The impact of neighborhood cohesion on older individuals' self-rated health status

Neale R. Chumbler, Tamara Leech

Research output: Chapter in Book/Report/Conference proceedingChapter

3 Citations (Scopus)

Abstract

Purpose - The purpose of this chapter is to advance the medical sociology literature on the relationship between social cohesion and SRHS on an individual level. There is little information about how neighborhood social characteristics affect seniors' SRHS. Guided by tenets of the collective efficacy theory, this chapter hypothesized that older individuals who perceived that their neighborhood has high levels of social cohesion around elderly issues will have better SRHS. A secondary hypothesis investigates whether the relationship was attenuated once their neighbors' actual, self-reported attitudes toward seniors were taken into account. Methodology - Data come from a telephone survey of Indianapolis, Indiana residents, court data, and census information. Findings - Logistic regression analyses indicated that both social cohesion and low income are statistically significant predictors of poor self-rated health status. Although both are statistically significant, the protective association between cohesion and poor SRHS (-0.69 log odds) is of similar magnitude to the risky association between income and poor health (-0.64 log odds). Research implications - Consistent with the classic work of Durkheim who found that individuals who were more socially integrated with society had lower rates of suicide, our study found a significant association between social cohesion and SRHS. Value of paper - Future research is needed to target other health status outcomes in other geographical locations. Even though the body of research exploring the predictors of SRHS among older individuals is quite robust, this chapter adds to a more recent growing body of research, which has articulated the importance of the social environment in which an individual lives, especially community-dwelling older adults, is associated with their health status.

Original languageEnglish
Title of host publicationSocial Determinants, Health Disparities and Linkages to Health and Health Care
PublisherEmerald Group Publishing Ltd.
Pages41-55
Number of pages15
ISBN (Print)9781781905876
DOIs
StatePublished - 1 Jan 2013

Publication series

NameResearch in the Sociology of Health Care
Volume31
ISSN (Print)0275-4959

Fingerprint

group cohesion
Health Status
health status
social cohesion
Medical Sociology
Research
Independent Living
Social Environment
Censuses
Telephone
Suicide
medical sociology
Logistic Models
Regression Analysis
Health
suicide
telephone
census
low income
logistics

Keywords

  • Health status
  • Older adults
  • Social cohesion

Cite this

Chumbler, N. R., & Leech, T. (2013). The impact of neighborhood cohesion on older individuals' self-rated health status. In Social Determinants, Health Disparities and Linkages to Health and Health Care (pp. 41-55). (Research in the Sociology of Health Care; Vol. 31). Emerald Group Publishing Ltd.. https://doi.org/10.1108/S0275-4959(2013)0000031005
Chumbler, Neale R. ; Leech, Tamara. / The impact of neighborhood cohesion on older individuals' self-rated health status. Social Determinants, Health Disparities and Linkages to Health and Health Care. Emerald Group Publishing Ltd., 2013. pp. 41-55 (Research in the Sociology of Health Care).
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Chumbler, NR & Leech, T 2013, The impact of neighborhood cohesion on older individuals' self-rated health status. in Social Determinants, Health Disparities and Linkages to Health and Health Care. Research in the Sociology of Health Care, vol. 31, Emerald Group Publishing Ltd., pp. 41-55. https://doi.org/10.1108/S0275-4959(2013)0000031005

The impact of neighborhood cohesion on older individuals' self-rated health status. / Chumbler, Neale R.; Leech, Tamara.

Social Determinants, Health Disparities and Linkages to Health and Health Care. Emerald Group Publishing Ltd., 2013. p. 41-55 (Research in the Sociology of Health Care; Vol. 31).

Research output: Chapter in Book/Report/Conference proceedingChapter

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N2 - Purpose - The purpose of this chapter is to advance the medical sociology literature on the relationship between social cohesion and SRHS on an individual level. There is little information about how neighborhood social characteristics affect seniors' SRHS. Guided by tenets of the collective efficacy theory, this chapter hypothesized that older individuals who perceived that their neighborhood has high levels of social cohesion around elderly issues will have better SRHS. A secondary hypothesis investigates whether the relationship was attenuated once their neighbors' actual, self-reported attitudes toward seniors were taken into account. Methodology - Data come from a telephone survey of Indianapolis, Indiana residents, court data, and census information. Findings - Logistic regression analyses indicated that both social cohesion and low income are statistically significant predictors of poor self-rated health status. Although both are statistically significant, the protective association between cohesion and poor SRHS (-0.69 log odds) is of similar magnitude to the risky association between income and poor health (-0.64 log odds). Research implications - Consistent with the classic work of Durkheim who found that individuals who were more socially integrated with society had lower rates of suicide, our study found a significant association between social cohesion and SRHS. Value of paper - Future research is needed to target other health status outcomes in other geographical locations. Even though the body of research exploring the predictors of SRHS among older individuals is quite robust, this chapter adds to a more recent growing body of research, which has articulated the importance of the social environment in which an individual lives, especially community-dwelling older adults, is associated with their health status.

AB - Purpose - The purpose of this chapter is to advance the medical sociology literature on the relationship between social cohesion and SRHS on an individual level. There is little information about how neighborhood social characteristics affect seniors' SRHS. Guided by tenets of the collective efficacy theory, this chapter hypothesized that older individuals who perceived that their neighborhood has high levels of social cohesion around elderly issues will have better SRHS. A secondary hypothesis investigates whether the relationship was attenuated once their neighbors' actual, self-reported attitudes toward seniors were taken into account. Methodology - Data come from a telephone survey of Indianapolis, Indiana residents, court data, and census information. Findings - Logistic regression analyses indicated that both social cohesion and low income are statistically significant predictors of poor self-rated health status. Although both are statistically significant, the protective association between cohesion and poor SRHS (-0.69 log odds) is of similar magnitude to the risky association between income and poor health (-0.64 log odds). Research implications - Consistent with the classic work of Durkheim who found that individuals who were more socially integrated with society had lower rates of suicide, our study found a significant association between social cohesion and SRHS. Value of paper - Future research is needed to target other health status outcomes in other geographical locations. Even though the body of research exploring the predictors of SRHS among older individuals is quite robust, this chapter adds to a more recent growing body of research, which has articulated the importance of the social environment in which an individual lives, especially community-dwelling older adults, is associated with their health status.

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DO - 10.1108/S0275-4959(2013)0000031005

M3 - Chapter

AN - SCOPUS:84956632360

SN - 9781781905876

T3 - Research in the Sociology of Health Care

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BT - Social Determinants, Health Disparities and Linkages to Health and Health Care

PB - Emerald Group Publishing Ltd.

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Chumbler NR, Leech T. The impact of neighborhood cohesion on older individuals' self-rated health status. In Social Determinants, Health Disparities and Linkages to Health and Health Care. Emerald Group Publishing Ltd. 2013. p. 41-55. (Research in the Sociology of Health Care). https://doi.org/10.1108/S0275-4959(2013)0000031005