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Do places matter? A multi-level analysis of regional variations in health-related behaviour in Britain

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  • Duncan, Craig
  • Jones, Kelvyn
  • Moon, Graham

Abstract

A number of commentators have argued that there is a distinctive geography of health-related behaviour. Behaviour has to be understood not only in terms of individual characteristics, but also in relation to local cultures. Places matter, and the context in which behaviour takes place is crucial for understanding and policy. Previous empirical research has been unable to operationalize these ideas and take simultaneous account of both individual compositional and aggregate contextual factors. The present paper addresses this shortcoming through a multi-level analysis of smoking and drinking behaviours recorded in a large-scale national survey. It suggests that place, expressed as regional differences, may be less important than previously implied.

Suggested Citation

  • Duncan, Craig & Jones, Kelvyn & Moon, Graham, 1993. "Do places matter? A multi-level analysis of regional variations in health-related behaviour in Britain," Social Science & Medicine, Elsevier, vol. 37(6), pages 725-733, September.
    • Handle: RePEc:eee:socmed:v:37:y:1993:i:6:p:725-733
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    1. Stephen Birch, 1999. "The 39 steps: the mystery of health inequalities in the UK," Health Economics, John Wiley & Sons, Ltd., vol. 8(4), pages 301-308, June.
    2. Merlo, Juan & Ohlsson, Henrik & Chaix, Basile & Lichtenstein, Paul & Kawachi, Ichiro & Subramanian, S.V., 2013. "Revisiting causal neighborhood effects on individual ischemic heart disease risk: A quasi-experimental multilevel analysis among Swedish siblings," Social Science & Medicine, Elsevier, vol. 76(C), pages 39-46.
    3. Jiyoung Park & Peter Gordon & James E. Moore Ii & Harry W. Richardson, 2008. "The State‐by‐State Economic Impacts of the 2002 Shutdown of the Los Angeles–Long Beach Ports," Growth and Change, Wiley Blackwell, vol. 39(4), pages 548-572, December.
    4. Mohamed Amara & Hatem Jemmali, 2018. "Household and Contextual Indicators of Poverty in Tunisia: A Multilevel Analysis," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 137(1), pages 113-138, May.
    5. Lee, Seong Woo, 1999. "A Multi-Level Analysis of Residential Mobility: Role of Individual, Housing, and Metropolitan Factors," ERSA conference papers ersa99pa225, European Regional Science Association.
    6. Curtis, Sarah & Setia, Maninder S. & Quesnel-Vallee, Amelie, 2009. "Socio-geographic mobility and health status: A longitudinal analysis using the National Population Health Survey of Canada," Social Science & Medicine, Elsevier, vol. 69(12), pages 1845-1853, December.
    7. Birch, Stephen & Jerrett, Michael & Wilson, Kathi & Law, Michael & Elliott, Susan & Eyles, John, 2005. "Heterogeneities in the production of health: smoking, health status and place," Health Policy, Elsevier, vol. 72(3), pages 301-310, June.
    8. Merlo, Juan & Viciana-Fernández, Francisco J. & Ramiro-Fariñas, Diego, 2012. "Bringing the individual back to small-area variation studies: A multilevel analysis of all-cause mortality in Andalusia, Spain," Social Science & Medicine, Elsevier, vol. 75(8), pages 1477-1487.
    9. Cummins, Steven & Curtis, Sarah & Diez-Roux, Ana V. & Macintyre, Sally, 2007. "Understanding and representing 'place' in health research: A relational approach," Social Science & Medicine, Elsevier, vol. 65(9), pages 1825-1838, November.
    10. Gindo Tampubolon & S. V. Subramanian & Ichiro Kawachi, 2013. "Neighbourhood Social Capital And Individual Self‐Rated Health In Wales," Health Economics, John Wiley & Sons, Ltd., vol. 22(1), pages 14-21, January.
    11. Daniel J Corsi & Scott A Lear & Clara K Chow & S V Subramanian & Michael H Boyle & Koon K Teo, 2013. "Socioeconomic and Geographic Patterning of Smoking Behaviour in Canada: A Cross-Sectional Multilevel Analysis," PLOS ONE, Public Library of Science, vol. 8(2), pages 1-11, February.
    12. Mikko Laaksonen & Eero Lahelma & Ritva Prättälä, 2002. "Associations among health-related behaviours: Sociodemographic variation in Finland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 47(4), pages 225-232, July.
    13. Timiryanova, Venera & Zimin, Aleksandr, 2020. "Анализ Смертности Населения Методами Иерархического Анализа [Mortality of the population: estimation by methods of hierarchical analysis]," MPRA Paper 104159, University Library of Munich, Germany.
    14. Genevieve Giuliano & Peter Gordon & Qisheng Pan & JiYoung Park, 2010. "Accessibility and Residential Land Values: Some Tests with New Measures," Urban Studies, Urban Studies Journal Limited, vol. 47(14), pages 3103-3130, December.
    15. Juan Merlo & Philippe Wagner & Nermin Ghith & George Leckie, 2016. "An Original Stepwise Multilevel Logistic Regression Analysis of Discriminatory Accuracy: The Case of Neighbourhoods and Health," PLOS ONE, Public Library of Science, vol. 11(4), pages 1-31, April.
    16. Hjorthen, Sofie L. & Sund, Erik R. & Skalická, Věra & Krokstad, Steinar, 2020. "Understanding coastal public health: Employment, behavioural and psychosocial factors associated with geographical inequalities. The HUNT study, Norway," Social Science & Medicine, Elsevier, vol. 264(C).
    17. Corsi, Daniel J. & Finlay, Jocelyn E. & Subramanian, S.V., 2012. "Weight of communities: A multilevel analysis of body mass index in 32,814 neighborhoods in 57 low- to middle-income countries (LMICs)," Social Science & Medicine, Elsevier, vol. 75(2), pages 311-322.
    18. Schafer, Markus H. & Ferraro, Kenneth F., 2011. "Distal and variably proximal causes: Education, obesity, and health," Social Science & Medicine, Elsevier, vol. 73(9), pages 1340-1348.
    19. Southwell, Brian G. & Slater, Jonathan S. & Rothman, Alexander J. & Friedenberg, Laura M. & Allison, Tiffany R. & Nelson, Christina L., 2010. "The availability of community ties predicts likelihood of peer referral for mammography: Geographic constraints on viral marketing," Social Science & Medicine, Elsevier, vol. 71(9), pages 1627-1635, November.
    20. Pearson, Amber L. & Pearce, Jamie & Kingham, Simon, 2013. "Deprived yet healthy: Neighbourhood-level resilience in New Zealand," Social Science & Medicine, Elsevier, vol. 91(C), pages 238-245.
    21. Bell, Janice F. & Zimmerman, Frederick J. & Almgren, Gunnar R. & Mayer, Jonathan D. & Huebner, Colleen E., 2006. "Birth outcomes among urban African-American women: A multilevel analysis of the role of racial residential segregation," Social Science & Medicine, Elsevier, vol. 63(12), pages 3030-3045, December.
    22. Veenstra, Gerry & Luginaah, Isaac & Wakefield, Sarah & Birch, Stephen & Eyles, John & Elliott, Susan, 2005. "Who you know, where you live: social capital, neighbourhood and health," Social Science & Medicine, Elsevier, vol. 60(12), pages 2799-2818, June.
    23. E.-H. Yoo & C.-R. Lee & K.-H. Park, 2015. "Valuing Commercial Spaces in Multistory Buildings Using a Three-level Mixed-effects Modeling Approach," International Regional Science Review, , vol. 38(4), pages 413-436, October.
    24. Low, Chien Tat & Lai, Poh Chin & Li, Han Dong & Ho, Wai Kit & Wong, Paulina & Chen, Si & Wong, Wing Cheung, 2016. "Neighbourhood effects on body constitution–A case study of Hong Kong," Social Science & Medicine, Elsevier, vol. 158(C), pages 61-74.

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