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    Neighbourhood social and physical environment and general practitioner assessed morbidity.

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    Authors
    Groenewegen, Peter P
    Zock, Jan-Paul
    Spreeuwenberg, Peter
    Helbich, Marco
    Hoek, Gerard
    Ruijsbroek, Annemarie
    Strak, Maciej
    Verheij, Robert
    Volker, Beate
    Waverijn, Geeke
    Dijst, Martin
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    Article
    Language
    en
    
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    Title
    Neighbourhood social and physical environment and general practitioner assessed morbidity.
    Published in
    Health Place 2017; 49:68-84
    Publiekssamenvatting
    The aim of our study was to investigate the association between health enhancing and threatening, and social and physical aspects of the neighbourhood environment and general practitioner (GP) assessed morbidity of the people living there, in order to find out whether the effects of environmental characteristics add up or modify each other. We combined GP electronic health records with environmental data on neighbourhoods in the Netherlands. Cross-classified logistic multilevel models show the importance of taking into account several environmental characteristics and confounders, as social capital effects on the prevalence of morbidity disappear when other area characteristics are taken into account. Stratification by area socio-economic status, shows that the association between environmental characteristics and the prevalence of morbidity is stronger for people living in low SES areas. In low SES areas, green space seems to alleviate effects of air pollution on the prevalence of high blood pressure and diabetes, while the effects of green space and social capital reinforce each other.
    DOI
    10.1016/j.healthplace.2017.11.006
    PMID
    29227885
    URI
    http://hdl.handle.net/10029/621630
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.healthplace.2017.11.006
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