Article
The socio-spatial neighborhood estimation method: an approach to operationalizing the neighborhood concept.
Department of Allied Health Sciences, University of North Carolina, CB #7122, Bondurant Hall, Suite 2050, Chapel Hill, NC 27599-7122, USA.
Health & Place (impact factor:
2.67).
06/2011;
17(5):1113-21.
DOI:10.1016/j.healthplace.2011.05.011
pp.1113-21
Source: PubMed
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Article: Toward the next generation of research into small area effects on health: a synthesis of multilevel investigations published since July 1998.
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ABSTRACT: To map out area effects on health research, this study had the following aims: (1) to inventory multilevel investigations of area effects on self rated health, cardiovascular diseases and risk factors, and mortality among adults; (2) to describe and critically discuss methodological approaches employed and results observed; and (3) to formulate selected recommendations for advancing the study of area effects on health. Overall, 86 studies were inventoried. Although several innovative methodological approaches and analytical designs were found, small areas are most often operationalised using administrative and statistical spatial units. Most studies used indicators of area socioeconomic status derived from censuses, and few provided information on the validity and reliability of measures of exposures. A consistent finding was that a significant portion of the variation in health is associated with area context independently of individual characteristics. Area effects on health, although significant in most studies, often depend on the health outcome studied, the measure of area exposure used, and the spatial scale at which associations are examined.Journal of Epidemiology & Community Health 11/2007; 61(10):853-61. · 3.19 Impact Factor -
Article: Putting people into place.
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ABSTRACT: Over the past two decades, there has been an explosion of empirical research on neighborhoods and health. However, although the data and approaches owe much to the early contributions of demographers and population scientists, this debt is largely unrecognized. Likewise, challenges posed in the early literature remain largely unanswered. I argue that just as demographers and population scientists were pioneers in the study of neighborhoods and health, they are uniquely poised to lead the field again. Putting people into place means explaining behavior and outcomes in relation to a potentially changing local context. A more dynamic conceptualization is needed that fully incorporates human agency, integrates multiple dimensions of local social and spatial context, develops the necessary longitudinal data, and implements appropriate tools. Diverse approaches with complementary strengths will help surmount the many analytic challenges to studying the dynamics of neighborhoods and health, including agent-based microsimulation models.Demography 12/2007; 44(4):687-703. · 1.93 Impact Factor
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Keywords
census block groups
criterion-related validity evidence
define neighborhoods
empirically valid manner
estimate neighborhood boundaries
health research
innovative methodology
intra-class correlation coefficients
large sample
multi-level model parameter estimates
on-the-ground observations
poor measurement
qualitative GIS
regular grid cells
researchers
SF-36 outcome measures
SNEM approach
socio-spatial neighborhood estimation method
theoretically
theoretically relevant boundaries