The place where you live and self-rated health in a large urban area

Rodrigues, Daiana Elias; César, Cibele Comini; Xavier, César Coelho; Caiaffa, Waleska Teixeira; Proietti, Fernando Augusto

doi:10.1590/0102-311x00166714

Cited by 14 publications

(12 citation statements)

References 34 publications

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“…In this study, “citizens’ services,” a factor related to women’s general health, refers to the respondents’ perceived access to a family health center, as well as the extent of opportunities for community participation in plans and events within the neighborhood. These findings are consistent with two studies from Brazil demonstrating links between the quality of public services and better self-reported health [ 5 , 16 ]. Prioritizing the early availability of good citizens’ services in new neighborhoods may help deliver better self-reported general health for their residents.…”

Section: Discussionsupporting

confidence: 92%

“…Previous international studies have identified a wide range of neighborhood environmental factors that are associated with self-reported general health: neighborhood problems [ 17 ], sociability [ 18 ], neighborhood amenities [ 19 ], the physical quality of residential areas [ 20 ], fewer physical and social disorders [ 5 ], the neighborhood’s physical environment [ 4 ], social cohesion and a general feeling of safety [ 21 ], and social safety [ 22 ]. While our results, which focus on middle-aged women in urban neighborhoods, did not identify some of these relationships, each of these factors has a potential impact on self-reported health in different contexts and populations in Mongolia and should be considered in future studies.…”

Section: Discussionmentioning

confidence: 99%

“…Studies have discussed the association between the physical and social environments of neighborhoods and the health of their residents. In particular, residents’ perceptions of their neighborhood environment might be associated with their health [ 4 , 5 ]. While some evidence of a correlation between social capital and health in low-middle income countries has been accumulated [ 6 ], other aspects of the correlation between neighborhood environment and health have not been well discussed in low–middle-income countries.…”

Section: Introductionmentioning

confidence: 99%

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Association between perceived neighborhood environment and health of middle-aged women living in rapidly changing urban Mongolia

Shagdarsuren

Nakamura

McCay

2017

Environ Health Prev Med

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BackgroundThis study was conducted in rapidly urbanizing Ulaanbaatar, Mongolia, to examine patterns of perceived neighborhood quality by residents and the associations between these patterns and self-reported general and mental health in middle-aged women.MethodsA questionnaire survey was administered to 960 women aged 40–60 years. Demographic and socio-economic characteristics, subjects’ perception of their neighborhood environment, general health status, and mental health as measured using a 12-item General Health Questionnaire (GHQ12) were reported.ResultsA total of 830 women completed the questionnaire. Subjects reporting their general health as very good or good accounted for 80.3% and those with a GHQ12 ≥16, which reflects psychological distress or severe distress, accounted for 16.1%. A principal component analysis of the perceptions of neighborhood environment by the residents identified six qualities: physical environment, designed environment, neighborhood community, public safety, natural environment, and citizen services. The perception of better-quality citizen services in the neighborhood was associated with better self-reported general health (odds ratio [OR] = 1.330, 95% confidence interval [CI] 1.093–1.618), and the perception of better-quality public safety was associated with less psychological distress (OR = 0.718, 95% CI 0.589–0.876); these associations were independent of education, income, occupation, type of residential area, and number of years living in the current khoroo.ConclusionsThe perception of the quality of a neighborhood environment can affect the self-reported general and mental health of residents, even after accounting for the type of residential area and individual socio-economic status. Developing high-quality neighborhoods is an essential component of good planning to promote population health in urban environments.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Association between perceived neighborhood environment and health of middle-aged women living in rapidly changing urban Mongolia

Shagdarsuren

Nakamura

McCay

2017

Environ Health Prev Med

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“…Sex is one of several well-established independent determinants of SRH. In fact, women usually report worse SRH than men, especially at younger ages [ 12 ]. Consistently, a study conducted in Belo Horizonte, Minas Gerais, Brazil in 2013 evaluated the relationship between the physical and social environment and SRH in 4048 adults 18 years and older from a large urban center and showed that women were 38.0% more likely than men to rate their health as poor [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Self-rated health and perceived violence in the neighborhood is heterogeneous between young women and men

et al. 2017

Self Cite

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BackgroundSelf-rated health (SRH) is the general perception of an individual’s own health and a key indicator to measure health in population-based studies. Few studies have examined the association between perceived urban violence and SRH among young adults. There were an estimated 475,000 deaths in 2012 as a result of homicide on the world. Sixty percent of these deaths occurred among males aged 15–44 years, making homicide the third leading cause of death for this population group. This study aimed to determine and quantify the association between sex-specific perception of violence in the neighborhood and SRH among young adults.MethodsParticipants included 955 young adults (18–29 years) residing in Belo Horizonte, Minas Gerais, Brazil between 2008 and 2009. Logistic regression analysis was used to estimate the strength of the associations. The perceived urban violence score was constructed from variables that assessed the respondents’ insecurity and perception of fear and danger of suffering some form of violence in the neighborhood using exploratory factor analysis.Results18,3% of respondents rated their health as fair/ poor/very poor. Among women, fair/ poor/very poor SRH was associated with age between 25 and 29 years, low socioeconomic status score, being dissatisfied with weight, not exercising regularly, not having a healthy diet, and having some chronic disease. Men who rated their health as fair/poor/very poor more frequently smoked, were dissatisfied with their weight, did not exercise regularly, consumed fewer fruits and vegetables, and had some chronic disease compared to men who rated their health as very good/good. In the final model, after adjusting for confounding variables, perceived violence in the neighborhood was associated with poor SRH in young women only (OR = 1.52; 95% CI: 1.04–2.21).ConclusionThe results indicate that public and health policies should implement interventions on the neighborhood physical and social environment to improve the perception of safety and have a positive impact on people’s health, especially women.

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“…We know that public health policies should incorporate interventions that address urban physical and social environments in addition to policies focused on individuals (Rodrigues et al 2015). Focusing only on treatment interventions for individuals in cities is bound to fail because individuals will be forced to go back into the urban living and working conditions that may have made them sick in the first place (Corburn 2015).…”

Section: Disclosure Statementmentioning

confidence: 99%

Cities and health: an evolving global conversation

Grant¹,

Brown

Caiaffa

et al. 2017

Cities & Health

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The Cities and Health journal sees its launch in 2017. Looking back over half a century of growth and global expansion in economic activity, although there have been societal benefits, negative impacts are starting to take their toll on planetary resources and human health. As we enter what is being termed The Anthropocene, the city is becoming the preferred habitat for humanity. The imprint of city lifestyles, in terms of both resource use and waste, is found across the globe, threatening the ecosystem services that support our health. In cities themselves, due to risks and challenges to health, we are witnessing a rise in non-communicable disease, twinned with infectious disease for the many who live increasingly in informal or slum urban development. High levels of health inequity are found within urban populations. The resultant health problems are placing increasing strain on health services, with pressure only set to increase due to continuing urbanization and ageing populations. Evidence increasingly demonstrates that many aspects of city and neighbourhood form, urban and transport design, and residential environments play an important role in mediating health and health equity outcomes. The new journal Cities & Health is being launched to support political, academic and technical leadership and transdisciplinarity in this field. For this endeavour we will need to reexamine the nature of evidence required before we act; to explore how academics, policy-makers, practitioners and communities can best collaborate using the city as a laboratory for change; and to develop capacity building for healthier place-making at professional and community levels.

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The place where you live and self-rated health in a large urban area

Abstract: The place where you live and self-rated health in a large urban area O lugar onde se vive e a autoavaliação da saúde em um grande centro urbano El lugar donde se vive y la autopercepción de la salud en un gran centro urbano

Cited by 14 publications

References 34 publications

Association between perceived neighborhood environment and health of middle-aged women living in rapidly changing urban Mongolia

Association between perceived neighborhood environment and health of middle-aged women living in rapidly changing urban Mongolia

Self-rated health and perceived violence in the neighborhood is heterogeneous between young women and men

Cities and health: an evolving global conversation

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