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Cited by 224

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Neighborhood environment and self-reported health status: a multilevel analysis.

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Malmström, M, Sundquist, J, Johansson, S E·1999·American Journal of Public Health

Abstract

OBJECTIVES: This study examined whether neighborhood socioeconomic environment helps to explain the proportion of community members with self-reported poor health status. METHODS: A random sample of 9240 persons aged 25 to 74 years were interviewed during 1988 and 1989. The socioeconomic environment of each respondent's neighborhood was measured with the Care Need Index (CNI) and the Townsend score. The data were analyzed with a multilevel model adjusted for the independent variables. The second-level variables were the 2 neighborhood scores. RESULTS: There was a clear gradient for poor health and education within every CNI interval so that with an increasing CNI (indicating more deprivation), the prevalence of poor health increased in all 3 education groups (P = .001). In the full model, decreasing educational level, obesity, length and frequency of smoking, physical inactivity, and increasing CNI were associated with poor health. Persons living in the most deprived neighborhoods had a prevalence ratio of 1.69 (95% confidence interval = 1.44, 1.98) for poor health compared with those living in the most affluent areas. CONCLUSIONS: Both neighborhood socioeconomic environment and individual educational status are associated with self-reported poor health.

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Metadata

Authors
Malmström, M., Sundquist, J., & Johansson, S. E.
Venue
American Journal of Public Health
Published
1999-08
Volume
89
Issue
8
Pages
1181-1186
ISSN
  • 0090-0036 (ISSN-L)
  • 1541-0048
OpenAlex
W2062519781
Cited by
224
References
3
FWCI
11.03
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Neighborhood environment and self-reported health status: a multilevel analysis. https://app.cochat.ai/papers/10.2105/ajph.89.8.1181
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Malmström, M., Sundquist, J., & Johansson, S. E. (1999). Neighborhood environment and self-reported health status: a multilevel analysis. American Journal of Public Health. https://doi.org/10.2105/ajph.89.8.1181

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.