A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
Neighbourhood effects in health behaviours: a test of social causation with repeat-measurement longitudinal data
Tekijät: Airaksinen J, Hakulinen C, Pulkki-Raback L, Lehtimaki T, Raitakari OT, Keltikangas-Jarvinen L, Jokela M
Kustantaja: OXFORD UNIV PRESS
Julkaisuvuosi: 2016
Journal: European Journal of Public Health
Tietokannassa oleva lehden nimi: EUROPEAN JOURNAL OF PUBLIC HEALTH
Lehden akronyymi: EUR J PUBLIC HEALTH
Vuosikerta: 26
Numero: 3
Aloitussivu: 417
Lopetussivu: 421
Sivujen määrä: 5
ISSN: 1101-1262
eISSN: 1464-360X
DOI: https://doi.org/10.1093/eurpub/ckv210
Tiivistelmä
Background: Neighbourhood characteristics have been associated with health behaviours of residents. We used longitudinal data to examine whether neighbourhood characteristics (level of urbanization and socioeconomic status) are related to within-individual variations in health behaviours (alcohol consumption, smoking, exercise and self-interest in health) as people live in different neighbourhoods over time.aEuro integral Methods: Participants were from the Young Finns prospective cohort study (N = 3145) with four repeated measurement times (1992, 2001, 2007 and 2011/2012). Neighbourhood socioeconomic status and level of urbanization were measured on the level of municipality and zip code area. Within-individual (i.e. fixed-effect) regression was used to examine whether these associations were observed within individuals who lived in different neighbourhood in different measurement times.aEuro integral Results: People living in more urban zip code areas were more likely to smoke (b = 0.06; CI = 0.03-0.09) and drink alcohol (b = 0.11; CI = 0.08-0.14), and these associations were replicated in within-individual analysis-supporting social causation. Neighbourhood socioeconomic status and urbanization were associated with higher interest in maintaining personal health (b = 0.05; CI = 0.03-0.08 and b = 0.05; CI = 0.02-0.07, respectively), and these associations were also similar in within-individual analysis. Physical exercise was not associated with neighbourhood characteristics.aEuro integral Conclusions: These data lend partial support for the hypothesis that neighbourhood differences influence people's health behaviours.
Background: Neighbourhood characteristics have been associated with health behaviours of residents. We used longitudinal data to examine whether neighbourhood characteristics (level of urbanization and socioeconomic status) are related to within-individual variations in health behaviours (alcohol consumption, smoking, exercise and self-interest in health) as people live in different neighbourhoods over time.aEuro integral Methods: Participants were from the Young Finns prospective cohort study (N = 3145) with four repeated measurement times (1992, 2001, 2007 and 2011/2012). Neighbourhood socioeconomic status and level of urbanization were measured on the level of municipality and zip code area. Within-individual (i.e. fixed-effect) regression was used to examine whether these associations were observed within individuals who lived in different neighbourhood in different measurement times.aEuro integral Results: People living in more urban zip code areas were more likely to smoke (b = 0.06; CI = 0.03-0.09) and drink alcohol (b = 0.11; CI = 0.08-0.14), and these associations were replicated in within-individual analysis-supporting social causation. Neighbourhood socioeconomic status and urbanization were associated with higher interest in maintaining personal health (b = 0.05; CI = 0.03-0.08 and b = 0.05; CI = 0.02-0.07, respectively), and these associations were also similar in within-individual analysis. Physical exercise was not associated with neighbourhood characteristics.aEuro integral Conclusions: These data lend partial support for the hypothesis that neighbourhood differences influence people's health behaviours.
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