The impact of social capital, land use, air pollution and noise on individual morbidity in Dutch neighbourhoods

Background: Both social and physical neighbourhood factors may affect residents' health, but few studies have considered the combination of several exposures in relation to individual health status. Aim: To assess a range of different potentially relevant physical and social environmental characteristics in a sample of small neighbourhoods in the Netherlands, to study their mutual correlations and to explore associations with morbidity of residents using routinely collected general practitioners' (GPs') data. Methods: For 135 neighbourhoods in 43 Dutch municipalities, we could assess area-leve... Mehr ...

Verfasser: Jan-Paul Zock
Robert Verheij
Marco Helbich
Beate Volker
Peter Spreeuwenberg
Maciek Strak
Nicole A.H. Janssen
Martin Dijst
Peter Groenewegen
Dokumenttyp: Artikel
Erscheinungsdatum: 2018
Reihe/Periodikum: Environment International, Vol 121, Iss , Pp 453-460 (2018)
Verlag/Hrsg.: Elsevier
Schlagwörter: Environmental sciences / GE1-350
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-26630711
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : https://doi.org/10.1016/j.envint.2018.09.008

Background: Both social and physical neighbourhood factors may affect residents' health, but few studies have considered the combination of several exposures in relation to individual health status. Aim: To assess a range of different potentially relevant physical and social environmental characteristics in a sample of small neighbourhoods in the Netherlands, to study their mutual correlations and to explore associations with morbidity of residents using routinely collected general practitioners' (GPs') data. Methods: For 135 neighbourhoods in 43 Dutch municipalities, we could assess area-level social cohesion and collective efficacy using external questionnaire data, urbanisation, amount of greenspace and water areas, land use diversity, air pollution (particulate matter (PM) with a diameter <10 μm (PM10), PM <2.5 μm (PM2.5) and nitrogen dioxide (NO2), and noise (from road traffic and from railways). Health data of the year 2013 from GPs were available for 4450 residents living in these 135 neighbourhoods, that were representative for the entire country. Morbidity of 10 relevant physical or mental health groupings was considered. Individual-level socio-economic information was obtained from Statistics Netherlands. Associations between neighbourhood exposures and individual morbidity were quantified using multilevel mixed effects logistic regression analyses, adjusted for sex, age (continuous), household income and socio-economic status (individual level) and municipality and neighbourhood (group level). Results: Most physical exposures were strongly correlated with degree of urbanisation. Social cohesion and collective efficacy tended to be higher in less urbanised municipalities. Degree of urbanisation was associated with higher morbidity of all disease groupings. A higher social cohesion at the municipal level coincided with a lower prevalence of depression, migraine/severe headache and Medically Unexplained Physical Symptoms (MUPS). An increase in both natural and agricultural greenspace in the ...