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Objectively Measured Residential Environment and Self-Reported Health: A Multilevel Analysis of UK Census Data

Author

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  • Frank Dunstan
  • David L Fone
  • Myer Glickman
  • Stephen Palmer

Abstract

Little is known about the association between health and the quality of the residential environment. What is known is often based on subjective assessments of the environment rather than on measurements by independent observers. The aim of this study, therefore, was to determine the association between self-reported general health and an objectively assessed measure of the residential environment. We studied over 30,000 residents aged 18 or over living in 777 neighbourhoods in south Wales. Built environment quality was measured by independent observers using a validated tool, the Residential Environment Assessment Tool (REAT), at unit postcode level. UK Census data on each resident, which included responses to a question which assessed self-reported general health, was linked to the REAT score. The Census data also contained detailed information on socio-economic and demographic characteristics of all respondents and was also linked to the Welsh Index of Multiple Deprivation. After adjusting for both the individual characteristics and area deprivation, respondents in the areas of poorest neighbourhood quality were more likely to report poor health compared to those living in areas of highest quality (OR 1.36, 95% confidence interval 1.22–1.49). The particular neighbourhood characteristics associated with poor health were physical incivilities and measures of how well the residents maintained their properties. Measures of green space were not associated with self-reported health. This is the first full population study to examine such associations and the results demonstrate the importance for health of the quality of the neighbourhood area in which people live and particularly the way in which residents behave towards their own and their neighbours’ property. A better understanding of causal pathways that allows the development of interventions to improve neighbourhood quality would offer significant potential health gains.

Suggested Citation

  • Frank Dunstan & David L Fone & Myer Glickman & Stephen Palmer, 2013. "Objectively Measured Residential Environment and Self-Reported Health: A Multilevel Analysis of UK Census Data," PLOS ONE, Public Library of Science, vol. 8(7), pages 1-7, July.
    • Handle: RePEc:plo:pone00:0069045
    DOI: 10.1371/journal.pone.0069045
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    References listed on IDEAS

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    Cited by:

    1. Zhenhua Zheng & Hong Chen, 2021. "The Relationship among Community Environment, Behavior, Activity Ability, and Self-Rated Health of Older Adults: A Hierarchical and Multi-Dimensional Comparative Study," IJERPH, MDPI, vol. 18(14), pages 1-12, July.
    2. Chongxian Chen & Weijing Luo & Ning Kang & Haiwei Li & Xiaohao Yang & Yu Xia, 2020. "Study on the Impact of Residential Outdoor Environments on Mood in the Elderly in Guangzhou, China," Sustainability, MDPI, vol. 12(9), pages 1-18, May.
    3. Moses Wong & Ruby Yu & Jean Woo, 2017. "Effects of Perceived Neighbourhood Environments on Self-Rated Health among Community-Dwelling Older Chinese," IJERPH, MDPI, vol. 14(6), pages 1-17, June.
    4. Zhenhua Zheng & Hong Chen & Liu Yang, 2019. "Transfer of Promotion Effects on Elderly Health with Age: From Physical Environment to Interpersonal Environment and Social Participation," IJERPH, MDPI, vol. 16(15), pages 1-15, August.
    5. O'Brien, Daniel T. & Farrell, Chelsea & Welsh, Brandon C., 2019. "Broken (windows) theory: A meta-analysis of the evidence for the pathways from neighborhood disorder to resident health outcomes and behaviors," Social Science & Medicine, Elsevier, vol. 228(C), pages 272-292.
    6. Annemarie Ruijsbroek & Sigrid M. Mohnen & Mariël Droomers & Hanneke Kruize & Christopher Gidlow & Regina Gražulevičiene & Sandra Andrusaityte & Jolanda Maas & Mark J. Nieuwenhuijsen & Margarita Trigue, 2017. "Neighbourhood green space, social environment and mental health: an examination in four European cities," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(6), pages 657-667, July.
    7. Wen Zhong & Jian Suo & Xinxin Ren & Guopeng Li, 2021. "The Influence of Emotional Health on the Activity Characteristics of the Elderly and the Selection of Environmental Quality Factors in Residential Areas," IJERPH, MDPI, vol. 18(23), pages 1-18, November.
    8. Nuan-Ching Huang & Shiann-Far Kung & Susan C. Hu, 2018. "The Relationship between Urbanization, the Built Environment, and Physical Activity among Older Adults in Taiwan," IJERPH, MDPI, vol. 15(5), pages 1-20, April.
    9. Adriana Loureiro & Paula Santana & Carla Nunes & Ricardo Almendra, 2019. "The Role of Individual and Neighborhood Characteristics on Mental Health after a Period of Economic Crisis in the Lisbon Region (Portugal): A Multilevel Analysis," IJERPH, MDPI, vol. 16(15), pages 1-16, July.
    10. Zhenhua Zheng & Liu (Lydia) Yang, 2019. "Neighborhood Environment, Lifestyle, and Health of Older Adults: Comparison of Age Groups Based on Ecological Model of Aging," Sustainability, MDPI, vol. 11(7), pages 1-16, April.

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