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AJPH First Look, published online ahead of print Mar 29, 2007
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AJPH.2005.069443v1
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©
American Journal of Public Health, 10.2105/AJPH.2005.069443

Research and Practice

The Relationship Between Neighborhood Characteristics and Self-Rated Health for Adults With Chronic Conditions

Arleen F. Brown 1*, Alfonso Ang 1, Anne R. Pebley 1

1 UCLA

* To whom correspondence should be addressed. E-mail: abrown{at}mednet.ucla.edu.


  Abstract

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.

Key Words: Chronic Disease, Environment, Socioeconomic Factors




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