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dc.contributor.authorGroenewegen, Peter P
dc.contributor.authorZock, Jan-Paul
dc.contributor.authorSpreeuwenberg, Peter
dc.contributor.authorHelbich, Marco
dc.contributor.authorHoek, Gerard
dc.contributor.authorRuijsbroek, Annemarie
dc.contributor.authorStrak, Maciej
dc.contributor.authorVerheij, Robert
dc.contributor.authorVolker, Beate
dc.contributor.authorWaverijn, Geeke
dc.contributor.authorDijst, Martin
dc.date.accessioned2018-03-14T13:46:43Z
dc.date.available2018-03-14T13:46:43Z
dc.date.issued2018-01
dc.identifier.citationNeighbourhood social and physical environment and general practitioner assessed morbidity. 2018, 49:68-84 Health Placeen
dc.identifier.issn1873-2054
dc.identifier.pmid29227885
dc.identifier.doi10.1016/j.healthplace.2017.11.006
dc.identifier.urihttp://hdl.handle.net/10029/621630
dc.description.abstractThe 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.
dc.language.isoenen
dc.rightsArchived with thanks to Health & placeen
dc.titleNeighbourhood social and physical environment and general practitioner assessed morbidity.en
dc.typeArticleen
dc.identifier.journalHealth Place 2017; 49:68-84en
refterms.dateFOA2018-12-18T14:10:48Z
html.description.abstractThe 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.


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