Rating neighborhoods for older adult health: results from the African American Health study

被引：11

作者：

Andresen, Elena M. ^{[1
]}

Malmstrom, Theodore K. ^{[2
]}

Wolinsky, Fredric D. ^{[3
,4
]}

Schootman, Mario ^{[5
,6
]}

Miller, J. Philip ^{[7
]}

Miller, Douglas K. ^{[8
,9
]}

机构：

[1] Univ Florida, Hlth Sci Ctr, Coll Publ Hlth & Hlth Profess, Dept Epidemiol & Biostat, Gainesville, FL 32610 USA

[2] St Louis Univ, Sch Med, Dept Neurol & Psychiat, St Louis, MO 63104 USA

[3] Iowa City Vet Affairs Med Ctr, Iowa City, IA 52246 USA

[4] Univ Iowa, Coll Publ Hlth, Dept Hlth Management & Policy, Gen Hosp E205, Iowa City, IA 52242 USA

[5] Washington Univ, Sch Med, Dept Med, St Louis, MO 63110 USA

[6] Washington Univ, Sch Med, Dept Pediat, St Louis, MO 63110 USA

[7] Washington Univ, Sch Med, Div Biostat, St Louis, MO 63110 USA

[8] Indiana Univ, Sch Med, Indiana Univ Ctr Aging Res, Bloomington, IN 47405 USA

[9] Regenstrief Inst Inc, Indianapolis, IN 46202 USA

来源：

BMC PUBLIC HEALTH | 2008年 / 8卷 / 1期

关键词：

D O I：

10.1186/1471-2458-8-35

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Social theories suggest that neighborhood quality affects health. Observer ratings of neighborhoods should be subjected to psychometric tests. Methods: African American Health (AAH) study subjects were selected from two diverse St. Louis metropolitan catchment areas. Interviewers rated streets and block faces for 816 households. Items and a summary scale were compared across catchment areas and to the resident respondents' global neighborhood assessments. Results: Individual items and the scale were strongly associated with both the catchment area and respondent assessments. Ratings based on both block faces did not improve those based on a single block face. Substantial interviewer effects were observed despite strong discriminant and concurrent validity. Conclusion: Observer ratings show promise in understanding the effect of neighborhood on health outcomes. The AAH Neighborhood Assessment Scale and other rating systems should be tested further in diverse settings.

引用

页数：9

共 27 条

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