Collins Patricia A, Hayes Michael V, Oliver Lisa N
Department of Geography, Simon Fraser University, Burnaby, BC, Canada V5A 1S6.
Health Place. 2009 Mar;15(1):156-64. doi: 10.1016/j.healthplace.2008.03.008. Epub 2008 Mar 26.
We investigated the relationship between perceptions of neighbourhood quality and self-rated health for residents of eight suburban neighbourhoods with modestly contrasting income profiles in the Vancouver Census Metropolitan Area. Survey respondents from lower income neighbourhoods more often rated their health as fair/poor, and perceived their neighbourhood to be of poor quality. The strongest predictors for fair/poor health status were employment status, body mass index, neighbourhood satisfaction, and age, while modest predictors were annual household income, neighbourhood median income profile, and perceptions of neighbourhood safety. The unique contribution of this study is its demonstration that social gradients in self-rated health are observable between neighbourhoods of even modestly contrasting income profiles.
我们调查了温哥华人口普查大都市区八个收入状况略有差异的郊区社区居民对社区质量的认知与自我健康评价之间的关系。来自低收入社区的调查受访者更常将自己的健康状况评为一般/较差,并认为他们所在的社区质量较差。健康状况一般/较差的最强预测因素是就业状况、体重指数、社区满意度和年龄,而适度的预测因素是家庭年收入、社区收入中位数概况以及对社区安全的认知。本研究的独特贡献在于它证明了,即使在收入状况略有差异的社区之间,自我健康评价中的社会梯度也是可观察到的。