Modeling the relationship between perceived neighbourhood characteristics and adult hospitalization frequencies
DOI:
https://doi.org/10.6092/issn.1973-2201/3589Abstract
Interest in the quantitative effects of neighbourhood characteristics on urban health has recently increased in social epidemiology. Such effects are mostly studied employing multilevel models based on some definition of the neighbourhood. We investigate the statistical relationship between health and the neighourhood quality as perceived by individuals, thus avoiding the need of choosing a specific definition of neighbourhood.We use data from the Los Angeles Family and Neighbourhood Survey (L.A.FANS). We measure health status of an individual as the number of hospitalizations in the last two years. This number is related to individual carachteristics (including neighbourhood perceptions) through generalized additive models (GAM), focusing particularly on the Zero Inflated Poisson (ZIP), which is an unusual choice in this context.
We also overcome to some extent the difficulties in interpreting the results from a GAM with a ZIP distribution by simulating predicted values under varying assumptions in order to reveal the relationship of interest.
The analysis confirms that the quality of neighbourhood – as measured by perceptions of individuals – significantly relates to the health status of inhabitants – as measured by the number of hospitalizations.
References
T. ABADA, F. HOU, B. RAM, (2007), Racially mixed neighborhoods, perceived neighborhood social cohesion, and adolescent health in Canada, “Social science and medicine”, 65, 2004-2017.
P. BELLINI, D. LO CASTRO, F. PAULI, (2008), Perceived neighbourhood quality and adult health status: new statistical advices useful to answer old questions?, “Technical Report 10-2008, Dipartimento di Scienze Statistiche, University of Padova”.
L. BERKMAN, I. KAWACHI, (2000), Social epidemiology, Oxford University Press.
D. BÖHNING, E. DIETZ, P. SCHLATTMANN, L. MENDONÇA, U. KIRCHNER, (1999), The zero-inflated Poisson model and the decayed, missing and filled teeth index in dental epidemiology, “Journal of the Royal Statistical Society”, Series A 162, 195-209.
G. BOOTH, J. HUX, (2003), Relationship between avoidable hospitalizations for diabetes mellitus and income level, “Archives of Internal Medicine”, 163, 101-106.
A. BOWLING, J. BARBER, R. MORRIS, S. EBRAHIM, (2006), Do perceptions of neighbourhood environment influence health? Baseline findings from a British survey of aging, “Journal of Epidemiology and Community Health”, 60, 476-483.
B. CHAIX, A. LEYLAND, C. SABEL, P. CHAUVIN, L. RSTAM, H. KRISTERSSON, J. MERLO, (2006), Spatial clustering of mental disorders and associated characteristics of the neighbourhood context in Malmö, Sweden, in 2001. “Journal of Epidemiology and Community Health”, 60, 427-435.
B. CHAIX, J. MERLO, S. SUBRAMANIAN, J. LYNCH, P. CHAUVIN, (2005), Comparison of a spatial perspective with the multilevel analytical approach in neighborhood studies: The case of mental and behavioral disorders due to psychoactive substance use in Malmö, Sweden, 2001, “American Journal of Epidemiology”, 162, 171-182.
A. DIEZ ROUX, (2001), Investigating neighborhood and area effects on health, “American Journal of Public Health”, 91, 1783-1789.
A. EL-SHAARAWI, (1985), Some goodness-of-fit methods for the Poisson plus added zeros distribution , “Applied and environmental microbiology”, 49, 1304-1306.
A. ELLAWAY, S. MACINTYE, A. KEARNS, (2001), Perceptions of place and health in socially contrasting neighbourhoods, “Urban Studies”, 38, 2299-2316.
R. FLOWERDEW, D. MANLEY, C. SABEL, (2008), Neighbourhood effects on health: does it matter where you draw the boundaries?, “Social science and medicine”, 66, 1241-1255.
K. HUR, D. HEDEKER, W. HENDERSON, S. KHURI, J. DALEY, (2002), Modeling clustered count data with excess zeros in health care outcomes research, “Health Services and Outcomes Research Methodology”, 3, 5-20.
N. JANSAKUL, J. HINDE, (2002), Score tests for zero-inflated Poisson models, “Computational Statistics and Data Analysis”, 40, 75-96.
K. LAM, H. XUE, Y. CHEUNG, (2006), Semiparametric analysis of zero-inflated count data, “Biometrics”, 62, 996-1003.
A. LEE, K. WANG, J. SCOTT, K. YAU, G. MCLACHLAN, (2006), Multi-level zero inflated Poisson regression modelling of correlated count data with excess zeros, “Statistical methods in medical research”, 15, 47-61.
Y. LI, Y. CHUANG, (2009), Neighborhood effects on an individual’s health using neighborhood measurements developed by factor analysis and cluster analysis, “Journal of Urban Health”, 86, 5-18.
P. O’CAMPO, (2003), Invited commentary: Advancing theory and methods for multilevel models of residential neighborhoods and health, “American Journal of Epidemiology”, 157, 9-13.
R. PAMPALON, D. HAMEL, M. DE KONINCK, M. DISANT, (2007), Perception of place and health: differences between neighbourhoods in the Québec City region, “Social science and medicine”, 65, 95-111.
C.E. PETERSON, N. SASTRY, A. R. PEBLEY, B. GHOSH-DASTIDAR, S. WILLIAMSON, S. LARA-CINISOMO, (2004), The Los Angeles Family and Neighborhood Survey, Codebook. RAND Corporation.
K. PICKETT, M. PEARL, (2001), Multilevel analyses of neighbourhood socioeconomic context and health outcomes: a critical review. ”Journal of Epidemiology and Community Health”, 55, 111-122.
C. PROPPER, S. BURGESS, A. BOLSTER, G. LECKIE, K. JONES, R.J. JOHNSTON, (2007), The impact of neighbourhood on the income and mental health of British social renters, “Urban Studies”, 44, 393-415.
R DEVELOPMENT CORE TEAM, (2005), R: A language and environment for statistical computing, Vienna, Austria: R Foundation for Statistical Computing. ISBN 3-900051-07-0.
F. RAJULTON, J. NIU, (2005), Health over the life course: A chain graph model of inter-relationships among socio-demographic, societal and lifestyle factors, “XXV International Population Conference”, International Union for the Scientific Study of Population (IUSSP), July 18-23, Tours, France.
R.A. RIGBY, D. STASINOPULOS, (2005), Generalized additive models for location, scale and shape, “Applied Statistics”, 54, 507-554.
J. RODRIGUES, (2006), Full Bayesian significance test for zero-inflated distributions, “Communications in Statistics - Theory and methods”, 35, 299-307.
N. SCHAEFER-MCDANIEL, (2009), Neighborhood stressors, perceived neighborhood quality, and child mental health in New York City, “Health & Place”, 15, 148-155.
M. SHIN, W. CLARK, R. MAAS, (2006), Social capital, neighborhood perceptions and self-rated health: Evidence from the Los Angeles Family and Neighborhood Survey (LAFANS), Working Paper CCPR-039-06, California Center for Population Research, UCLA.
S.E. SPIELMAN, E.H. YOO, (2009), The spatial dimensions of neighborhood effects, “Social Science and Medicine”, 68, 1098-1105.
D. STASINOPULOS, R. A. RIGBY, (2007), Generalized additive models for location scale and shape (GAMLSS) in R, “Journal of Statistical Software”, 23, 1-46.
S. SUBRAMANIAN, D. KIM, I. KAWACHI, (2002), Social trust and self-rated health in US communities: a multilevel analysis, “Journal of Urban Health”, 79, S21-S34.
C. TAYLOR, A. DAVID, M. WINKLEBY, (2006), Neighborhood and individual socioeconomic determinants of hospitalization, “American Journal of Preventive Medicine”, 31, 127-134.
O. THAS, J. RAYNER, (2005), Smooth tests for the zero-inflated poisson distribution, “Biometrics”, 61, 808-815.
J. VAN DEN BROEK, (1995), A score test for zero inflation in a Poisson distribution, “Biometrics”, 51, 738-743.
M. WEDEN, R. CARPIANO, S. ROBERT, (2008), Subjective and objective neighborhood characteristics and adult health, “Social science and medicine”, 66, 1256-1270.
M. WEN, C. R. BROWINING, A. C. KATHLEEN, (2007), Neighbourhood deprivation, social capital and regular exercise during adulthood: a multilevel study in Chicago, “Urban Studies”, 44, 2651-2671.
M. WEN, L. HAWKLEY, J. CACIOPPO, (2006), Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois, “Social science and medicine”, 63, 2575-2590.
K. WILSON, S. ELLIOTT, M. LAW, J. EYLES, M. JERRETT, S. KELLER-OLAMAN, (2004), Linking perceptions of neighbourhood to health in Hamilton, Canada, “Journal of Epidemiology and Community Health”, 58, 192-198.
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