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Place effects for areas defined by administrative boundaries: A life course analysis of mortality and cause specific morbidity in Scania, Sweden.

Ohlsson, Henrik LU and Merlo, Juan LU (2011) In Social Science and Medicine 73. p.1145-1151
Abstract
To understand the origin of disease risk in adulthood, factors in all stages of life and on different contextual levels should be considered. Therefore, the aim of this study was to investigate the relevance of a person's area of residence over their life course with regard to four outcomes: all-cause mortality; ischemic heart disease mortality and morbidity; cancer mortality and morbidity; and respiratory diseases and related mortality. We applied a cross-classified multilevel model for three age groups on a longitudinal data set spanning a 35 year period in Scania, Sweden. According to our analyses, the proportion of the total variance at the district level for all the outcomes studied was below 2% for the 65 to 84 age group, below 4.5%... (More)
To understand the origin of disease risk in adulthood, factors in all stages of life and on different contextual levels should be considered. Therefore, the aim of this study was to investigate the relevance of a person's area of residence over their life course with regard to four outcomes: all-cause mortality; ischemic heart disease mortality and morbidity; cancer mortality and morbidity; and respiratory diseases and related mortality. We applied a cross-classified multilevel model for three age groups on a longitudinal data set spanning a 35 year period in Scania, Sweden. According to our analyses, the proportion of the total variance at the district level for all the outcomes studied was below 2% for the 65 to 84 age group, below 4.5% for those ages 50-64 years, and below 6.5% for those 30-49 years old. Our results suggest that the parish of residence, at four different time points during the individual life course, had little influence on individual all-cause mortality, or on mortality or morbidity from IHD, cancer, and respiratory diseases; i.e., knowing when and where an individual resided during their life course gives little indication of future mortality and morbidity. Such knowledge is essential in assisting decision makers determine the relevant geographical level of intervention (in our case whether to direct interventions toward the entire region of Scania or to specific parishes) needed. Valuable information for planning public health interventions might be obtained by considering measures of variance and clustering from specific contexts before implementing strategic programs. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Social Science and Medicine
volume
73
pages
1145 - 1151
publisher
Elsevier
external identifiers
  • wos:000296403500004
  • pmid:21885175
  • scopus:80053296103
ISSN
1873-5347
DOI
10.1016/j.socscimed.2011.08.005
language
English
LU publication?
yes
id
61a57008-f7f8-436c-968e-1e858cdba7af (old id 2169205)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/21885175?dopt=Abstract
date added to LUP
2011-10-03 09:15:39
date last changed
2017-06-04 04:34:09
@article{61a57008-f7f8-436c-968e-1e858cdba7af,
  abstract     = {To understand the origin of disease risk in adulthood, factors in all stages of life and on different contextual levels should be considered. Therefore, the aim of this study was to investigate the relevance of a person's area of residence over their life course with regard to four outcomes: all-cause mortality; ischemic heart disease mortality and morbidity; cancer mortality and morbidity; and respiratory diseases and related mortality. We applied a cross-classified multilevel model for three age groups on a longitudinal data set spanning a 35 year period in Scania, Sweden. According to our analyses, the proportion of the total variance at the district level for all the outcomes studied was below 2% for the 65 to 84 age group, below 4.5% for those ages 50-64 years, and below 6.5% for those 30-49 years old. Our results suggest that the parish of residence, at four different time points during the individual life course, had little influence on individual all-cause mortality, or on mortality or morbidity from IHD, cancer, and respiratory diseases; i.e., knowing when and where an individual resided during their life course gives little indication of future mortality and morbidity. Such knowledge is essential in assisting decision makers determine the relevant geographical level of intervention (in our case whether to direct interventions toward the entire region of Scania or to specific parishes) needed. Valuable information for planning public health interventions might be obtained by considering measures of variance and clustering from specific contexts before implementing strategic programs.},
  author       = {Ohlsson, Henrik and Merlo, Juan},
  issn         = {1873-5347},
  language     = {eng},
  pages        = {1145--1151},
  publisher    = {Elsevier},
  series       = {Social Science and Medicine},
  title        = {Place effects for areas defined by administrative boundaries: A life course analysis of mortality and cause specific morbidity in Scania, Sweden.},
  url          = {http://dx.doi.org/10.1016/j.socscimed.2011.08.005},
  volume       = {73},
  year         = {2011},
}