Assessing associations between socio-economic environment and self-reported health in Amsterdam using bespoke environments.

<h4>Background</h4>The study of the relationship between residential environment and health at micro area level has a long time been hampered by a lack of micro-scale data. Nowadays data is registered at a much more detailed scale. In combination with Geographic Information System (GIS)-...

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Autores principales:	Eleonore M Veldhuizen, Karien Stronks, Anton E Kunst
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/fd4d4092bcba4878a1be532cfc311422
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id	oai:doaj.org-article:fd4d4092bcba4878a1be532cfc311422
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spelling	oai:doaj.org-article:fd4d4092bcba4878a1be532cfc3114222021-11-18T07:37:23ZAssessing associations between socio-economic environment and self-reported health in Amsterdam using bespoke environments.1932-620310.1371/journal.pone.0068790https://doaj.org/article/fd4d4092bcba4878a1be532cfc3114222013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23874765/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The study of the relationship between residential environment and health at micro area level has a long time been hampered by a lack of micro-scale data. Nowadays data is registered at a much more detailed scale. In combination with Geographic Information System (GIS)-techniques this creates opportunities to look at the relationship at different scales, including very local ones. The study illustrates the use of a 'bespoke environment' approach to assess the relationship between health and socio-economic environment.<h4>Methods</h4>We created these environments by buffer-operations and used micro-scale data on 6-digit postcode level to describe these individually tailored areas around survey respondents in an accurate way. To capture the full extent of area effects we maximized variation in socio-economic characteristics between areas. The area effect was assessed using logistic regression analysis.<h4>Results</h4>Although the contribution of the socio-economic environment in the explanation of health was not strong it tended to be stronger at a very local level. A positive association was observed only when these factors were measured in buffers smaller than 200 meters. Stronger associations were observed when restricting the analysis to socioeconomically homogeneous buffers. Scale effects proved to be highly important but potential boundary effects seemed not to play an important role. Administrative areas and buffers of comparable sizes came up with comparable area effects.<h4>Conclusions</h4>This study shows that socio-economic area effects reveal only on a very micro-scale. It underlines the importance of the availability of micro-scale data. Through scaling, bespoke environments add a new dimension to study environment and health.Eleonore M VeldhuizenKarien StronksAnton E KunstPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 7, p e68790 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Eleonore M Veldhuizen Karien Stronks Anton E Kunst Assessing associations between socio-economic environment and self-reported health in Amsterdam using bespoke environments.
description	<h4>Background</h4>The study of the relationship between residential environment and health at micro area level has a long time been hampered by a lack of micro-scale data. Nowadays data is registered at a much more detailed scale. In combination with Geographic Information System (GIS)-techniques this creates opportunities to look at the relationship at different scales, including very local ones. The study illustrates the use of a 'bespoke environment' approach to assess the relationship between health and socio-economic environment.<h4>Methods</h4>We created these environments by buffer-operations and used micro-scale data on 6-digit postcode level to describe these individually tailored areas around survey respondents in an accurate way. To capture the full extent of area effects we maximized variation in socio-economic characteristics between areas. The area effect was assessed using logistic regression analysis.<h4>Results</h4>Although the contribution of the socio-economic environment in the explanation of health was not strong it tended to be stronger at a very local level. A positive association was observed only when these factors were measured in buffers smaller than 200 meters. Stronger associations were observed when restricting the analysis to socioeconomically homogeneous buffers. Scale effects proved to be highly important but potential boundary effects seemed not to play an important role. Administrative areas and buffers of comparable sizes came up with comparable area effects.<h4>Conclusions</h4>This study shows that socio-economic area effects reveal only on a very micro-scale. It underlines the importance of the availability of micro-scale data. Through scaling, bespoke environments add a new dimension to study environment and health.
format	article
author	Eleonore M Veldhuizen Karien Stronks Anton E Kunst
author_facet	Eleonore M Veldhuizen Karien Stronks Anton E Kunst
author_sort	Eleonore M Veldhuizen
title	Assessing associations between socio-economic environment and self-reported health in Amsterdam using bespoke environments.
title_short	Assessing associations between socio-economic environment and self-reported health in Amsterdam using bespoke environments.
title_full	Assessing associations between socio-economic environment and self-reported health in Amsterdam using bespoke environments.
title_fullStr	Assessing associations between socio-economic environment and self-reported health in Amsterdam using bespoke environments.
title_full_unstemmed	Assessing associations between socio-economic environment and self-reported health in Amsterdam using bespoke environments.
title_sort	assessing associations between socio-economic environment and self-reported health in amsterdam using bespoke environments.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/fd4d4092bcba4878a1be532cfc311422
work_keys_str_mv	AT eleonoremveldhuizen assessingassociationsbetweensocioeconomicenvironmentandselfreportedhealthinamsterdamusingbespokeenvironments AT karienstronks assessingassociationsbetweensocioeconomicenvironmentandselfreportedhealthinamsterdamusingbespokeenvironments AT antonekunst assessingassociationsbetweensocioeconomicenvironmentandselfreportedhealthinamsterdamusingbespokeenvironments
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Assessing associations between socio-economic environment and self-reported health in Amsterdam using bespoke environments.

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