ArticleInternational journal of environmental research and public health2013
The contribution of neighbourhood material and social deprivation to survival: a 22-year follow-up of more than 500,000 Canadians.
Article in International journal of environmental research and public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed.
- Neighborhood level factors and use of cigarettes, cannabis and e-cigarettes: A population-based study among Canadian adults.PloS one · 2025Article
- Distribution of legal retail cannabis stores in Canada by neighbourhood deprivation.Journal of cannabis research · 2024Article
- Neighbourhood socioeconomic improvement, residential mobility and premature death: a population-based cohort study and inverse probability of treatment weighting analysis.International journal of epidemiology · 2023Article
- Association between the regional variation in premature mortality and immigration in Ontario, Canada.Canadian journal of public health = Revue canadienne de sante publique · 2020Article
- Non-compensatory aggregation method to measure social and material deprivation in an urban area: relationship with premature mortality.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- Socioeconomic factors and mortality in patients with atrial fibrillation-a cohort study in Swedish primary care.European journal of public health · 2018Article
- Community Socioeconomic Disadvantage in Midlife Relates to Cortical Morphology via Neuroendocrine and Cardiometabolic Pathways.Cerebral cortex (New York, N.Y. : 1991) · 2017Article
- Risk estimates of mortality attributed to low concentrations of ambient fine particulate matter in the Canadian community health survey cohort.Environmental health : a global access science source · 2016Article
- Socioeconomic modifiers of genetic and environmental influences on body mass index in adult twins.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2016Article
- Neighbourhood socio-economic status and all-cause mortality in adults with atrial fibrillation: A cohort study of patients treated in primary care in Sweden.International journal of cardiology · 2016Article
- Neighbourhood immigrant concentration and hospitalization: a multilevel analysis of cardiovascular-related admissions in Ontario using linked data.Canadian journal of public health = Revue canadienne de sante publique · 2014Article
- Construction of an environmental quality index for public health research.Environmental health : a global access science source · 2014Article
- Observational
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3 authors.
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Abstract
backgroundWe examined the incremental influence on survival of neighbourhood material and social deprivation while accounting for individual level socioeconomic status in a large population-based cohort of Canadians.
methodsMore than 500,000 adults were followed for 22 years between 1982 and 2004. Tax records provided information on sex, income, marital status and postal code while a linkage was used to determine vital status. Cox models were used to estimate hazard ratios (HR) for quintiles of neighbourhood material and social deprivation.
resultsThere were 180,000 deaths over the follow-up period. In unadjusted analyses, those living in the most materially deprived neighbourhoods had elevated risks of mortality (HR(males) 1.37, 95% CI: 1.33-1.41; HR(females) 1.20, 95% CI: 1.16-1.24) when compared with those living in the least deprived neighbourhoods. Mortality risk was also elevated for those living in socially deprived neighbourhoods (HR(males) 1.15, CI: 1.12-1.18; HR(females) 1.15, CI: 1.12-1.19). Mortality risk associated with material deprivation remained elevated in models that adjusted for individual factors (HR(males) 1.20, CI: 1.17-1.24; HR(females) 1.16, CI: 1.13-1.20) and this was also the case for social deprivation (HR(males) 1.12, CI: 1.09-1.15; HR(females) 1.09, CI: 1.05-1.12). Immigrant neighbourhoods were protective of mortality risk for both sexes. Being poor and living in the most socially advantageous neighbourhoods translated into a survival gap of 10% over those in the most socially deprived neighbourhoods. The gap for material neighbourhood deprivation was 7%.
conclusionsLiving in socially and materially deprived Canadian neighbourhoods was associated with elevated mortality risk while we noted a "healthy immigrant neighbourhood effect". For those with low family incomes, living in socially and materially deprived areas negatively affected survival beyond their individual circumstances.
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