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Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Perceived neighborhood problems: multilevel analysis to evaluate psychometric properties in a Southern adult Brazilian population

Authors: Doroteia Aparecida Höfelmann, Ana V Diez-Roux, José Leopoldo Ferreira Antunes, Marco Aurélio Peres

Published in: BMC Public Health | Issue 1/2013

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Abstract

Background

Physical attributes of the places in which people live, as well as their perceptions of them, may be important health determinants. The perception of place in which people dwell may impact on individual health and may be a more telling indicator for individual health than objective neighborhood characteristics. This paper aims to evaluate psychometric and ecometric properties of a scale on the perceptions of neighborhood problems in adults from Florianopolis, Southern Brazil.

Methods

Individual, census tract level (per capita monthly familiar income) and neighborhood problems perception (physical and social disorders) variables were investigated. Multilevel models (items nested within persons, persons nested within neighborhoods) were run to assess ecometric properties of variables assessing neighborhood problems.

Results

The response rate was 85.3%, (1,720 adults). Participants were distributed in 63 census tracts. Two scales were identified using 16 items: Physical Problems and Social Disorder. The ecometric properties of the scales satisfactory: 0.24 to 0.28 for the intra-class correlation and 0.94 to 0.96 for reliability. Higher values on the scales of problems in the physical and social domains were associated with younger age, more length of time residing in the same neighborhood and lower census tract income level.

Conclusions

The findings support the usefulness of these scales to measure physical and social disorder problems in neighborhoods.
Literature
1.
go back to reference Diez Roux AV, Auchincloss AH: Understanding the social determinants of behaviours: can new methods help?. Int J Drug Policy. 2009, 20: 227-229. 10.1016/j.drugpo.2008.11.003.CrossRefPubMed Diez Roux AV, Auchincloss AH: Understanding the social determinants of behaviours: can new methods help?. Int J Drug Policy. 2009, 20: 227-229. 10.1016/j.drugpo.2008.11.003.CrossRefPubMed
2.
go back to reference Diez Roux A, Mair C: Neighborhoods and health. Ann N Y Acad Sci. 2010, 1186: 125-145. 10.1111/j.1749-6632.2009.05333.x.CrossRefPubMed Diez Roux A, Mair C: Neighborhoods and health. Ann N Y Acad Sci. 2010, 1186: 125-145. 10.1111/j.1749-6632.2009.05333.x.CrossRefPubMed
3.
go back to reference Diez-Roux AV: Bringing context back into epidemiology: variables and fallacies in multilevel analysis. Am J Public Health. 1998, 88: 216-222. 10.2105/AJPH.88.2.216.CrossRefPubMedPubMedCentral Diez-Roux AV: Bringing context back into epidemiology: variables and fallacies in multilevel analysis. Am J Public Health. 1998, 88: 216-222. 10.2105/AJPH.88.2.216.CrossRefPubMedPubMedCentral
4.
go back to reference Cummins S, Curtis S, Diez-Roux AV, Macintyre S: Understanding and representing ‘place’ in health research: a relational approach. Soc Sci Med. 2007, 65: 1825-1838. 10.1016/j.socscimed.2007.05.036.CrossRefPubMed Cummins S, Curtis S, Diez-Roux AV, Macintyre S: Understanding and representing ‘place’ in health research: a relational approach. Soc Sci Med. 2007, 65: 1825-1838. 10.1016/j.socscimed.2007.05.036.CrossRefPubMed
5.
go back to reference Kawachi I, Kennedy BP, Glass R: Social capital and self-rated health: a contextual analysis. Am J Public Health. 1999, 89: 1187-1193. 10.2105/AJPH.89.8.1187.CrossRefPubMedPubMedCentral Kawachi I, Kennedy BP, Glass R: Social capital and self-rated health: a contextual analysis. Am J Public Health. 1999, 89: 1187-1193. 10.2105/AJPH.89.8.1187.CrossRefPubMedPubMedCentral
6.
go back to reference Stafford M, Cummins S, Macintyre S, Ellaway A, Marmot M: Gender differences in the associatons between health and neighbourhood environment. Soc Sci Med. 2005, 60: 1681-1692. 10.1016/j.socscimed.2004.08.028.CrossRefPubMed Stafford M, Cummins S, Macintyre S, Ellaway A, Marmot M: Gender differences in the associatons between health and neighbourhood environment. Soc Sci Med. 2005, 60: 1681-1692. 10.1016/j.socscimed.2004.08.028.CrossRefPubMed
7.
go back to reference Subramanian SV, Lochner KA, Kawachi I: Neighborhood differences in social capital: a compositional artifact or a contextual construct?. Health Place. 2003, 9: 33-44. 10.1016/S1353-8292(02)00028-X.CrossRefPubMed Subramanian SV, Lochner KA, Kawachi I: Neighborhood differences in social capital: a compositional artifact or a contextual construct?. Health Place. 2003, 9: 33-44. 10.1016/S1353-8292(02)00028-X.CrossRefPubMed
8.
go back to reference Echeverria SE, Diez-Roux AV, Link BG: Reliability of self-reported neighborhood characteristics. J Urban Health. 2004, 81: 682-701. 10.1093/jurban/jth151.CrossRefPubMedPubMedCentral Echeverria SE, Diez-Roux AV, Link BG: Reliability of self-reported neighborhood characteristics. J Urban Health. 2004, 81: 682-701. 10.1093/jurban/jth151.CrossRefPubMedPubMedCentral
9.
go back to reference Sampson R, Raudenbush S: Systematic social observation of public spaces: a new look at disorder in urban neighborhoods. Am J Sociol. 1999, 105: 603-651. 10.1086/210356.CrossRef Sampson R, Raudenbush S: Systematic social observation of public spaces: a new look at disorder in urban neighborhoods. Am J Sociol. 1999, 105: 603-651. 10.1086/210356.CrossRef
10.
go back to reference Giles-Corti B, Donovan R: Socioeconomic status differences in recreational physical activity levels and real and perceived access to a supportive physical environment. Prev Med. 2002, 35: 601-611. 10.1006/pmed.2002.1115.CrossRefPubMed Giles-Corti B, Donovan R: Socioeconomic status differences in recreational physical activity levels and real and perceived access to a supportive physical environment. Prev Med. 2002, 35: 601-611. 10.1006/pmed.2002.1115.CrossRefPubMed
11.
go back to reference Raudenbush S, Bryk A: Three-level models. Hierarchical linear models: applications and data analysis methods. 2002, Thousand Oaks, CA: Sage Publications, Inc, 228-251. 2 Raudenbush S, Bryk A: Three-level models. Hierarchical linear models: applications and data analysis methods. 2002, Thousand Oaks, CA: Sage Publications, Inc, 228-251. 2
12.
go back to reference Mujahid MS, Diez Roux AV, Morenoff JD, Raghunathan T: Assessing the measurement properties of neighborhood scales: from psychometrics to ecometrics. Am J Epidemiol. 2007, 165: 858-867. 10.1093/aje/kwm040.CrossRefPubMed Mujahid MS, Diez Roux AV, Morenoff JD, Raghunathan T: Assessing the measurement properties of neighborhood scales: from psychometrics to ecometrics. Am J Epidemiol. 2007, 165: 858-867. 10.1093/aje/kwm040.CrossRefPubMed
13.
go back to reference Hann N, Kaplan GA, Camacho T: Poverty, and health: prospective evidence from the alameda county study. Am J Epidemiol. 1987, 125: 989-998. Hann N, Kaplan GA, Camacho T: Poverty, and health: prospective evidence from the alameda county study. Am J Epidemiol. 1987, 125: 989-998.
14.
go back to reference Steptoe A, Feldman PJ: Neighborhood problems as sources of chronic stress: development of a measure of neighborhood problems, and associations with socioeconomic status and health. Ann Behav Med. 2001, 23: 177-185. 10.1207/S15324796ABM2303_5.CrossRefPubMed Steptoe A, Feldman PJ: Neighborhood problems as sources of chronic stress: development of a measure of neighborhood problems, and associations with socioeconomic status and health. Ann Behav Med. 2001, 23: 177-185. 10.1207/S15324796ABM2303_5.CrossRefPubMed
15.
go back to reference Wen M, Hawkley LC, Cacioppo JT: Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: an analysis of older adults in Cook County, Illinois. Soc Sci Med. 2006, 63: 2575-2590. 10.1016/j.socscimed.2006.06.025.CrossRefPubMed Wen M, Hawkley LC, Cacioppo JT: Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: an analysis of older adults in Cook County, Illinois. Soc Sci Med. 2006, 63: 2575-2590. 10.1016/j.socscimed.2006.06.025.CrossRefPubMed
16.
go back to reference Meersman S: Objective neighborhood properties and perceptions of neighborhood problems: Using a geographic information system (GIS) in neighborhood effects and aging research. Ageing International. 2005, 30: 63-87. 10.1007/BF02681007.CrossRef Meersman S: Objective neighborhood properties and perceptions of neighborhood problems: Using a geographic information system (GIS) in neighborhood effects and aging research. Ageing International. 2005, 30: 63-87. 10.1007/BF02681007.CrossRef
17.
go back to reference Poortinga W, Dunstan FD, Fone DL: Perceptions of the neighbourhood environment and self rated health: a multilevel analysis of the Caerphilly Health and Social Needs Study. BMC Public Health. 2007, 7: 285-10.1186/1471-2458-7-285.CrossRefPubMedPubMedCentral Poortinga W, Dunstan FD, Fone DL: Perceptions of the neighbourhood environment and self rated health: a multilevel analysis of the Caerphilly Health and Social Needs Study. BMC Public Health. 2007, 7: 285-10.1186/1471-2458-7-285.CrossRefPubMedPubMedCentral
18.
go back to reference Warr D, Feldman P, Tacticos T, Kelaher M: Sources of stress in impoverished neighbourhoods: insights into links between neighbourhood environments and health. Aust N Z J Public Health. 2009, 33: 25-33. 10.1111/j.1753-6405.2009.00334.x.CrossRefPubMed Warr D, Feldman P, Tacticos T, Kelaher M: Sources of stress in impoverished neighbourhoods: insights into links between neighbourhood environments and health. Aust N Z J Public Health. 2009, 33: 25-33. 10.1111/j.1753-6405.2009.00334.x.CrossRefPubMed
19.
go back to reference Feldman P, Warr D, Tacticos T, Kelaher M: People, places and policies - trying to account for health inequalities in impoverished neighbourhoods. Aust N Z J Public Health. 2009, 33: 17-24. 10.1111/j.1753-6405.2009.00333.x.CrossRefPubMed Feldman P, Warr D, Tacticos T, Kelaher M: People, places and policies - trying to account for health inequalities in impoverished neighbourhoods. Aust N Z J Public Health. 2009, 33: 17-24. 10.1111/j.1753-6405.2009.00333.x.CrossRefPubMed
20.
go back to reference Brito F, Souza J: Expansão urbana nas grandes metrópoles: o significado das migrações intrametropolitanas e da mobilidade pendular na reprodução da pobreza. São Paulo em Perspectiva. 2005, 19: 48-63. Brito F, Souza J: Expansão urbana nas grandes metrópoles: o significado das migrações intrametropolitanas e da mobilidade pendular na reprodução da pobreza. São Paulo em Perspectiva. 2005, 19: 48-63.
21.
go back to reference Ellaway A, Macintyre S: Are perceived neighbourhood problems associated with the likelihood of smoking?. J Epidemiol Community Health. 2009, 63: 78-80.CrossRefPubMed Ellaway A, Macintyre S: Are perceived neighbourhood problems associated with the likelihood of smoking?. J Epidemiol Community Health. 2009, 63: 78-80.CrossRefPubMed
22.
go back to reference Wilson K, Elliott S, Law M, Eyles J, Jerret M, Keller-Olaman S: Linking perceptions of neighbourhood to health in Hamilton, Canada. J Epidemiol Community Health. 2004, 58: 192-198. 10.1136/jech.2003.014308.CrossRefPubMedPubMedCentral Wilson K, Elliott S, Law M, Eyles J, Jerret M, Keller-Olaman S: Linking perceptions of neighbourhood to health in Hamilton, Canada. J Epidemiol Community Health. 2004, 58: 192-198. 10.1136/jech.2003.014308.CrossRefPubMedPubMedCentral
23.
go back to reference Friche AA, Diez-Roux AV, Cesar CC, Xavier CC, Proietti FA, Caiaffa WT: Assessing the psychometric and ecometric properties of neighborhood scales in developing countries: Saude em Beaga Study, Belo Horizonte, Brazil, 2008–2009. J Urban Health. 2012, 90: 246-261.CrossRefPubMedCentral Friche AA, Diez-Roux AV, Cesar CC, Xavier CC, Proietti FA, Caiaffa WT: Assessing the psychometric and ecometric properties of neighborhood scales in developing countries: Saude em Beaga Study, Belo Horizonte, Brazil, 2008–2009. J Urban Health. 2012, 90: 246-261.CrossRefPubMedCentral
25.
go back to reference Dias L, Sugai M, Pereira : Planejamento e gestão do território. Escalas, conflitos e incertezas. XIII Encontro da Associação Nacional de Pós-Graduação e Pesquisa em Planejamento Urbano e Regional. 2009, Florianópolis: Associação Nacional de Pós-Graduação e Pesquisa em Planejamento Urbano e Regional Dias L, Sugai M, Pereira : Planejamento e gestão do território. Escalas, conflitos e incertezas. XIII Encontro da Associação Nacional de Pós-Graduação e Pesquisa em Planejamento Urbano e Regional. 2009, Florianópolis: Associação Nacional de Pós-Graduação e Pesquisa em Planejamento Urbano e Regional
26.
go back to reference Brazilian Institute of Geographic and Statistics: Censo Demográfico 2000. Agregado por Setores Censitários dos Resultados do Universo pp. 157. 2003, Rio de Janeiro: IBGE, 157- Brazilian Institute of Geographic and Statistics: Censo Demográfico 2000. Agregado por Setores Censitários dos Resultados do Universo pp. 157. 2003, Rio de Janeiro: IBGE, 157-
27.
go back to reference Ellaway A, Macintyre S, Kearns A: Perceptions of place and health in socially contrasting neighbourhoods. Urban Stud. 2001, 1638: 2299-2223.CrossRef Ellaway A, Macintyre S, Kearns A: Perceptions of place and health in socially contrasting neighbourhoods. Urban Stud. 2001, 1638: 2299-2223.CrossRef
28.
go back to reference Szreter S: The genesis of the registrar-General’s social classification of occupations. Br J Sociol. 1984, 35: 522-546. 10.2307/590433.CrossRef Szreter S: The genesis of the registrar-General’s social classification of occupations. Br J Sociol. 1984, 35: 522-546. 10.2307/590433.CrossRef
29.
go back to reference Kuder G, Richardson M: The theory of the estimation of test reliability. Psychometrika. 1937, 2: 151-160. 10.1007/BF02288391.CrossRef Kuder G, Richardson M: The theory of the estimation of test reliability. Psychometrika. 1937, 2: 151-160. 10.1007/BF02288391.CrossRef
30.
go back to reference Reichenheim ME, Moraes CL: [Operationalizing the cross-cultural adaptation of epidemiological measurement instruments]. Rev Saude Publica. 2007, 41: 665-673. 10.1590/S0034-89102006005000035.CrossRefPubMed Reichenheim ME, Moraes CL: [Operationalizing the cross-cultural adaptation of epidemiological measurement instruments]. Rev Saude Publica. 2007, 41: 665-673. 10.1590/S0034-89102006005000035.CrossRefPubMed
31.
go back to reference Cronbach L: Coefficient alpha and the internal structure of tests. Psychometrika. 1951, 16: 297-334. 10.1007/BF02310555.CrossRef Cronbach L: Coefficient alpha and the internal structure of tests. Psychometrika. 1951, 16: 297-334. 10.1007/BF02310555.CrossRef
32.
go back to reference Kaiser H: An index of factorial simplicity. Psychometrika. 1974, 39: 31-36. 10.1007/BF02291575.CrossRef Kaiser H: An index of factorial simplicity. Psychometrika. 1974, 39: 31-36. 10.1007/BF02291575.CrossRef
33.
go back to reference Raudenbush S, Sampson R: Econometrics: toward a science of assessing ecological settings, with application to the systematic social observation of neighborhoods. Sociol Methodol. 1999, 29: 1-41. 10.1111/0081-1750.00059.CrossRef Raudenbush S, Sampson R: Econometrics: toward a science of assessing ecological settings, with application to the systematic social observation of neighborhoods. Sociol Methodol. 1999, 29: 1-41. 10.1111/0081-1750.00059.CrossRef
34.
go back to reference Corsi DJ, Subramanian SV, McKee M, Li W, Swaminathan S, Lopez-Jaramillo P, Avezum A, Lear SA, Dagenais G, Rangarajan S, et al: Environmental Profile of a Community’s Health (EPOCH): an ecometric assessment of measures of the community environment based on individual perception. PLoS One. 2012, 7: e44410-10.1371/journal.pone.0044410.CrossRefPubMedPubMedCentral Corsi DJ, Subramanian SV, McKee M, Li W, Swaminathan S, Lopez-Jaramillo P, Avezum A, Lear SA, Dagenais G, Rangarajan S, et al: Environmental Profile of a Community’s Health (EPOCH): an ecometric assessment of measures of the community environment based on individual perception. PLoS One. 2012, 7: e44410-10.1371/journal.pone.0044410.CrossRefPubMedPubMedCentral
35.
go back to reference Poortinga W, Dunstan FD, Fone DL: Neighbourhood deprivation and self-rated health: the role of perceptions of the neighbourhood and of housing problems. Health Place. 2008, 14: 562-575. 10.1016/j.healthplace.2007.10.003.CrossRefPubMed Poortinga W, Dunstan FD, Fone DL: Neighbourhood deprivation and self-rated health: the role of perceptions of the neighbourhood and of housing problems. Health Place. 2008, 14: 562-575. 10.1016/j.healthplace.2007.10.003.CrossRefPubMed
36.
go back to reference Pampalon R, Hamel D, De Koninck M, Disant MJ: Perception of place and health: differences between neighbourhoods in the Quebec City region. Soc Sci Med. 2007, 65: 95-111. 10.1016/j.socscimed.2007.02.044.CrossRefPubMed Pampalon R, Hamel D, De Koninck M, Disant MJ: Perception of place and health: differences between neighbourhoods in the Quebec City region. Soc Sci Med. 2007, 65: 95-111. 10.1016/j.socscimed.2007.02.044.CrossRefPubMed
37.
go back to reference Waiselfisz J: Mapa da Violência 2012. Os novos padrões da violência homicida no Brasil pp. 245. 2011, São Paulo: Sanghari, 245-São Paulo Waiselfisz J: Mapa da Violência 2012. Os novos padrões da violência homicida no Brasil pp. 245. 2011, São Paulo: Sanghari, 245-São Paulo
38.
go back to reference Mass C, Hoss J: Sufficient sample sizes for multilevel modeling. Methodology. 2005, 1: 86-92.CrossRef Mass C, Hoss J: Sufficient sample sizes for multilevel modeling. Methodology. 2005, 1: 86-92.CrossRef
Metadata
Title
Perceived neighborhood problems: multilevel analysis to evaluate psychometric properties in a Southern adult Brazilian population
Authors
Doroteia Aparecida Höfelmann
Ana V Diez-Roux
José Leopoldo Ferreira Antunes
Marco Aurélio Peres
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-1085

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