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Published in: International Journal of Public Health 6/2015

01-09-2015 | Original Article

Neighborhood socioeconomic status and self-rated health in Israel: the Israel National Health Interview Survey

Authors: Sharon Stein Merkin, Hadar Arditi-Babchuk, Tamy Shohat

Published in: International Journal of Public Health | Issue 6/2015

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Abstract

Objectives

To explore neighborhood socioeconomic status (NSES) differentials in self-rated health (SRH) in Israel.

Methods

Study sample included 6296 Jewish participants in the Israeli National Health Interview Survey of 2007–2008. Neighborhoods were assigned socioeconomic scores by the Central Bureau of Statistics, incorporating 16 demographic and socioeconomic measures using a 20-point scale. Generalized estimating equation models with a multinomial distribution assessed the relative cumulative odds for decreasing SRH by quartiles of NSES, while accounting for neighborhood clustering. Base models were adjusted for age, religiosity, immigration from the former Soviet Union, education, income, and then additionally for employment, living in the periphery and co-morbidity.

Results

We found a strong association between poor SRH and living in disadvantaged neighborhoods, after adjusting for individual-level SES. The combination of living in deprived areas with below average income was associated with over twice the risk of poor SRH.

Conclusions

The association between low NSES and worsening SRH, exacerbated by lower income, highlights the importance of considering socioeconomic environmental and individual conditions in targeting high-risk populations.
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Metadata
Title
Neighborhood socioeconomic status and self-rated health in Israel: the Israel National Health Interview Survey
Authors
Sharon Stein Merkin
Hadar Arditi-Babchuk
Tamy Shohat
Publication date
01-09-2015
Publisher
Springer Basel
Published in
International Journal of Public Health / Issue 6/2015
Print ISSN: 1661-8556
Electronic ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-015-0705-8

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