ArticleInternational journal of epidemiology2022
Separate and combined effects of individual and neighbourhood socio-economic disadvantage on health-related lifestyle risk factors: a multilevel analysis.
Article in International journal of epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Does Social and Economic Disadvantage Predict Lower Engagement with Parenting Interventions? An Integrative Analysis Using Individual Participant Data.Prevention science : the official journal of the Society for Prevention Research · 2023Pooled it
- Neighborhood Stress in Relation to Mental Health Symptoms and the Moderating Role of Perceived Stress in US Young Adults.Journal of racial and ethnic health disparities · 2026Article
- Trajectories of psychotic-like experiences in youth and associations with lifestyle factors.Journal of child psychology and psychiatry, and allied disciplines · 2026Article
- Causal Loop Diagrams of Food Systems, Diet, and Obesity: A Scoping Review of Methods, Contextual Factors, and Outcomes.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Article
- Neighborhood Socioeconomic Disadvantage and Frailty among Mid-to-Older-Aged Adults in Australia: Cross-Sectional and Longitudinal Associations.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Poverty and Social Disadvantage in Women and Men and Fertility Outcomes.JAMA network open · 2025Article
- Living in an unhealthy neighbourhood impacts individual employment status.BMC public health · 2025Article
- Effects of students' psychological needs satisfaction on interprofessional competencies: a multilevel analysis.BMC medical education · 2025Article
- Association between community-based health services and health lifestyles of older adults: evidence from China.BMC geriatrics · 2025Article
- Nutritional Risk Factors Model of Community-Dwelling Older People in Poland-Pilot Study.Nutrients · 2025Article
- Non-communicable disease burden through adhering to Dutch dietary guidelines: a modeling study to estimate future reductions.EClinicalMedicine · 2025Article
- High-Risk Infant Developmental Outcome Is Associated with Medical Complexity and Neighborhood Opportunity.The Journal of pediatrics · 2025Article
- Socioeconomic disparities in dietary diversity among adults in Bengbu, China: unraveling the mediating role of nutrition literacy.Frontiers in nutrition · 2025Article
- Small-area spatio-temporal analysis of cancer risk to support effective and equitable cancer prevention.PloS one · 2025Article
- Heterogeneity in disparities by income in cardiovascular risk factors across 209 US metropolitan areas.Preventive medicine reports · 2024Article
- Neighborhood Socioeconomic Disadvantage Across the Life Course and Premature Mortality.JAMA network open · 2024Article
- Maternal dietary patterns and placental outcomes among pregnant women in Los Angeles.Placenta · 2024Article
- Health Promotion Values Underlying Healthy Eating Strategies in The Netherlands.International journal of environmental research and public health · 2023Article
- The importance of socio-economic determinants of health in the care of patients with peripheral artery disease: A narrative review from VAS.Vascular medicine (London, England) · 2023Review
- The Effect of Periodic Email Prompts on Participant Engagement With a Behavior Change mHealth App: Longitudinal Study.JMIR mHealth and uHealth · 2023Article
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Authors and funding
9 authors.
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Abstract
backgroundSocio-economic disadvantage at both individual and neighbourhood levels has been found to be associated with single lifestyle risk factors. However, it is unknown to what extent their combined effects contribute to a broad lifestyle profile. We aimed to (i) investigate the associations of individual socio-economic disadvantage (ISED) and neighbourhood socio-economic disadvantage (NSED) in relation to an extended score of health-related lifestyle risk factors (lifestyle risk index); and to (ii) investigate whether NSED modified the association between ISED and the lifestyle risk index.
methodsOf 77 244 participants [median age (IQR): 46 (40-53) years] from the Lifelines cohort study in the northern Netherlands, we calculated a lifestyle risk index by scoring the lifestyle risk factors including smoking status, alcohol consumption, diet quality, physical activity, TV-watching time and sleep time. A higher lifestyle risk index was indicative of an unhealthier lifestyle. Composite scores of ISED and NSED based on a variety of socio-economic indicators were calculated separately. Linear mixed-effect models were used to examine the association of ISED and NSED with the lifestyle risk index and to investigate whether NSED modified the association between ISED and the lifestyle risk index by including an interaction term between ISED and NSED.
resultsBoth ISED and NSED were associated with an unhealthier lifestyle, because ISED and NSED were both positively associated with the lifestyle risk index {highest quartile [Q4] ISED beta-coefficient [95% confidence interval (CI)]: 0.64 [0.62-0.66], P < 0.001; highest quintile [Q5] NSED beta-coefficient [95% CI]: 0.17 [0.14-0.21], P < 0.001} after adjustment for age, sex and body mass index. In addition, a positive interaction was found between NSED and ISED on the lifestyle risk index (beta-coefficient 0.016, 95% CI: 0.011-0.021, Pinteraction < 0.001), which indicated that NSED modified the association between ISED and the lifestyle risk index; i.e. the gradient of the associations across all ISED quartiles (Q4 vs Q1) was steeper among participants residing in the most disadvantaged neighbourhoods compared with those who resided in the less disadvantaged neighbourhoods.
conclusionsOur findings suggest that public health initiatives addressing lifestyle-related socio-economic health differences should not only target individuals, but also consider neighbourhood factors.
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