorly understood, and evidence from Germany is scant. This study explores whether regional as well as neighbourhood deprivation are associated with physical health and to what extent this association can be explained by specific neighbourhood exposures. Methods Using 2004 data from the German Socio-Economic Panel Study (SOEP) merged with regional and neighbourhood characteristics, we fitted multilevel linear regression models with subjective physical health, as measured by the SF-12, as the dependent variable. The models include regional and neighbourhood proxies of deprivation (i.e. regional unemployment quota, average purchasing power of the street section) as well as specific neighbourhood exposures (i.e. perceived air pollution). Individual characteristics including socioeconomic status and health behaviour have been controlled for. Results This study finds a significant association between area deprivation and physical health which is independent of compositional factors and consistent across different spatial scales. Furthermore the association between neighbourhood deprivation and physical health can be partly explained by specific features of the neighbourhood environment. Among these perceived air pollution shows the strongest association with physical health (-2.4 points for very strong and -1.5 points for strong disturbance by air pollution, standard error (SE) = 0.8 and 0.4, respectively). Beta coefficients for perceived air pollution, perceived noise and the perceived distance to recreational resources do not diminish when including individual health behaviour in the models. Conclusions This study highlights the difference regional and in particular neighbourhood deprivation make to the physical health of individuals in Germany. The results support the argument that specific neighbourhood exposures serve as an intermediary step between deprivation and health. As people with a low socioeconomic status were more likely to be exposed to unfavourable neighbourhood characteristics these conditions plausibly contribute towards generating health inequalities.
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Voigtländer S, Berger U, Razum O. The impact of regional and neighbourhood deprivation on physical health in Germany: a multilevel study. BMC Public Health. 2010;10(1).
Voigtländer, S., Berger, U., & Razum, O. (2010). The impact of regional and neighbourhood deprivation on physical health in Germany: a multilevel study. BMC Public Health, 10(1).
Voigtländer, S., Berger, U., and Razum, O. (2010). The impact of regional and neighbourhood deprivation on physical health in Germany: a multilevel study. BMC Public Health 10.
Voigtländer, S., Berger, U., & Razum, O., 2010. The impact of regional and neighbourhood deprivation on physical health in Germany: a multilevel study. BMC Public Health, 10(1).
S. Voigtländer, U. Berger, and O. Razum, “The impact of regional and neighbourhood deprivation on physical health in Germany: a multilevel study”, BMC Public Health, vol. 10, 2010.
Voigtländer, S., Berger, U., Razum, O.: The impact of regional and neighbourhood deprivation on physical health in Germany: a multilevel study. BMC Public Health. 10, (2010).
Voigtländer, Sven, Berger, Ursula, and Razum, Oliver. “The impact of regional and neighbourhood deprivation on physical health in Germany: a multilevel study”. BMC Public Health 10.1 (2010).
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11 Citations in Europe PMC

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41 References

Data provided by Europe PubMed Central.

Who you live with and where you live: setting the context for health using multiple membership multilevel models.
Chandola T, Clarke P, Wiggins RD, Bartley M., J Epidemiol Community Health 59(2), 2005
PMID: 15650151

AUTHOR UNKNOWN, 2007

AUTHOR UNKNOWN, 2007

AUTHOR UNKNOWN, 2007
Computation of Standard Values for Physical and Mental Health Scale Scores Using the SOEP Version of the SF-12v2
AUTHOR UNKNOWN, 2007

AUTHOR UNKNOWN, 2009
The CASMIN educational classification in international comparative research
AUTHOR UNKNOWN, 2003

AUTHOR UNKNOWN, 2009

AUTHOR UNKNOWN, 1982

AUTHOR UNKNOWN, 2003

AUTHOR UNKNOWN, 2006

AUTHOR UNKNOWN, 0
Regionaldatenbank Deutschland
AUTHOR UNKNOWN, 2010

AUTHOR UNKNOWN, 2005

AUTHOR UNKNOWN, 2006
Education and the subjective quality of life.
Ross CE, Van Willigen M., J Health Soc Behav 38(3), 1997
PMID: 9343965

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