Neighborhood poverty and self-reported health among low-income, rural women, 50 years and older.
We examined the relationship between neighborhood socioeconomic context and self-reported health among low-income, rural women aged 50+ years, without a history of breast cancer. Tract-level census data were linked to individual level data from the baseline survey of a community trial to increase breast cancer screening rates. Generalized estimating equations were used to analyze data for 1988 women and 56 census tracts. Neighborhood poverty was associated with a greater likelihood of poor self-reported health, adjusted for age, race and socioeconomic status (OR=1.35, 95% CI=1.08-1.68). This effect was greatest for individuals with incomes below the median neighborhood income.
Kobetz
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Department of Health Behavior and Health Education, School of Public Health, The University of North Carolina at Chapel Hill, C.B. #7440, Rosenau Hall, Chapel Hill, NC 27599-7440, USA. kobetz@email.unc.edu
Daniel
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Earp
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JA
D016001:Confidence Intervals; D003625:Data Collection; D004522:Educational Status; D004651:Employment; D005260:Female; D006801:Humans; D008875:Middle Aged; D009657:North Carolina; D011203:Poverty; D012424:Rural Population; D012650:Self Disclosure; D016387:Women's Health