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Comparing subjective and objective neighbourhood deprivation and their association with health over time among older adults in England

Version 2 2023-06-12, 07:29
Version 1 2023-06-09, 15:38
journal contribution
posted on 2023-06-12, 07:29 authored by Simran Godhwani, Stephen Jivraj, Alan Marshall, Laia Becares
The importance of neighbourhood on individual health is widely documented. Less is known about the relative role of objective and subjective reports of neighbourhood conditions, how their effect on health changes as people age, and whether they moderate each other’s impact on health. This study uses the English Longitudinal Study of Ageing (ELSA) to determine whether older adults report worse self-rated health as they age, and whether this differs between objective and subjective measures of neighbourhood. ELSA data contain 53,988 person-years across six waves collected biannually between 2002 and 03 and 2012 and 13. Objective neighbourhood conditions are measured by the 2004 Index of Multiple Deprivation, and subjective neighbourhood conditions are captured by a summative neighbourhood dissatisfaction score. We find both objective and subjective neighbourhood composite scores independently predict poor health. There is no change over time in the probability of reporting poor health by baseline objective or subjective neighbourhood scores, suggesting neighbourhood effects do not compound as older adults age. There is no moderating effect of area dissatisfaction on the relationship between neighbourhood deprivation and health. The findings provide little support for causal neighbourhood effects operating in later life and indicate different causal pathways through which objective and subjective neighbourhood deprivation impact on health.

History

Publication status

  • Published

File Version

  • Published version

Journal

Health & Place

ISSN

1353-8292

Publisher

Elsevier

Volume

55

Page range

51-58

Department affiliated with

  • Social Work and Social Care Publications

Full text available

  • Yes

Peer reviewed?

  • Yes

Legacy Posted Date

2018-10-29

First Open Access (FOA) Date

2018-12-10

First Compliant Deposit (FCD) Date

2018-10-29

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