The health implications of cumulative exposure to contextual (dis)advantage: methodological and substantive advances from a unique data linkage.

ABSTRACT: Deleterious neighborhood conditions are associated with poor health, yet the health impact of cumulative lifetime exposure to neighborhood disadvantage is understudied. Using up to 5 decades of residential histories for 4177 adult participants in the Survey of the Health of Wisconsin (SHOW) and spatiotemporally linked neighborhood conditions, we developed 4 operational approaches to characterizing cumulative neighborhood (dis)advantage over the life course. We estimated their associations with self-reported general health and compared them with estimates using neighborhood (dis)advantage at the time of study enrollment. When cumulative exposures were assessed with the most granular temporal scale (approach 4), neighborhood transportation constraints (odds ratio [OR] = 1.21; 95% CI, 1.08-1.

SUBMITTER: Xu W 

PROVIDER: S-EPMC11815491 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature