What Level Macro? Choosing Appropriate Levels to Assess How Place Influences Population Health

  • Theresa L. Osypuk
  • Sandro Galea


Metropolitan Area Zoning Improvement Plan Code Census Tract Census Bureau Racial Inequality 
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  1. Acevedo-Garcia, D., Lochner, K. A., Osypuk, T. L., & Subramanian, S. V. (2003). Future directions in residential segregation and health research: A multilevel approach. American Journal of Public Health, 93(2), 215–221.PubMedGoogle Scholar
  2. Altshuler, A., Morrill, W., Wolman, H., Mitchell, F., & Committee on Improving the Future of U.S. Cities Through Improved Metropolitan Area Governance (1999). Governance and opportunity in metropolitan America.Washington, DC: National Academy Press.Google Scholar
  3. Anderson, E., & Massey, D. S. (2001). The sociology of race in the United States. In E. Anderson & D. S. Massey (Eds.), Problem of the century: Racial stratification in the United States.New York: Russell Sage Foundation.Google Scholar
  4. Bailey, W. C., & Peterson, R. D. (1995). Gender inequality and violence against women. In J. Hagan & R. D. Peterson (Eds.), Crime and inequality.Stanford, CA: Stanford University Press.Google Scholar
  5. Ballin, S. D. (1994). Thirty years of tobacco industry domination of tobacco control efforts in the federal government. Circulation, 89(2), 543–544.PubMedGoogle Scholar
  6. Booth, C. (2001). On the city: Physical pattern and social structure. Introduction. In G. Davey Smith, D. Dorling, & M. Shaw (Eds.), Poverty, inequality, and health in Britain 1800–2000: A reader.Bristol, UK: The Policy Press.Google Scholar
  7. Castree, N. (2004). Differential geographies: Place, indigenous rights, and “local” resources. Political Geography, 23, 133–167.CrossRefGoogle Scholar
  8. Cereseto, S., & Waitzkin, H. (1986a). Capitalism, socialism, and the physical quality of life. International Journal of Health Services, 16(4), 643–658.Google Scholar
  9. Cereseto, S., & Waitzkin, H. (1986b). Economic development, political-economic system, and the physical quality of life. American Journal of Public Health, 76(6), 661–666.Google Scholar
  10. Cummins, S., Curtis, S., Diez Roux, A. V., & Macintyre, S. (In press). Understanding and representing “place” in health research: a relational approach. Social Science & Medicine.Google Scholar
  11. Davey Smith, G., Dorling, D., & Shaw, M. (2001). Poverty, inequality, and health in Britain 1800–2000: A reader. Bristol, UK: The Policy PressGoogle Scholar
  12. Diez Roux, A. V. (2007). Neighborhoods and health: where are we and where do we go from here? Revue d’Epidemiologie et de Sante Publique, 55(1), 13–21.PubMedGoogle Scholar
  13. Diez Roux, A. V. (2000). Multilevel analysis in public health research. Annual Review of Public Health, 21, 171–192.PubMedCrossRefGoogle Scholar
  14. Diez Roux, A. V. (2001). Investigating neighborhood and area effects on health. American Journal of Public Health, 91(11), 1783–1789.PubMedGoogle Scholar
  15. Diez Roux, A. V. (2002a). Invited commentary: Places, people, and health. American Journal of Epidemiology, 155(6), 516–519.CrossRefGoogle Scholar
  16. Diez Roux, A. V. (2002b). A glossary for multilevel analysis. Journal of Epidemiology and Community Health, 56(8), 588–594.CrossRefGoogle Scholar
  17. Diez Roux, A. V. (2003). Issues related to multiple levels of organization. In I. Kawachi & L. F. Berkman (Eds.), Neighborhoods and health.New York: Oxford University Press.Google Scholar
  18. Diez Roux, A. V. (2004a). Estimating neighborhood health effects: The challenges of causal inference in a complex world. Social Science & Medicine, 58(10), 1953–1960.CrossRefGoogle Scholar
  19. Diez Roux, A. V. (2004b). The study of group-level factors in epidemiology: Rethinking variables, study designs, and analytical approaches. Epidemiologic Reviews, 26(1), 104–111.CrossRefGoogle Scholar
  20. Diez Roux, A. V. (2005). Commentary: Estimating and understanding area health effects. International Journal of Epidemiology, 34(2), 284–285.PubMedCrossRefGoogle Scholar
  21. Diez Roux, A. V., & Aiello, A. E. (2005). Multilevel analysis of infectious diseases. Journal of Infectious Disease, 191(Supplement 1), S25–S33.CrossRefGoogle Scholar
  22. Duncan, C., Jones, K., & Moon, G. (1998). Context, composition, and heterogeneity: Using multilevel models in health research. Social Science & Medicine, 46(1), 97–117.CrossRefGoogle Scholar
  23. Ellen, I. G. (2000). Is segregation bad for your health? The case of low birth weight. In W. G. Gale & J. R. Pack (Eds.), Brookings-Wharton papers on urban affairs 2000.Washington, DC: Brookings Institution Press.Google Scholar
  24. Ellen, I. G., Mijanovich, T., & Dillman, K. N. (2001). Neighborhood effects on health: Exploring the links and assessing the evidence. Journal of Urban Affairs, 23(3–4), 391–408.CrossRefGoogle Scholar
  25. Engels, F. (1845). The condition of the working class in England. The great towns. In G. Davey Smith, D. Dorling, & M. Shaw (Eds.), Poverty, inequality, and health in Britain 1800–2000: A reader.Bristol, UK: The Policy Press.Google Scholar
  26. FANS, L. A. (2006). The Los Angeles Family and Neighborhood Survey: Overview of L.A. FANS Survey Design. RAND. (August 2, 2006); newline Scholar
  27. Farr, W. (2001). Vital statistics: A memorial volume of selections from the reports and writings of William Farr. In G. Davey Smith, D. Dorling, & M. Shaw (Eds.), Poverty, inequality, and health in Britain 1800–2000: A reader. Bristol, UK: The Policy Press.Google Scholar
  28. Franco, A., Alvarez-Dardet, C., & Ruiz, M. (2004). Effect of democracy on health: Ecological study. British Medical Journal, 329(7480), 1421–1423.PubMedCrossRefGoogle Scholar
  29. Frank, L. D., & Engelke, P. O. (2001). The built environment and human activity patterns: Exploring the impacts of urban form on public health. Journal of Planning Literature, 16(2), 202–218.CrossRefGoogle Scholar
  30. Frank, L. D., & Engelke, P. (2005). Multiple impacts of the built environment on public health: Walkable places and the exposure to air pollution. International Regional Science Review, 28(2), 193–216.CrossRefGoogle Scholar
  31. Freudenberg, N. (2005). Public health advocacy to change corporate practices: Implications for health education practice and research. Health Education and Behavior, 32(3), 298–319.PubMedCrossRefGoogle Scholar
  32. Freudenberg, N., Galea, S., & Vlahov, D. (2006). Changing living conditions; changing health: US cities since World War II. In N. Freudenberg,S. Galea, & D. Vlahov (Eds.), Cities and the health of the public.Nashville, TN: Vanderbilt.Google Scholar
  33. Frey, W. H. (2001). Melting pot suburbs: A census 2000 study of suburban diversity. Census 2000 Series.Washington, DC: The Brookings Institution Center on Urban & Metropolitan Policy.Google Scholar
  34. Galea, S., Freudenberg, N., & Vlahov, D. (2006). A framework for the study of urban health. In N. Freudenberg, S. Galea, & D. Vlahov (Eds.), Cities and the health of the public.Nashville, TN: Vanderbilt.Google Scholar
  35. Gilmore, A., & McKee, M. (2004). Tobacco and transition: An overview of industry investments, impact and influence in the former Soviet Union. Tobacco Control, 13, 136–142.PubMedCrossRefGoogle Scholar
  36. Gostin, L. O., Koplan, J. P., & Grad, F. P. (2003). The law and the public’s health: The foundation. In R. A. Goodman, M. A. Rothstein, R. E. Hoffman, W. Lopez, & G. W. Matthews (Eds.), Law in public health practice.New York: Oxford University Press.Google Scholar
  37. Greenland, S. (2002). A review of multilevel theory for ecologic analyses. Statistics in Medicine, 21, 389–395.PubMedCrossRefGoogle Scholar
  38. Grosse, S. D., Waitzman, N. J., Romano, P. S., & Mulinare, J. (2005). Reevaluating the benefits of folic acid fortification in the United States: Economic analysis, regulation, and public health. American Journal of Public Health, 95(11), 1917–1922.PubMedCrossRefGoogle Scholar
  39. Grossman, M. (1989). Health benefits of increases in alcohol and cigarette taxes. British Journal of Addiction, 84, 1193–1204.PubMedCrossRefGoogle Scholar
  40. Hahn, R., Bilukha, O., Crosby, A., Fullilove, M., Liberman, A., Moscicki, E., et al. (2005). Firearms laws and the reduction of violence: A systematic review. American Journal of Preventive Medicine, 28(2 Supplement 1), 40–71.PubMedCrossRefGoogle Scholar
  41. Harvey, D. (1973). Social justice and the city.London: Edward Arnold Publishers Ltd.Google Scholar
  42. Harvey, D. (2006). Space as a keyword. In N. Castree & D. Gregory (Eds.), David Harvey: A critical reader.Malden, MA: Blackwell Publishing.Google Scholar
  43. Heywood, D. I. (1998). Introduction to geographical information systems. New York: Addison Wesley LongmanGoogle Scholar
  44. Jargowsky, P. A. (1997). Poverty and place: Ghettos, barrios, and the American city.New York: Russell Sage FoundationGoogle Scholar
  45. Jargowsky, P. A. (2003). Stunning progress, hidden problems: The dramatic decline of concentrated poverty in the 1990s. In Center on Urban and Metropolitan Policy (Ed.), Washington, DC: Brookings Institution.Google Scholar
  46. Katz, B., & Lang, R. E. (2003). Introduction. In B. Katz & R. E. Lang (Eds.), Redefining urban & suburban America: Evidence from census 2000. Washington, DC: Brookings InstitutionGoogle Scholar
  47. Kawachi, I., Wilkinson, R. G., & Kennedy, B. P. (1999). Introduction. In I. Kawachi, B. P. Kennedy, & R. G. Wilkinson (Eds.), The society and population health reader: Income inequality and health.New York: The New Press.Google Scholar
  48. Kawachi, I., & Berkman, L. F. (2003a). Neighborhoods and health. New York, NY: Oxford University PressGoogle Scholar
  49. Kawachi, I., & Berkman, L. F. (2003b). Introduction. In I. Kawachi & L. F. Berkman (Eds.), Neighborhoods and health.New York: Oxford University Press.Google Scholar
  50. Krieger, N. (2001). Historical roots of social epidemiology: Socioeconomic gradients in health and contextual analysis (letter to the editor). International Journal of Epidemiology, 30, 899–900.PubMedCrossRefGoogle Scholar
  51. Krieger, N., Williams, D. R., & Moss, N. E. (1997). Measuring social class in US public health research: Concepts, methodologies, and guidelines. Annual Review of Public Health, 18(1), 341–378.PubMedCrossRefGoogle Scholar
  52. Land, K. C., Cantor, D., & Russell, S. T. (1995). Unemployment and crime rate fluctuations. In J. Hagan & R.D. Peterson (Eds.), Crime and inequality.Stanford, CA: Stanford University Press.Google Scholar
  53. Leyland, A. H., & Groenewegen, P. P. (2003). Multilevel modeling and public health policy. Scandinavian Journal of Public Health, 31, 267–274.PubMedCrossRefGoogle Scholar
  54. Link, B. G., & Phelan, J. C. (1996). Editorial: Understanding sociodemographic differences in health — The role of fundamental social causes. American Journal of Public Health, 86(4), 471–473.PubMedGoogle Scholar
  55. Macintyre, S., & Ellaway, A. (2003). Neighborhoods and health: An overview. In I. Kawachi & L.F. Berkman (Eds.), Neighborhoods and health.New York: Oxford University Press.Google Scholar
  56. Macintyre, S., Ellaway, A., & Cummins, S. (2002). Place effects on health: How can we conceptualise, operationalise, and measure them? Social Science & Medicine, 55, 125–139.CrossRefGoogle Scholar
  57. Martyn, C. (2004). Politics as a determinant of health. British Medical Journal, 329(7480), 1423–1424.PubMedCrossRefGoogle Scholar
  58. Massey, D. (1991). The political place of locality studies. Environment and Planning Series A, 23, 267–281.CrossRefGoogle Scholar
  59. Massey, D. S., & Denton, N. A. (1993). American apartheid: Segregation and the making of the underclass. Cambridge, MA: Harvard University PressGoogle Scholar
  60. McMichael, A. J. (1999). Prisoners of the proximate: Loosening the constraints on epidemiology in an age of change. American Journal of Epidemiology, 149(10), 887–897.PubMedGoogle Scholar
  61. Melvin, P. M. (1985). Changing contexts: Neighborhood definition and urban organization. American Quarterly, 37(3), 357–367.CrossRefGoogle Scholar
  62. Morenoff, J. D., Diez Roux, A. V., Osypuk, T., & Hansen, B. (2006). Residential environments and obesity: What can we learn about policy interventions from observational studies? National Poverty Center Working Paper. Ann Arbor, MI: University of Michigan.Google Scholar
  63. Morgenstern, H. (1985). Socioeconomic factors: Concepts, measurement, and health effects. In A. M. Ostfeld & E. D. Eaker (Eds.), Measuring psychosocial variables in epidemiologic studies of cardiovascular disease: Proceedings of a workshop.Washington, DC: National Institutes of Health.Google Scholar
  64. National Association of Counties (2003). A brief overview of county government. Washington DC: NACO.Google Scholar
  65. National Association of Counties (2006a). About counties. July 8, 2006; ? About_Counties.Google Scholar
  66. National Association of Counties (2006b). An overview of county government. (July 8, 2006); Scholar
  67. National Research Council (2002). Equality of opportunity and the importance of place: Summary of a workshop. Washington DC: National Academy PressGoogle Scholar
  68. New York City Department of City Planning (2006). New York: A city of neighborhoods. New York (2006); Scholar
  69. Oakes, J. M. (2006). Commentary: Advancing neighbourhood-effects research—selection, inferential support, and structural confounding. International Journal of Epidemiology, 35, 643–647.PubMedCrossRefGoogle Scholar
  70. Oakes, J. M., & Kaufman, J. S. (2006). Introduction: Advancing methods in social epidemiology. In J. M. Oakes & J. S. Kaufman (Eds.), Methods in social epidemiology.San Francisco: Jossey Bass.Google Scholar
  71. O’Campo, P. (2003). Invited commentary: Advancing theory and methods for multilevel models of residential neighborhoods and health. American Journal of Epidemiology, 157(1), 9–13.PubMedCrossRefGoogle Scholar
  72. O’Campo, P., & Kogan, M. D. (2005). Multilevel modeling in perinatal research. (February 2, 2005); Scholar
  73. O’Campo, P., & Schempf, A. (2005). Racial inequalities in preterm delivery: Issues in the measurement of psychosocial constructs. American Journal of Obstetrics and Gynecology, 192, S56–63.PubMedCrossRefGoogle Scholar
  74. O’Connor, A. (2001). Understanding inequality in the late twentieth-century metropolis: New perspectives on the enduring racial divide. In A. O’Connor, C. Tilly, & L. D. Bobo (Eds.), Urban inequality: Evidence from four cities.New York: Russell Sage Foundation.Google Scholar
  75. Office of Management and Budget, & Spotila, J. T. (2000). Part IX, Office of Management and Budget, standards for defining metropolitan and micropolitan statistical areas; notice. Federal Register, 65(249), 82228–82238.Google Scholar
  76. Orfield, M. (2002). American metropolitics: The new suburban reality. Washington, DC: Brookings Institution PressGoogle Scholar
  77. Osypuk, T. L. (2005). Demographic and place dimensions of racial/ethnic health disparities. Unpublished dissertation. Boston, MA: Harvard University School of Public Health, Department of Society, Human Development, and Health.Google Scholar
  78. Osypuk, T. L. (2006). Inequality in exposure to fast food outlets by race/ethnicity & social class across 325 US metropolitan areas. American Journal of Epidemiology, 163(11 Supplement), S144.Google Scholar
  79. Osypuk, T. L., Kawachi, I., Subramanian, S. V., & Acevedo-Garcia, D. (2006). Are state patterns of smoking different for different racial/ethnic groups? An application of multilevel analysis. Public Health Reports, 121(5), 563–577.PubMedGoogle Scholar
  80. Plane, D. A. (2004). Population distribution: Geographic areas. In J. S. Siegel & D. A. Swanson (Eds.), The methods and materials of demography.2nd edition. San Diego, CA: Elsevier Academic Press.Google Scholar
  81. Raudenbush, S. W., & Sampson, R. J. (1999). Ecometrics: Toward a science of assessing ecological settings, with application to the systematic social observation of neighborhoods. Sociological Methodology, 29, 1–41.CrossRefGoogle Scholar
  82. Rose, G. (1992). The strategy of preventive medicine. New York, NY: Oxford University PressGoogle Scholar
  83. Saelens, B. E., Sallis, J. F., & Frank, L. D. (2003). Environmental correlates of walking and cycling: Findings from the transportation, urban design, and planning literatures. Annals of Behavioral Medicine, 25(2), 80–91.PubMedCrossRefGoogle Scholar
  84. Sallis, J. F., Frank, L. D., Saelens, B. E., & Kraft, M. K. (2004). Active transportation and physical activity: Opportunities for collaboration on transportation and public health research. Transportation Research Part A: Policy and Practice, 38(4), 249–268.CrossRefGoogle Scholar
  85. Sampson, R. J., & Wilson, W. J. (1995). Race, crime, and urban inequality. In J. Hagan & R.D. Peterson (Eds.), Crime and inequality.Stanford, CA: Stanford University Press.Google Scholar
  86. Schwartz, S., & Carpenter, K. M. (1999). The right answer for the wrong question: Consequences of type III error for public health research. American Journal of Public Health, 89(8), 1175–1180.PubMedGoogle Scholar
  87. Schwartz, S., & Diez Roux, A. V. (2001). Commentary: Causes of incidence and causes of cases — a Durkheimian perspective on Rose. International Journal of Epidemiology, 30(3), 435–439.PubMedCrossRefGoogle Scholar
  88. Shadish, W. R., Cook, T. D., & Campbell, D. T. (2002). Experimental and quasi-experimental designs for generalized causal inference. New York: Houghton Mifflin.Google Scholar
  89. Subramanian, S. V., Acevedo-Garcia, D., & Osypuk, T. L. (2005). Racial residential segregation and geographic heterogeneity in black/white disparity in poor self-rated health in the U.S.: A multilevel statistical analysis. Social Science & Medicine, 60(8), 1667–1679.CrossRefGoogle Scholar
  90. U.S. Census Bureau. (2000). Census 2000 ZCTAs ZIP code tabulation areas technical documentation. Washington, DC: U.S. Census Bureau.Google Scholar
  91. U.S. Census Bureau. (2001a). ZIP code tabulation areas (ZCTAs). U.S. Census Bureau. Washington, DC (April 13, 2001); Scholar
  92. U.S. Census Bureau. (2001b). Geographic changes for Census 2000 ? glossary. Washington, DC (September 20, 2001); Scholar
  93. U.S. Census Bureau. (2001c). Ranking tables for incorporated places of 100,000 or more: Population in 2000 and population change from 1990 to 2000 (PHC-T-5). Table 2: incorporated places of 100,000 or more ranked by population: 2000. Washington, DC (July 31, 2002); Scholar
  94. U.S. Census Bureau. (2002). U.S. Gazetteer: 2000 and 1990: 1990 Census gazetteer files. Washington, DC (May 3, 2005); Scholar
  95. U.S. Census Bureau. (2004a). 2002 Census of Governments, Volume 3, Number 1, employment of major local governments GC02(3)-1. Washington, DC: U.S. Government Printing Office.Google Scholar
  96. U.S. Census Bureau (2004b). Federal, state, and local governments, state and local government finances, 2002 census of governments: Viewable data: State and local summary tables by level of government and by type of government. U.S. Census Bureau. Washington, DC (October 14, 2004); Scholar
  97. U.S. Census Bureau (2005a). About metropolitan and micropolitan statistical areas. U.S. Census Bureau. Washington, DC (June 7, 2005); Scholar
  98. U.S. Census Bureau (2005b). Answers to frequently asked questions about census bureau geography, maps and mapping engines: ZIP code information. Washington, DC (August 19, 2005); Scholar
  99. U.S. Census Bureau (2006a). ZIP Code Statistics. July 10, 2006. Scholar
  100. U.S. Census Bureau (2006b). TIGER Frequently Asked Questions. July 10, 2006. Scholar
  101. U.S. Census Bureau (2006c). American factfinder. Urbanized area. U.S. Census Bureau. October 8, 2006.Google Scholar
  102. U.S. Census Bureau (no year). Appendix A: Census 2000 geographic terms and concepts.Google Scholar
  103. U.S. Postal Service (2003). The United States Postal Service: An American history 1775 – 2002. Publication 100. U.S. Postal Service. (September, 2003); Scholar
  104. U.S. Postal Service (2006a). Mr ZIP: The nation’s original “digital” icon. July 10, 2006. Scholar
  105. U.S. Postal Service (2006b). Sources of historical information on post offices, postal employees, mail routes, and mail contractors: Publication 119. U.S. Postal Service. (October, 2006); Scholar
  106. Wilkinson, R. G. (1992a). National mortality rates: The impact of inequality? American Journal of Public Health, 82(8), 1082–1084.CrossRefGoogle Scholar
  107. Wilkinson, R. G. (1992b). Income distribution and life expectancy. British Medical Journal, 304(6820), 165–168.Google Scholar
  108. Wilkinson, R. G., & Pickett, K. E. (2006). Income inequality and population health: A review and explanation of the evidence. Social Science & Medicine, 62, 1768–1784.CrossRefGoogle Scholar
  109. Wilson, W. J. (1987). The truly disadvantaged: The inner city, the underclass, and public policy. Chicago: University of Chicago PressGoogle Scholar
  110. Yang, T. C. (2005). Modifiable areal unit problem. GIS resource document 05–65 (GIS_RD_05–65). (February, 2005);–65.pdf.Google Scholar

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  • Theresa L. Osypuk
  • Sandro Galea

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