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APHA Scientific Session and Event Listing

Recorded presentation

Felicia LeClere, University of Michigan, Institute for Social Research, 2116D Perry Building, 330 Packard Street, Ann Arbor, MI 48106, 734-615-7333, fleclere@umich.edu, Paul Mohai, School of Natural Resources and Environment University of Michigan, 3540 Dana, 440 Church Street, Ann Arbor, MI 48106, Jeff Morenoff, Department of Sociology, University of Michigan, 3340 Institute for Social Research, P.O. Box 1248, Ann Arbor, MI 48106, and Paula Lantz, Department of Health Management and Policy, 109 S. Observatory, M3174 SPHII, Ann Arbor, MI 48109.

Research on the effect of neighborhood residential poverty on individual morbidity and mortality usually suffers from a chronological mismatch between the measurement of health and the characteristics of the place of residence. Census based measures, which are the most common method for characterizing the place of residence, are very rarely coincident with outcome measures from surveys. Estimated neighborhood effects, thus, can be interpreted as either the contemporaneous effects of place or the temporally lagged effects of past residence on current health. Both types can be justified in conceptual terms but are rarely distinguished. We will disentangle the lagged from contemporaneous effects of residential poverty concentration on adult self-rated health and mortality in the United States. Data from the American Changing Lives Survey, Waves 1-4 will be used. Initial interviews in this multistage probability sample were conducted with a sample of 3617 adults over 25 beginning in 1986. Additional waves of data collection occurred in 1989, 1994, and 2001. Follow up with the National Death Index ascertains vital status at each wave. Respondents' places of residence have been geocoded to Census geography for the three decennial censuses that span the period (1980, 1990, 2000). For those respondents who remain in the same neighborhood for at least two of the follow up periods, we will examine whether the effect of poverty concentration on mortality and self-rated health in the census period closest to the survey year differs from those estimated using information from the census furthest in time from the survey year.

Learning Objectives:

• Define the difference between contemporaneous and lagged neighborhood effects
• Articulate the consequences of using data from different time periods to model self-rated health 3.Design methodologically appropriate studies of neighborhood effects on individual health.

Keywords: Public Health, Social Class

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation