Neighborhood disadvantage, individual-level socioeconomic position and physical function: A cross-sectional multilevel analysis

Venurs H.Y. Loh; Jerome N. Rachele; Wendy J. Brown; Simon Washington; Gavin Turrell

doi:10.1016/j.ypmed.2016.05.007

Neighborhood disadvantage, individual-level socioeconomic position and physical function: A cross-sectional multilevel analysis

Venurs H.Y. Loh^*, Jerome N. Rachele, Wendy J. Brown, Simon Washington, Gavin Turrell

^*Corresponding author for this work

Research output: Contribution to journal › Article › Research › peer-review

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Abstract

Introduction: Understanding associations between physical function and neighborhood disadvantage may provide insights into which interventions might best contribute to reducing socioeconomic inequalities in health. This study examines associations between neighborhood-disadvantage, individual-level socioeconomic position (SEP) and physical function from a multilevel perspective.

Methods: Data were obtained from the HABITAT multilevel longitudinal (2007-13) study of middle-aged adults, using data from the fourth wave (2013). This investigation included 6004 residents (age 46-71 years) of 535 neighborhoods in Brisbane, Australia. Physical function was measured using the PF-10 (0-100), with higher scores indicating better function. The data were analyzed using multilevel linear regression and were extended to test for cross-level interactions by including interaction terms for different combinations of SEP (education, occupation, household income) and neighborhood disadvantage on physical function.

Results: Residents of the most disadvantaged neighborhoods reported significantly lower physical function (men: β - 11.36 95% CI - 13.74, - 8.99; women: β - 11.41 95% CI - 13.60, - 9.22). These associations remained after adjustment for individual-level SEP. Individuals with no post-school education, those permanently unable to work, and members of the lowest household income had significantly poorer physical function. Cross-level interactions suggested that the relationship between household income and physical function is different across levels of neighborhood disadvantage for men; and for education and occupation for women.

Conclusion: Living in a disadvantaged neighborhood was negatively associated with physical function after adjustment for individual-level SEP. These results may assist in the development of policy-relevant targeted interventions to delay the rate of physical function decline at a community-level.

Original language	English
Pages (from-to)	112-120
Number of pages	9
Journal	Preventive Medicine
Volume	89
DOIs	https://doi.org/10.1016/j.ypmed.2016.05.007
Publication status	Published - 1 Aug 2016
Externally published	Yes

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Neighborhood disadvantage, individual-level socioeconomic position and physical function: A cross-sectional multilevel analysisAccepted author manuscript, 1 MBLicence: CC BY-NC-ND

Cite this

@article{043a0a5429084aacb810a92438c6dd87,

title = "Neighborhood disadvantage, individual-level socioeconomic position and physical function: A cross-sectional multilevel analysis",

abstract = "Introduction: Understanding associations between physical function and neighborhood disadvantage may provide insights into which interventions might best contribute to reducing socioeconomic inequalities in health. This study examines associations between neighborhood-disadvantage, individual-level socioeconomic position (SEP) and physical function from a multilevel perspective. Methods: Data were obtained from the HABITAT multilevel longitudinal (2007-13) study of middle-aged adults, using data from the fourth wave (2013). This investigation included 6004 residents (age 46-71 years) of 535 neighborhoods in Brisbane, Australia. Physical function was measured using the PF-10 (0-100), with higher scores indicating better function. The data were analyzed using multilevel linear regression and were extended to test for cross-level interactions by including interaction terms for different combinations of SEP (education, occupation, household income) and neighborhood disadvantage on physical function.Results: Residents of the most disadvantaged neighborhoods reported significantly lower physical function (men: β - 11.36 95% CI - 13.74, - 8.99; women: β - 11.41 95% CI - 13.60, - 9.22). These associations remained after adjustment for individual-level SEP. Individuals with no post-school education, those permanently unable to work, and members of the lowest household income had significantly poorer physical function. Cross-level interactions suggested that the relationship between household income and physical function is different across levels of neighborhood disadvantage for men; and for education and occupation for women. Conclusion: Living in a disadvantaged neighborhood was negatively associated with physical function after adjustment for individual-level SEP. These results may assist in the development of policy-relevant targeted interventions to delay the rate of physical function decline at a community-level.",

author = "Loh, {Venurs H.Y.} and Rachele, {Jerome N.} and Brown, {Wendy J.} and Simon Washington and Gavin Turrell",

note = "Funding Information: The HABITAT study is funded by the National Health and Medical Research Council (NHMRC) (ID 497236 , 339718 , 1047453 ). VHYL and JNR are supported by the NHMRC Centre for Research Excellence in Healthy, Liveable & Equitable Communities (ID 1061404). SW holds the Queensland Academic and Strategic Transport Chair funded by Transport and Main Roads and the Motor Accident Insurance Commission . At the time of writing the manuscript GT was supported by an NHMRC Senior Research Fellowship (ID 1003710). Publisher Copyright: {\textcopyright} 2016 Elsevier Inc.",

year = "2016",

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doi = "10.1016/j.ypmed.2016.05.007",

language = "English",

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journal = "Preventive Medicine",

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T1 - Neighborhood disadvantage, individual-level socioeconomic position and physical function: A cross-sectional multilevel analysis

AU - Loh, Venurs H.Y.

AU - Rachele, Jerome N.

AU - Brown, Wendy J.

AU - Washington, Simon

AU - Turrell, Gavin

N1 - Funding Information: The HABITAT study is funded by the National Health and Medical Research Council (NHMRC) (ID 497236 , 339718 , 1047453 ). VHYL and JNR are supported by the NHMRC Centre for Research Excellence in Healthy, Liveable & Equitable Communities (ID 1061404). SW holds the Queensland Academic and Strategic Transport Chair funded by Transport and Main Roads and the Motor Accident Insurance Commission . At the time of writing the manuscript GT was supported by an NHMRC Senior Research Fellowship (ID 1003710). Publisher Copyright: © 2016 Elsevier Inc.

PY - 2016/8/1

Y1 - 2016/8/1

N2 - Introduction: Understanding associations between physical function and neighborhood disadvantage may provide insights into which interventions might best contribute to reducing socioeconomic inequalities in health. This study examines associations between neighborhood-disadvantage, individual-level socioeconomic position (SEP) and physical function from a multilevel perspective. Methods: Data were obtained from the HABITAT multilevel longitudinal (2007-13) study of middle-aged adults, using data from the fourth wave (2013). This investigation included 6004 residents (age 46-71 years) of 535 neighborhoods in Brisbane, Australia. Physical function was measured using the PF-10 (0-100), with higher scores indicating better function. The data were analyzed using multilevel linear regression and were extended to test for cross-level interactions by including interaction terms for different combinations of SEP (education, occupation, household income) and neighborhood disadvantage on physical function.Results: Residents of the most disadvantaged neighborhoods reported significantly lower physical function (men: β - 11.36 95% CI - 13.74, - 8.99; women: β - 11.41 95% CI - 13.60, - 9.22). These associations remained after adjustment for individual-level SEP. Individuals with no post-school education, those permanently unable to work, and members of the lowest household income had significantly poorer physical function. Cross-level interactions suggested that the relationship between household income and physical function is different across levels of neighborhood disadvantage for men; and for education and occupation for women. Conclusion: Living in a disadvantaged neighborhood was negatively associated with physical function after adjustment for individual-level SEP. These results may assist in the development of policy-relevant targeted interventions to delay the rate of physical function decline at a community-level.

AB - Introduction: Understanding associations between physical function and neighborhood disadvantage may provide insights into which interventions might best contribute to reducing socioeconomic inequalities in health. This study examines associations between neighborhood-disadvantage, individual-level socioeconomic position (SEP) and physical function from a multilevel perspective. Methods: Data were obtained from the HABITAT multilevel longitudinal (2007-13) study of middle-aged adults, using data from the fourth wave (2013). This investigation included 6004 residents (age 46-71 years) of 535 neighborhoods in Brisbane, Australia. Physical function was measured using the PF-10 (0-100), with higher scores indicating better function. The data were analyzed using multilevel linear regression and were extended to test for cross-level interactions by including interaction terms for different combinations of SEP (education, occupation, household income) and neighborhood disadvantage on physical function.Results: Residents of the most disadvantaged neighborhoods reported significantly lower physical function (men: β - 11.36 95% CI - 13.74, - 8.99; women: β - 11.41 95% CI - 13.60, - 9.22). These associations remained after adjustment for individual-level SEP. Individuals with no post-school education, those permanently unable to work, and members of the lowest household income had significantly poorer physical function. Cross-level interactions suggested that the relationship between household income and physical function is different across levels of neighborhood disadvantage for men; and for education and occupation for women. Conclusion: Living in a disadvantaged neighborhood was negatively associated with physical function after adjustment for individual-level SEP. These results may assist in the development of policy-relevant targeted interventions to delay the rate of physical function decline at a community-level.

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U2 - 10.1016/j.ypmed.2016.05.007

DO - 10.1016/j.ypmed.2016.05.007

M3 - Article

C2 - 27196142

AN - SCOPUS:84971414773

SN - 0091-7435

VL - 89

SP - 112

EP - 120

JO - Preventive Medicine

JF - Preventive Medicine

ER -

Neighborhood disadvantage, individual-level socioeconomic position and physical function: A cross-sectional multilevel analysis

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