HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2005.069443v1 97/5/926    most recent Submit a response View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (7) Citing Articles via Google Scholar Google Scholar Articles by Brown, A. F. Articles by Pebley, A. R. Search for Related Content PubMed PubMed Citation Articles by Brown, A. F. Articles by Pebley, A. R. Related Collections Other Chronic Disease Socioeconomic Factors Other Environment

Arleen F. Brown, MD, PhD, Alfonso Ang, PhD and Anne R. Pebley, PhD

Arleen F. Brown and Alfonso Ang are with the Division of General Internal Medicine and Health Services Research, University of California, Los Angeles. Anne R. Pebley is with the School of Public Health, University of California, Los Angeles, and the Rand Corporation, Santa Monica, Calif.

Correspondence: Requests for reprints should be sent to Arleen F. Brown, MD, PhD, UCLA Division of General Internal Medicine and Health Services Research, 911 Broxton Plaza, Los Angeles, CA 90024 (e-mail: abrown{at}mednet.ucla.edu).

Objectives. We sought to determine whether the association between neighborhood characteristics and health differs for people with and without a chronic condition.

Methods. We analyzed data from 2536 adults from the Los Angeles Family and Neighborhood Survey and evaluated the relationship between the presence of a chronic condition at the individual level, neighborhood socioeconomic status (SES), and self-rated health. We constructed multilevel models to evaluate the relationship between the neighborhood SES index and self-rated health for people with and without chronic conditions, after adjustment for other individual characteristics.

Results. Having a chronic condition was associated with substantially poorer self-rated health among participants in a deprived area than among those in a more advantaged area.

Conclusions. Residence in a disadvantaged neighborhood may be associated with barriers to the management of a chronic condition. Further work is needed to identify the specific characteristics of disadvantaged areas associated with poorer self-rated health for adults with chronic conditions.

This article has been cited by other articles:

				E. D. Peterson, J. A. Spertus, D. J. Cohen, M. A. Hlatky, A. S. Go, B. G. Vickrey, J. L. Saver, and P. C. Hinton Vision and Creation of the American Heart Association Pharmaceutical Roundtable Outcomes Research Centers Circ Cardiovasc Qual Outcomes, November 1, 2009; 2(6): 663 - 670. [Abstract] [Full Text] [PDF]

				K. Ladin, N. Daniels, and I. Kawachi Exploring the Relationship Between Absolute and Relative Position and Late-Life Depression: Evidence From 10 European Countries Gerontologist, June 9, 2009; (2009) gnp065v1. [Abstract] [Full Text] [PDF]

				R. Wexler, D. Feldman, D. Larson, L. T. Sinnott, L. A. Jones, and J. Miner Adoption of Exercise and Readiness to Change Differ Between Whites and African-Americans with Hypertension: A Report from The Ohio State University Primary Care Practice-Based Research Network (OSU-PCPBRN) J Am Board Fam Med, July 1, 2008; 21(4): 358 - 360. [Abstract] [Full Text] [PDF]

				T. L. Gary, M. M. Safford, R. B. Gerzoff, S. L. Ettner, A. J. Karter, G. L. Beckles, and A. F. Brown Perception of Neighborhood Problems, Health Behaviors, and Diabetes Outcomes Among Adults With Diabetes in Managed Care: The Translating Research Into Action for Diabetes (TRIAD) Study Diabetes Care, February 1, 2008; 31(2): 273 - 278. [Abstract] [Full Text] [PDF]