Veldhuizen Eleonore M, Musterd Sako, Dijkshoorn Henriëtte, Kunst Anton E
Department of Human Geography, Planning & International Development Studies, Faculty of Social and Behavioural Sciences, University of Amsterdam, Nieuwe Achtergracht 166, 1018 WV Amsterdam, The Netherlands.
Department of Epidemiology and Health Promotion, Public Health Service Amsterdam, Nieuwe Achtergracht 100, 1018 WT Amsterdam, The Netherlands.
Int J Environ Res Public Health. 2015 Nov 12;12(11):14382-99. doi: 10.3390/ijerph121114382.
Studies on the association between health and neighborhood ethnic composition yielded inconsistent results, possibly due to methodological limitations. We assessed these associations at different spatial scales and for different measures of ethnic composition.
We obtained health survey data of 4673 respondents of Dutch, Surinamese, Moroccan, Turkish other non-Western and other Western origin. Neighborhood ethnic composition was measured for buffers varying from 50-1000 m. Associations with self-rated health were measured using logistic multilevel regression analysis, with control for socioeconomic position at the individual and area level.
Overall ethnic heterogeneity was not related to health for any ethnic group. The presence of other Surinamese was associated with poor self-rated health among Surinamese respondents. The presence of Moroccans or Turks was associated with poor health among some groups. The presence of Dutch was associated with better self-rated health among Surinamese and Turks. In most cases, these associations were stronger at lower spatial scales. We found no other associations.
In Amsterdam, self-rated health was not associated with ethnic heterogeneity in general, but may be related to the presence of specific ethnic groups. Policies regarding social and ethnic mixing should pay special attention to the co-residence of groups with problematic interrelations.
关于健康与邻里种族构成之间关联的研究结果并不一致，这可能是由于方法上的局限性。我们在不同空间尺度上以及针对不同的种族构成衡量指标评估了这些关联。
我们获取了4673名荷兰、苏里南、摩洛哥、土耳其、其他非西方和其他西方血统受访者的健康调查数据。针对半径从50米至1000米不等的缓冲区域测量邻里种族构成。使用逻辑多水平回归分析来测量与自评健康的关联，并在个体和区域层面控制社会经济地位。
总体种族异质性与任何种族群体的健康均无关联。其他苏里南人的存在与苏里南受访者自评健康状况较差相关。摩洛哥人或土耳其人的存在与某些群体的健康状况较差相关。荷兰人的存在与苏里南人和土耳其人的自评健康状况较好相关。在大多数情况下，这些关联在较低空间尺度上更强。我们未发现其他关联。
在阿姆斯特丹，自评健康总体上与种族异质性无关，但可能与特定种族群体的存在有关。关于社会和种族融合的政策应特别关注关系存在问题的群体的共同居住情况。
