Neighbourhoods and Health Flashcards
what is a neighbourhood?
refers to a relatively small geographic area within a county, city, town, suburb surrounding a person’s residence
how do neighbourhoods influence health?
- the places people live directly and indirectly affect their health
–> factors like air pollution, school quality and job opportunities impact overall well-being
–> factors like walkability and access to alcohol/tobacco stores influence health behaviours
what is the relationship between neighbourhood and health?
features of a neighbourhood are associated with health-damaging or health-promoting behaviours among residents, impacting their overall health outcomes
how do health outcomes vary by neighbourhood? why?
- people living in adjacent or nearby neighbourhood within the same city can experience vastly different burden of disease and health outcomes
- this occurs because people living in wealthier or more developed areas often have better access to healthcare, healthier environments, and social services than those in low-income areas
how does one’s geographic location impact their life expectancy? why?
- life expectancy can differ by as much as 20 years depending on the neighbourhood
- life expectancy can vary across a city due to differences in access to healthcare, socioeconomic status, environmental factors, overall lifestyle choices
- leads to disparities in health outcomes across different neighbourhoods
what health outcomes are linked to social and economic disparities between neighborhoods?
there are higher rates of chronic diseases in lower-income areas:
- diabetes
- cardiovascular disease
- COPD
- asthma
- STIs
diseases rates can be up to 4x higher in certain neighbourhood than in others
how does the lifestyle of a child from a poor community differ from a child from a wealthy community?
wealthy:
- high-income neighbourhood = stronger school performance
- access to extracurriculars and sports
- strong parental involvement in life
poor:
- lower-income neighbourhood = struggling with school
- limited access to extracurriculars
- parent efforts to compensate for gaps in development
how do neighbourhoods influence health outcomes?
- social factors (e.g., social networks)
- economic factors (such as income and employment opportunities)
inequities in social and economic conditions lead to an unequal distribution of resources and health outcomes within neighbourhoods
what upstream factors contribute to disparities among neighbourhoods?
- residential segregation by socioeconomic status and race
- this segregation shapes access to resources, opportunities, and overall health outcomes
What is the most direct way neighbourhoods influence health?
the most obvious and direct way in which neighbourhoods can influence health is through their PHYSICAL CHARACTERISTICS
what are examples of neighbourhood physical environments?
- environmental exposures and hazardous substances
- availability of nutritious food
- natural green spaces and parks
- quality of housing
- services and resources
what are two main components of the physical environment?
1) built environment
2) service environment
what is the “built” environment?
refers to the physical characteristics of “man made” structures, such as buildings, streets and other features of a neighbourhood
examples of how the “built” environment impacts health
- living in close proximity to an area with high density of tobacco and alcohol retailers = increased alcohol consumption and smoking
- availability of food sources (full-service supermarkets) or unhealthy foods (fast-food) = poor diet and obesity
- less resources for exercise (parks, recreation centres) and walking = less physically active
what is the “service” environment?
- refers to the the accessibility and availability of essential services within their neighbourhood boundaries
- the physical availability of services in a neighbourhood have major effects on health
what are some examples of a neighborhood’s service environment?
- public transportation
- food stores and supermarkets
- parks and green spaces
- medical facilities and hospitals
- schools
- employment opportunities
how does the service environment in a neighbourhood impact health outcomes both directly and indirectly?
differential access to services between neighbourhoods contributes to health
inequities
- direct Impact = access to quality health care services directly influences health by providing medical treatment and preventive care.
- indirect Impact = access to good schools, transportation, and employment opportunities shapes education and income levels, enabling a higher standard of living and health-promoting behaviours
well-served neighbourhoods offer more opportunities for safety, social support, and reduced environmental risks, contributing to better long-term health outcomes.
what are examples of neighbourhood social environments?
- safety and violence
- social connection and cohesion
- local institutions
- norms
how does a neighbourhoods social environment influence health?
- individual’s access to social support, sense of safety, and positive relationships impacts health behaviours
- the quality and strength of social relationships between residents, significantly impacts people’s health
- feelings of mutual trust and connectedness among residents contribute to the overall health of the community
what are the benefits of “close knit” communities?
- more likely to work together to achieve common goals that can directly or indirectly impact health (e.g. cleaner green spaces)
- more likely to exchange information regarding childcare, job opportunities
- greater chance of working together to uphold informal controls to reduce crime or health-damaging behaviours (e.g. smoking, alcohol, littering)
- more willing to intervene for the public good = less crimes
- children are more likely to receive guidance from multiple adults and less likely to engage in health-damaging behaviours (e.g. smoking, drugs, gang)
what are the consequences of “poorly knit” communities
poorly knit communities and more social disorder is has been linked to:
* feelings of isolation lead to anxiety and depression
* reduced sense of safety and more crime
* lack of collective action to address local issues
* lack of healthy role models
* negative health-related behaviours among residents
* poorer subjective wellbeing
what is the relationship between neighbourhood cohesion and crime?
there is an INVERSE relationship
- greater social cohesion = less crimes
- less social cohesion = more crimes
*may be due to a neighbourhoods social and economic advantage/disadvantage
how is neighbourhood safety linked to well-being?
- high crime neighbourhoods cause chronic stress and anxiety
- children in unsafe neighbourhoods experience higher levels of trauma
- fear of violence restricts outdoor activities and social cohesion
what were the results of the “Moving for Opportunity” study?
the Moving for Opportunity” study allowed families to move from high-poverty to low-poverty neighbourhoods
- found moving to high income had beneficial effects on health and social outcomes like:
–> higher rates of college attendance
–> higher earnings
–> reduced likelihood of single parenthood
- However, these positive effects were only true for those under 13 when they moved
- there were also paradoxical outcomes for lower-income individuals who moved to more advantaged neighbourhoods, as they may experience:
–> additional stressors (e.g., cost of living)
–> discrimination and differences by gender
–> pyschological effects of feeling inferior