ArticleBMJ open2018
Neighbourhood socioeconomic position and risks of major chronic diseases and all-cause mortality: a quasi-experimental study.
Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Dietary inflammation and socioeconomic status mediate depression-constipation link: a cross-sectional analysis of NHANES 2005-2010.Frontiers in nutrition · 2025Article
- Neighborhood deprivation, racial segregation and associations with cancer risk and outcomes across the cancer-control continuum.Molecular psychiatry · 2023Review
- The Structural Violence Trap: Disparities in Homicide, Chronic Disease Death, and Social Factors Across San Francisco Neighborhoods.Journal of the American College of Surgeons · 2022Article
- The health potential of neighborhoods: A population-wide study in the Netherlands.SSM - population health · 2021Article
- Gender difference of geographic distribution of the stroke incidence affected by socioeconomic, clinical and urban-rural factors: an ecological study based on data from the Brest stroke registry in France.BMC public health · 2021Article
- The Mortality Risk and Socioeconomic Vulnerability Associated with High and Low Temperature in Hong Kong.International journal of environmental research and public health · 2020Article
- Social Determinants of Myocardial Infarction Risk and Survival: A Systematic Review.European journal of cardiovascular research · 2020Article
- Neighborhood Socioeconomic Status and Health Care Costs: A Population-Wide Study in the Netherlands.American journal of public health · 2019Article
- The parental co-immunization hypothesis: An observational competing risks analysis.Scientific reports · 2019Article
Corrections and comments
- Erratum issuedCorrection:2019
Authors and funding
5 authors.
Funding
Abstract
objectivesThis study estimated the health impacts of neighbourhood socioeconomic position (SEP) among public housing residents. Because applicants to public housing were assigned to housing projects primarily based on factors other than personal choice, we capitalised on a quasirandom source of variation in neighbourhood of residence to obtain more valid estimates of the health impacts of neighbourhood SEP.
designQuasiexperimental study.
settingGreater Metropolitan Toronto area, Canada.
participantsResidents (24 019-28 858 adults age ≥30 years in 1994 for all outcomes except for asthma, for which the sample was expanded to 66 627 individuals age ≥4 years) of public housing on 1 January 1994. OUTCOME MEASURES: Incident hypertension, diabetes, asthma, and acute myocardial infarction (MI) and all-cause mortality between 1 January 1994 and 31 December 2006. We used multivariate Cox proportional hazards models to estimate hazard ratios (HRs) for the associations between the quartile of census tract-level SEP and the risk of diagnosis of each health outcome as well as death from any cause.
resultsLiving in a public housing project in the second highest neighbourhood SEP quartile (Q3) was associated with lower hazards of acute MI (HR=0.76, 95% CI 0.54 to 1.07; P=0.11), incident asthma (HR=0.80, 95% CI 0.67 to 0.96; P=0.02) and all-cause mortality (HR=0.86, 95% CI 0.73 to 1.01; P=0.06) compared to living in the lowest neighbourhood SEP quartile (Q1), although only the trend for incident asthma reached statistical significance (P for trend=0.04). By contrast, the associations corresponding to living in the highest versus lowest quartile of median household income (Q4 vs Q1) were neither consistent in direction nor significant. The inconsistent associations may partly be attributed to selection and status incongruity.
conclusionThis study provides new evidence compatible with protective influences of higher neighbourhood SEP on health outcomes, particularly asthma.
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