Critical urban areas, deprived areas and neighbourhood effects on health in France

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• 作者：Thierry Debrand^a ; ^{thierry.debrand@ofce.sciences-po.fr} ; Auré ; lie Pierre^b ; ^{pierre@irdes.fr} ; Caroline Allonier^b ; ^{allonier@irdes.fr} ; Vé ; ronique Lucas-Gabrielli^b ; ^{lucas@irdes.fr}
• 关键词：I10 ; I30 ; R28
• 刊名：Health Policy
• 出版年：2012
• 期刊代码：110_01688510
• 类别：med
• 出版时间：April, 2012
• 卷：105
• 期：1
• 页码：92-101
• 文件大小：433 K

摘要

Since the 1980s, different French governments have formulated public policies aimed at taking into account the specific problems of deprived neighbourhoods. The aim of this paper is to determinate the existence of a neighbourhood effect on health and to discuss the implementation of a geographical index of deprived areas in France. Using the National Health Survey of 2002-2003 and 1999 French census data, we attempt to measure the individual and collective determinants of Self-Reported Health Status (SRH). By using a principal component analysis of aggregated census data, we obtain three synthetic factors: 鈥渆conomic and social condition鈥? 鈥渞esidential stability鈥?and 鈥済enerational鈥? and show that these contextual factors are correlated with individual SRH. Our research shows that health inequalities cannot be tackled by using only the Critical Urban Area criterion (the fact of living in a CUA or not) because some inequalities remain ignored and thus, hidden. We suggest a methodology to build a new health deprivation index allowing to better target health inequalities.