Centre for Public Health, Liverpool John Moores University, Liverpool L3 2ET, UK.
Health Place. 2011 Nov;17(6):1266-73. doi: 10.1016/j.healthplace.2011.05.009. Epub 2011 May 30.
The exact nature of the association between the context of the local area and local health outcomes is unknown. We investigated whether areas geographically close but divergent in terms of deprivation have greater inequality in health than those where deprivation is similar across neighbouring localities. In order to disaggregate the strong correlation between the deprivation of a target area and that of its surrounding areas, we used principal component analysis to create a measure of relative deprivation. Both deprivation (ß=0.183, p<0.001) and relative deprivation were positively associated with mortality (ß=0.099, p<0.001), and the effect of relative deprivation was shown to be most pronounced in more affluent segments of the population.
当地环境与当地健康结果之间的确切关联性质尚不清楚。我们研究了在贫困程度存在差异的相邻地区，与贫困程度在相邻地区相似的地区相比，其健康不平等程度是否更大。为了分解目标地区的贫困状况与其周围地区的贫困状况之间的强烈相关性，我们使用主成分分析创建了相对贫困程度的衡量标准。贫困（β=0.183，p<0.001）和相对贫困与死亡率呈正相关（β=0.099，p<0.001），并且相对贫困的影响在人口中较富裕的部分表现得最为明显。
