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Effect of neighborhood environment and individual social integration on mortality risk
Descriptive
TitleInfo
Title
Effect of neighborhood environment and individual social integration on mortality risk
SubTitle
an analysis of the Third National Health and Nutrition Examination Survey (NHANES III)
Name
(type = personal)
NamePart
(type = family)
Fleisch Marcus
NamePart
(type = given)
Andrea
NamePart
(type = date)
1973-
DisplayForm
Andrea Fleisch Marcus
Role
RoleTerm
(authority = RULIB)
author
Name
(type = personal)
NamePart
(type = family)
Passannante
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(type = given)
Marian R
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Marian R Passannante
Affiliation
Advisory Committee
Role
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chair
Name
(type = personal)
NamePart
(type = family)
Echeverria
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(type = given)
Sandra E
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Sandra E Echeverria
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
co-chair
Name
(type = personal)
NamePart
(type = family)
Holland
NamePart
(type = given)
Bart K
DisplayForm
Bart K Holland
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
internal member
Name
(type = personal)
NamePart
(type = family)
Abraido-Lanza
NamePart
(type = given)
Ana F
DisplayForm
Ana F Abraido-Lanza
Affiliation
Advisory Committee
Role
RoleTerm
(authority = RULIB)
outside member
Name
(type = corporate)
NamePart
Rutgers University
Role
RoleTerm
(authority = RULIB)
degree grantor
Name
(type = corporate)
NamePart
Graduate School - New Brunswick
Role
RoleTerm
(authority = RULIB)
school
TypeOfResource
Text
Genre
(authority = marcgt)
theses
OriginInfo
DateCreated
(qualifier = exact)
2013
DateOther
(qualifier = exact);
(type = degree)
2013-10
Place
PlaceTerm
(type = code)
xx
Language
LanguageTerm
(authority = ISO639-2b);
(type = code)
eng
Abstract
(type = abstract)
Background: Neighborhood socioeconomic condition and individual social integration are social constructs that have been independently linked to health. A decline in neighborhood condition has been linked to increased risks of poor health and mortality while social isolation has been shown to have similar risks. The goal of this study was to evaluate the association between these two known social determinants of health. This was achieved through three projects with the following objectives: 1) to evaluate the relationship between neighborhood socioeconomic context and distinct forms of social integration, 2) to examine whether neighborhood socioeconomic context influences time-to-death within this sample while controlling for confounders, and 3) to explore whether neighborhood socioeconomic context and social integration together have an impact on time-to-death. METHODS: The present study used data from the Third National Health and Examination Survey (NHANES III) and the NHANES III Linked Mortality File geocoded according to participants’ residential address and matched to Census data. A measure of neighborhood poverty that examined the proportion of residents in a census tract living below the federal poverty line was used to account for neighborhood context and a modified-Social Network Index was used to measure social integration. Logistic regression and Cox proportional hazards were used to assess associations while controlling for confounding. Additive interaction between neighborhood poverty and social integration was also examined. All analyses accounted for the complex sample design and sample weights. RESULTS: When controlling for individual-level factors, living in high poverty neighborhoods was associated with 47% (95% confidence interval: 1.15, 1.88) greater odds of having a low score on the SNI when compared with those living in more affluent neighborhoods. Living in a low poverty neighborhood was associated with a lower mortality risk when compared to living in a high poverty (≥20%) neighborhood. Those in high poverty neighborhoods with low social integration scores had a 63% (95% confidence interval: 1.34, 1.96) greater mortality risk when compared to those in low poverty neighborhoods with high social integration scores. CONCLUSION: The results of this dissertation provide evidence of the associations between neighborhood context, social integration and mortality.
Subject
(authority = RUETD)
Topic
Public Health
RelatedItem
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TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier
(type = RULIB)
ETD
Identifier
ETD_4988
PhysicalDescription
Form
(authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
ix, 119 p. : ill.
Note
(type = degree)
Ph.D.
Note
(type = bibliography)
Includes bibliographical references
Note
(type = statement of responsibility)
by Andrea Fleisch Marcus
Subject
(authority = ETD-LCSH)
Topic
Health surveys--United States--Evaluation
Subject
(authority = ETD-LCSH)
Topic
Epidemiology--Research
Subject
(authority = ETD-LCSH)
Topic
Mortality--Statistics
Subject
(authority = ETD-LCSH)
Topic
Neighborhoods--United States
Subject
(authority = ETD-LCSH)
Topic
Social integration--United States
RelatedItem
(type = host)
TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier
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rucore19991600001
Location
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(displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Identifier
(type = doi)
doi:10.7282/T3WH2N1D
Genre
(authority = ExL-Esploro)
ETD doctoral
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Rights
RightsDeclaration
(ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder
(type = personal)
Name
FamilyName
Fleisch Marcus
GivenName
Andrea
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2013-09-10 16:51:50
AssociatedEntity
Name
Andrea Fleisch Marcus
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - New Brunswick
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = start)
2013-10-31
DateTime
(encoding = w3cdtf);
(qualifier = exact);
(point = end)
2015-10-31
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after October 31st, 2015.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical
RULTechMD
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ContentModel
ETD
OperatingSystem
(VERSION = 5.1)
windows xp
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