Socioeconomic position and health: The independent contribution of community socioeconomic context

Is living in a relatively poor community bad for your health; is living in a relatively affluent community good for your health; or is it only your own socioeconomic position that matters to your health no matter where you live? This article (a) presents a conceptual model suggesting the basic pathways that may link community socioeconomic context to individual health, (b) reviews recent research that has examined whether the socioeconomic context of communities impacts the health of individual residents, over and above their own socioeconomic position, (c) discusses conceptual and methodological challenges of current research, and (d) suggests new directions for future research such as the importance of more closely examining how age, race, gender, and individual socioeconomic position may moderate the impact of community socioeconomic context on individual health and mortality.