期刊
HEALTH & PLACE
卷 78, 期 -, 页码 -出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.healthplace.2022.102930
关键词
Inequalities; Allostatic load; Neighbourhood; Socioeconomic status
资金
- Economic and Social Research Council [ESRCES/M008592/1]
- Medical Research Council [MC_UU_00022/2, MC_UU_00022/4]
- Scottish Government Chief Scientist Office [SPHSU17, SPHSU19]
- ESRC [ES/S007253/1]
Research indicates that individuals living in disadvantaged neighbourhoods are more likely to experience higher levels of stress. Objective neighbourhood indicators show stronger associations with cumulative stress levels than subjective indicators. Individuals with higher socioeconomic status are less affected by negative neighbourhood characteristics, particularly objective measures.
Research suggests that individuals living in more disadvantaged neighbourhoods experience higher levels of stress but this has generally been based on self-reported stress. We used survey-based neighbourhood quality indicators and biomarker data from Understanding Society, linked to census and crime statistics to explore as-sociations of allostatic load (AL), an objective biomarker-based measure of cumulative stress, with subjective and objective neighbourhood characteristics. Analyses of 6887 respondents living in England show greater AL among those living in more disadvantaged areas, with objective measure associations stronger than subjective. Neigh-bourhood inequalities in AL were lower among respondents with higher individual SEP. These results suggest that individual-level SEP mitigates against the impact of negative, particularly objective, neighbourhood char-acteristics. Policies to reduce health inequalities should consider both individual and neighbourhood circumstances.
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