The relationship between neighborhood characteristics and self-rated health for adults with chronic conditions

Am J Public Health. 2007 May;97(5):926-32. doi: 10.2105/AJPH.2005.069443. Epub 2007 Mar 29.


Objectives: We sought to determine whether the association between neighborhood characteristics and health differs for people with and without a chronic condition.

Methods: We analyzed data from 2536 adults from the Los Angeles Family and Neighborhood Survey and evaluated the relationship between the presence of a chronic condition at the individual level, neighborhood socioeconomic status (SES), and self-rated health. We constructed multilevel models to evaluate the relationship between the neighborhood SES index and self-rated health for people with and without chronic conditions, after adjustment for other individual characteristics.

Results: Having a chronic condition was associated with substantially poorer self-rated health among participants in a deprived area than among those in a more advantaged area.

Conclusions: Residence in a disadvantaged neighborhood may be associated with barriers to the management of a chronic condition. Further work is needed to identify the specific characteristics of disadvantaged areas associated with poorer self-rated health for adults with chronic conditions.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Case-Control Studies
  • Chronic Disease*
  • Female
  • Health Status*
  • Health Surveys
  • Humans
  • Los Angeles
  • Male
  • Middle Aged
  • Poverty
  • Residence Characteristics*
  • Self Concept
  • Urban Population