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The interplay of contextual layers : A multilevel analysis of income distribution, neighborhood infrastructure, socioeconomic position and self-rated health in Brazil

Vincens, Natalia LU ; Emmelin, Maria LU and Stafström, Martin LU (2018) In Health and Place 52. p.155-162
Abstract

Our hypothesis is that neighborhood infrastructure modifies the association between state-level income distribution and self-rated health. In our findings neighborhood infrastructure amplifies the association between income equality and self-rated health, yet with a differential impact on health according to sex, race and education level favoring individuals at higher socioeconomic positions. Most of the individual health variation attributed to context happens at neighborhood level, based on random effects analyses. Our findings contribute to a further understanding of health inequalities in Brazil. The demonstrated synergism between state, neighborhood and individual level determinants of health supports inter-sectoral policies and... (More)

Our hypothesis is that neighborhood infrastructure modifies the association between state-level income distribution and self-rated health. In our findings neighborhood infrastructure amplifies the association between income equality and self-rated health, yet with a differential impact on health according to sex, race and education level favoring individuals at higher socioeconomic positions. Most of the individual health variation attributed to context happens at neighborhood level, based on random effects analyses. Our findings contribute to a further understanding of health inequalities in Brazil. The demonstrated synergism between state, neighborhood and individual level determinants of health supports inter-sectoral policies and interventions in a clearly multileveled way.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Income distribution, Neighborhood basic infrastructure, Self-rated health, Social stress, Three-level model
in
Health and Place
volume
52
pages
8 pages
publisher
Elsevier
external identifiers
  • pmid:29894906
  • scopus:85048167749
ISSN
1353-8292
DOI
10.1016/j.healthplace.2018.05.012
language
English
LU publication?
yes
id
2d551bbb-8c89-4e72-a48e-6e127383088a
date added to LUP
2018-06-20 15:13:49
date last changed
2021-10-06 05:19:42
@article{2d551bbb-8c89-4e72-a48e-6e127383088a,
  abstract     = {<p>Our hypothesis is that neighborhood infrastructure modifies the association between state-level income distribution and self-rated health. In our findings neighborhood infrastructure amplifies the association between income equality and self-rated health, yet with a differential impact on health according to sex, race and education level favoring individuals at higher socioeconomic positions. Most of the individual health variation attributed to context happens at neighborhood level, based on random effects analyses. Our findings contribute to a further understanding of health inequalities in Brazil. The demonstrated synergism between state, neighborhood and individual level determinants of health supports inter-sectoral policies and interventions in a clearly multileveled way.</p>},
  author       = {Vincens, Natalia and Emmelin, Maria and Stafström, Martin},
  issn         = {1353-8292},
  language     = {eng},
  month        = {07},
  pages        = {155--162},
  publisher    = {Elsevier},
  series       = {Health and Place},
  title        = {The interplay of contextual layers : A multilevel analysis of income distribution, neighborhood infrastructure, socioeconomic position and self-rated health in Brazil},
  url          = {http://dx.doi.org/10.1016/j.healthplace.2018.05.012},
  doi          = {10.1016/j.healthplace.2018.05.012},
  volume       = {52},
  year         = {2018},
}