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首页> 外文期刊>Journal of health economics >Health in the cities: When the neighborhood matters more than income
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Health in the cities: When the neighborhood matters more than income

机译：城市中的健康：当社区比收入更重要时

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摘要

Using a rich Italian cross-sectional dataset, we estimate the effect of a neighborhood problems aggregate (including pollution, crime, and noise) on self-assessed health, presence of chronic conditions and limitations in daily activities. We address the self-selection of the residents in their neighborhoods, as well as the possible endogeneity of income with respect to health, through instrumental variable methods and several endogeneity tests. The main novelty is the sound estimation of the neighborhood effect on health using observational data, which has the advantage of providing general results that are not dependent on any experimental design. This allows us to fully compare the neighborhood effect with the traditional socioeconomic determinants of health. Our main findings are that low quality neighborhoods are strongly health damaging. This effect is comparable to the primary/upper secondary education health differential and is even higher than the impact that poor economic circumstances have on health.
机译：使用丰富的意大利横截面数据集，我们估算了邻里问题总量（包括污染，犯罪和噪音）对自我评估的健康，慢性病的存在和日常活动限制的影响。我们通过工具变量方法和几种内生性检验来解决居民的自选问题，以及健康方面收入的内生性。主要的新颖之处是使用观察数据对邻域对健康的影响进行了合理的估计，其优点是可以提供不依赖任何实验设计的一般结果。这使我们能够将邻里效应与健康的传统社会经济决定因素进行全面比较。我们的主要发现是，低质量的社区严重危害健康。这种影响可与小学/初中教育的健康差异相提并论，甚至比经济状况不佳对健康的影响还要高。

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