作者: Daniel J. Exeter , Clive E. Sabel , Grant Hanham , Arier C. Lee , Susan Wells
DOI: 10.1016/J.SOCSCIMED.2014.11.056
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摘要: Abstract The association between area-level disadvantage and health social outcomes is unequivocal. However, less known about the impact of residential mobility, particularly at intra-urban scales. We used an encrypted National Health Index (eNHI) number to link individual-level data recorded in routine national databases construct a cohort 641,532 participants aged 30+ years investigate moving CVD hospitalisations Auckland, New Zealand. Residential mobility was measured for according changes census Meshblock usual residence, obtained from Primary Organisation (PHO) database every calendar quarter 1/1/2006 31/12/2012. NZDep2006 area deprivation score start end participant's inclusion study measure mobility. investigated relative risk movers being hospitalised stayers using multi-variable binomial regression models, controlling age, gender, ethnicity. Considered together, were 1.22 (1.19–1.26) times more likely than be CVD. Using 5 × 5 origin-destination matrix model patient's based on upward, downward or sideways within least deprived (NZDep2006 Quintile 1) areas 10% CVD, while most Q5) 45% have had their first hospitalisation 2006–2012 (RR: 1.45 [1.35–1.55]). Participants who moved upward also higher risks having event, although those observed experiencing This research suggests that important determinant Auckland. Further investigation required determine has by