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Discrepancies between personal income and neighbourhood status: effects on physical and mental health

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Abstract

During their life course, older persons’ income level may become discrepant with the socio-economic status of their neighbourhood. This study examines whether and how such discrepancies affect older persons’ physical and mental health. Using baseline data from the Longitudinal Aging Study Amsterdam, 2,540 non-institutionalised persons aged 55–85 years were classified based on self-reported income and neighbourhood status. Two categories defined discrepancies: discrepant-low (DL, low income in high-status neighbourhood), and discrepant-high (DH, high income in low-status neighbourhood). Both categories were compared with the same reference category: matched-high (MH, high personal and high neighbourhood income status). A range of health indicators were examined, as well as mediating effects of neighbourhood and individual characteristics. Among the 504 persons who reported a high income, 16% lived in a low-status neighbourhood (DH). Conversely, among the 757 persons living in a high-status neighbourhood, 24% had a low income (DL). The DL category mainly lived in rural areas, and the DH category predominantly in large cities. The data show discrepant income effects (DL vs. MH) on physical and cognitive ability, self-rated health, and loneliness, and discrepant neighbourhood effects (DH vs. MH) on physical and cognitive ability, depressive symptoms, and loneliness. Personal income effects were partly mediated by other personal characteristics, and neighbourhood effects were fully mediated by socio-economic neighbourhood characteristics as well as by older persons’ perceptions of their neighbourhood and their income. It is concluded that discrepancies between personal income and neighbourhood status, accrued throughout the life course, are associated with poor health.

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References

  • Balfour JL, Kaplan GA (2002) Neighborhood environment and loss of physical function in older adults: evidence from the Alameda County Study. Am J Epidemiol 155:507–515

    Article  PubMed  Google Scholar 

  • Beekman ATF, Deeg DJH, Van Limbeek J, Braam AW, De Vries MZ, Van Tilburg W (1997) Criterion validity of the Center for Epidemiologic Studies Depression scale (CES-D): results from a community based sample of older subjects in the Netherlands. Psychol Med 27:231–235

    Article  CAS  PubMed  Google Scholar 

  • Blakely T, Woodward A (2000) Ecological effects in multi-level studies. J Epidemiol Community Health 54:367–374

    Article  CAS  PubMed  Google Scholar 

  • Boyle P, Norman P, Rees P (2002) Does migration exaggerate the relationship between deprivation and limiting long-term illness? A Scottish analysis. Social Sci Med 55:21–31

    Article  Google Scholar 

  • Braam GPA (2001) Ouderen sterk onderbelicht in armoedeonderzoek (Older adults neglected in poverty research). Tijdschr Gerontol Geriatr 32:146–149

    CAS  PubMed  Google Scholar 

  • Brown V (1995) The effects of poverty environments on elders’ subjective well-being: a conceptual model. Gerontologist 35:541–548

    CAS  PubMed  Google Scholar 

  • Deeg DJH, Knipscheer CPM, Van Tilburg W (eds) (1993) Autonomy and well-being in the aging population: concepts and design of the Longitudinal Aging Study Amsterdam. NIG Trendstudies no 7. Netherlands Institute of Gerontology, Bunnik

  • Deeg DJH, Van Tilburg T, Smit JH, De Leeuw ED (2002) Attrition in the Longitudinal Aging Study Amsterdam: the effect of differential inclusion in side studies. J Clin Epidemiol 55:319–328

    Article  PubMed  Google Scholar 

  • De Jong Gierveld J, Kamphuis FH (1985) The development of a Rasch-type loneliness-scale. Appl Psychol Measure 9:289–299

    Google Scholar 

  • Den Dulk CJ, Van de Stadt H, Vliegen JM (1992) Een nieuwe maatstaf voor stedelijkheid: de omgevingsadressendichtheid (A new measure for degree of urbanization: the address density of the surrounding area). Maandstat Bevolking 40:14–27

    PubMed  Google Scholar 

  • Fauth RC, Leventhal T, Brooks-Gunn J (2004) Short-term effects of moving from public housing in poor to middle-class neighborhoods on low-income, minority adults’ outcomes. Social Sci Med 59:2271–2284

    Article  Google Scholar 

  • Fisher KJ, Li FZ, Michael Y, Cleveland M (2004) Neighborhood-level influences on physical activity among older adults: a multilevel analysis. J Aging Phys Activity 12:45–63

    Google Scholar 

  • Folstein MF, Folstein SE, McHugh PR (1975) “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:89–198

    Article  Google Scholar 

  • Glass TA, Balfour JL (2003) Neighborhoods, aging, and functional limitations. In: Kawachi I, Berkman LF (eds) Neighborhoods and health. Oxford University Press, Oxford, pp 303–334

  • Golant SM (2003) Conceptualizing time and behavior in environmental gerontology: a pair of old issues deserving new thought. Gerontologist 43:538–548

    Google Scholar 

  • Grundy E, Holt G (2001) The socioeconomic status of older adults: how should we measure it in studies of health inequalities? J Epidemiol Community Health 55:895–904

    Article  CAS  PubMed  Google Scholar 

  • Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, Scherr PA, Wallace RB (1994) A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol Med Sci 49:M85–94

    CAS  Google Scholar 

  • Hou F, Myles J (2005) Neighbourhood inequality, neighbourhood affluence and population health. Social Sci Med 60:1557–1569

    Article  Google Scholar 

  • Huisman M, Kunst AE, Mackenbach J (2003) Socioeconomic inequalities in morbidity among the elderly; a European overview. Social Sci Med 57:861–873

    Article  Google Scholar 

  • Kawachi I, Berkman LF (2003) Introduction. In: Kawachi I, Berkman LF (eds) Neighborhoods and health. Oxford University Press, Oxford, pp 1–19

  • Kawachi I, Kennedy BP (1997) Socioeconomic determinants of health: health and social cohesion: why care about income inequality? Br Med J 314:1037

    CAS  Google Scholar 

  • Knipscheer CPM, De Jong Gierveld J, Van Tilburg TG, Dykstra PA (eds) (1995) Living arrangements and social networks of older adults. VU University Press, Amsterdam

  • Kobetz E, Daniel M, Earp JA (2003) Neighborhood poverty and self-reported health among low-income, rural women, 50 years and older. Health Place 9:263–271

    Article  CAS  PubMed  Google Scholar 

  • Krause N (1996) Neighborhood deterioration and self-rated health in later life. Psychol Aging 11:342–352

    Article  CAS  PubMed  Google Scholar 

  • Krause N (2003) Neighborhoods, health, and well-being in late life. Annu Rev Gerontol Geriatr 23:223–249

    Google Scholar 

  • Kriegsman DMW, Deeg DJH, Van Eijk JTM, Penninx BWJH, Boeke AJP (1997) Do disease specific characteristics add to the explanation of mobility limitations in patients with different chronic diseases? A study in The Netherlands. J Epidemiol Community Health 51:676–685

    CAS  PubMed  Google Scholar 

  • Launer LJ, Dinkgreve MHAM, Jonker C, Hooijer C, Lindeboom J (1993) Are age and education independent correlates of the Mini-Mental State Exam performance of community-dwelling elderly? J Gerontol Psychol Sci 48:271–277

    Google Scholar 

  • Lopez R (2004) Income inequality and self-rated health in US metropolitan areas: a multi-level analysis. Social Sci Med 59:2409–2419

    Article  Google Scholar 

  • Macintyre S, Ellaway A (2003) Neighborhoods and health: an overview. In: Kawachi I, Berkman LF (eds) Neighborhoods and health. Oxford University Press, Oxford, pp 20–42

  • Macintyre S, Ellaway A, Cummins S (2002) Place effects on health: how can we conceptualise, operationalise and measure them? Social Sci Med 55:125–139

    Article  Google Scholar 

  • Magaziner J, Zimmerman SI, Gruber-Baldini AL, Hebel JR, Fox KM (1997) Proxy reporting in five areas of functional status. Comparison with self-reports and observations of performance. Am J Epidemiol 146:418–428

    CAS  PubMed  Google Scholar 

  • Marmot M, Wilkinson RG (2001) Psychosocial and material pathways in the relation between income and health: a response to Lynch et al. Br Med J 322:1233–1236

    CAS  Google Scholar 

  • Mollenkopf H, Marcellini F, Ruoppila I, Széman Z, Tacken M, Wahl H-W (2004) Social and behavioural science perspectives on out-of-home mobility in later life: findings from the European project MOBILATE. Eur J Ageing 1:45–53

    Article  Google Scholar 

  • Patel KV, Eschbach K, Rudkin LL, Peek MK, Markides KS (2003) Neighborhood context and self-rated health in older Mexican Americans. Ann Epidemiol 13:620–628

    Google Scholar 

  • Radloff LS (1977) The CES-D scale: a self-report depression scale for research in the general population. Appl Psychol Measures 1:385–401

    Google Scholar 

  • Robert SA (2002) Community context and aging—future research issues. Res Aging 24:579–599

    Google Scholar 

  • Robert SA, Li LW (2002) Age variation in the relationship between community socioeconomic status and adult health. Res Aging 23:233–258

    Google Scholar 

  • Rowles GD, Ravdal H (2002) Aging, place and meaning in the face of changing circumstances. In: Weiss RS, Bass SA (eds) Challenges of the third age. Oxford University Press, New York, pp 81–114

  • Sampson RJ, Morenoff JD, Gannon-Rowley T (2002) Assessing neighbourhood effects: social processes and new directions in research. Annu Rev Sociol 28:443–478

    Article  Google Scholar 

  • Schiepers JMP (1988) Huishoudensequivalentiefactoren volgens de budgetverdelingsmethode (Household equivalence factors using the budget distribution method). Sociaal-Econ Maandstat suppl 2:28–36

    Google Scholar 

  • Simonsick EM, Phillips CL, Skinner EA, Davis D, Kasper JD (1995) The daily lives of disabled older women. In: Guralnik JM, Fried LP, Simonsick EM, Kasper JD, Lafferty ME (eds) The Women’s Health and Aging Study: health and social characteristics of older women with disability. National Institute on Aging, Bethesda, MD, pp 50–69

  • Statistics Netherlands (1993) Wijk- en buurtregister 1993 (District and neighbourhood registry 1993). Statistics Netherlands, Voorburg/Heerlen

  • Thomése F, Van Tilburg T, Knipscheer CPM (2003) Continuation of exchange with neighbors in later life: the importance of the neighborhood context. Personal Relation 10:535–550

    Article  Google Scholar 

  • Van Sonsbeek JLA (1988) Methodische en inhoudelijke aspecten van de OESO-vragenlijst betreffende langdurige beperkingen in het lichamelijk functioneren (Methodological and substantial aspects of the OECD questionnaire regarding long-term limitations in physical functioning). Maandber Gezondheid (CBS) 88/6:4–17

    Google Scholar 

  • Van Sonsbeek JLA (1991) Het eigen oordeel over de gezondheid; methodische effecten bij het gezondheidsoordeel in gezondheidsenquêtes (The self-rating of health: methodological effects of the rating of health in health interview surveys). Maandber Gezondheid (CBS) 91/9:15–23

  • Wainwright NWJ, Surtees PG (2004) Places, people, and their physical and mental functional health. J Epidemiol Community Health 58:333–339

    Article  CAS  PubMed  Google Scholar 

  • Walters K, Breeze E, Wilkinson P, Price GM, Bulpitt CJ, Fletcher A (2004) Local area deprivation and urban-rural differences in anxiety and depression among people older than 75 years in Britain. Am J Publ Health 94:1768–1774

    Google Scholar 

Download references

Acknowledgements

The Longitudinal Aging Study Amsterdam is largely funded by The Netherlands Ministry of Health, Welfare, and Sports.

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Authors and Affiliations

  1. Institute for Research in Extramural Medicine/LASA, Vrije Universiteit Medical Centre, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands

    Dorly J. H. Deeg

  2. Department of Socio-Cultural Sciences, Faculty of Social Sciences, Vrije Universiteit, Amsterdam, The Netherlands

    G. C. Fleur Thomése

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  1. Dorly J. H. Deeg
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  2. G. C. Fleur Thomése
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Correspondence to Dorly J. H. Deeg.

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Deeg, D.J.H., Thomése, G.C.F. Discrepancies between personal income and neighbourhood status: effects on physical and mental health. Eur J Ageing 2, 98–108 (2005). https://doi.org/10.1007/s10433-005-0027-4

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