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首页> 外文学位 >The influence of community socioeconomic status on North Carolinians' health related quality of life.
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The influence of community socioeconomic status on North Carolinians' health related quality of life.

机译：社区社会经济地位对北卡罗来纳人健康相关生活质量的影响。

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摘要

Community socioeconomic status (SES) influences the social, service, and physical environments of a community regardless of one's own socioeconomic position, and can in turn positively or negatively affect individual-level health outcomes. This study investigated the influence of community SES on the health related quality of life (HRQOL) of North Carolinians.;Secondary data analyses were conducted on a subset of Social Determinants of Health Study participants (N=1217) residing in 32 North Carolina communities. Community-level data came from two sources: publicly-available data sources for non-aggregated attributes (contextual) and the US Census 2000 for aggregated attributes (compositional). Contextual domains examined were: Shopping/Grocery, Restaurants/Fast-Food, Recreational Facilities, Medical Services, and Transportation; compositional community SES was: % individuals in a community living below poverty. The outcome variable was HRQOL: unhealthy days, physical functioning, and self-rated health. Qualitative methodology including data triangulation and quantitative (multi-level modeling) methods were used for data analysis.;Participants living in communities with public transportation reported fewer unhealthy days (B= -2.796, p=.004), better physical functioning (B= 3.215, p=.002), and better self-rated health (B= .244, p=.007). Participants living in communities with higher rates of restaurants reported better self-rated health (B= .044, p=.007); participants in communities with higher rates of hospital beds reported worse self-rated health (B= -.010, p=.038).;Greater community poverty was predictive of participants reporting fewer unhealthy days (B=-.181, p=.001), however the relationship strength diminished with the addition of contextual community resources (B=-.147, p=.017). Community poverty did not significantly predict physical functioning (B= .027, p=.685); yet participants living in communities with public transportation reported higher physical functioning scores (B=3.052, p=.006). Community poverty did not significantly predict self-rated health; however participants reported better self-rated health if they lived in communities with public transportation (B=.229, p=0.018) and a higher rate of restaurants (B= .041, p=0.016), yet greater rate of community hospital beds predicted worse self-rated health (B= -.011, p=0.034).;Healthy People 2010 and 2020 goals affirm examining 'lives in context' through multiple perspectives, including a biological, genetic, social and environmental context. Better understanding of community characteristics could have policy implications for resource allocation, city and urban planning, and future health interventions to improve HRQOL.
机译：社区社会经济地位（SES）会影响社区的社会，服务和自然环境，而不论其自身的社会经济地位如何，并且反过来可能对个人级别的健康结果产生正面或负面的影响。这项研究调查了社区SES对北卡罗来纳州健康相关生活质量（HRQOL）的影响。；对居住在北卡罗来纳州32个社区的健康研究参与者的社会决定因素（N = 1217）的子集进行了二次数据分析。社区级别的数据来自两个来源：非聚合属性的公开数据源（上下文）和聚合属性的美国人口普查2000（组合）。所研究的上下文范围是：购物/杂货，餐馆/快餐，娱乐设施，医疗服务和运输；组成性社区SES是：生活在贫困线以下的社区中的百分比个人。结果变量为HRQOL：不健康的日子，身体机能和自我评估的健康状况。定性方法包括数据三角剖分和定量（多级建模）方法用于数据分析。；居住在公共交通社区的参与者报告的不健康天数较少（B = -2.796，p = .004），身体机能更好（B = 3.215，p = .002）和更好的自我评估健康状况（B = .244，p = .007）。生活在餐馆率较高的社区中的参与者报告称其自我评价的健康状况更好（B = .044，p = .007）；医院病床率较高的社区参与者的自我评价健康状况较差（B = -.010，p = .038）。；社区贫困程度较高，预示参与者报告的不健康天数较少（B =-。181，p =。 001），但是关系强度随着上下文社区资源的增加而减弱（B =-。147，p = .017）。社区贫困并未显着预测身体功能（B = .027，p = .685）；然而，住在公共交通社区的参与者报告的身体机能得分较高（B = 3.052，p = .006）。社区贫困并未显着预测自我评价的健康；但是，如果参与者居住在有公共交通的社区中（B = .229，p = 0.018），餐馆的使用率较高（B = .041，p = 0.016），而社区医院的病床使用率较高，则他们的自我评价为更好预测自我评估的健康状况较差（B = -.011，p = 0.034）。；《 2010年健康人》和2020年目标肯定从多种角度审视“环境中的生活”，包括生物学，遗传，社会和环境背景。更好地了解社区特征可能会对资源分配，城市和城市规划以及未来的健康干预措施产生政策影响，以改善HRQOL。

著录项

  • 作者

    Martin, Kathryn Remmes.;

  • 作者单位

    The University of North Carolina at Chapel Hill.;

  • 授予单位 The University of North Carolina at Chapel Hill.;
  • 学科 Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2009
  • 页码 151 p.
  • 总页数 151
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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