Abstract.
Objective:
We examined associations between neighbourhood socioeconomic deprivation and health-related quality of life, and estimated the mediating effects of individual-level lifestyle, housing, and perception of the neighbourhood environment.
Methods:
Two different data sources were used: 1) neighbourhood- level objective socioeconomic indicators, and 2) individual-level questionnaires from a community survey (response rate: 48%) to assess quality of life, neighbourhood perceptions, housing variables, and lifestyle. Multilevel analyses were conducted using both neighbourhood-level and individual-level data.
Results:
Neighbourhood-level socioeconomic deprivation was associated with two aspects of individual-level quality of life: mental health and perceived health. Individual-level neighbourhood perceptions regarding social cohesion mediated these associations. Lifestyle also had mediating effects.
Conclusion:
Neighbourhood socioeconomic deprivation variables may impact on the individual through cognitive mechanisms that are associated with appraisal of the wider social environment.
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Drukker, M., van Os, J. Mediators of neighbourhood socioeconomic deprivation and quality of life. Soc Psychiatry Psychiatr Epidemiol 38, 698–706 (2003). https://doi.org/10.1007/s00127-003-0690-8
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DOI: https://doi.org/10.1007/s00127-003-0690-8