Socio-spatial trajectories and health disparities among older adults in Chile

IF 3.8 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health & Place Pub Date : 2024-07-29 DOI:10.1016/j.healthplace.2024.103324

Sergi Vidal , Ignacio Cabib , Francisca Bogolasky , Riccardo Valente

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Abstract

In this study, we examine residential trajectories since birth among older adults in the Santiago Metropolitan Area, Chile, and their association with health outcomes. We linked retrospective residential information for a sample of 802 individuals aged 65–75 in 2019 to context-based information from decennial censuses. Our analysis reveals substantive heterogeneity in individuals' residential trajectories, thus mirroring social and urban changes in Chile's largest city. We found significant associations between residential histories and health outcomes at the time of the interview. Consistent residence in advantaged areas was linked to better health, whereas relocating to the metropolitan area from elsewhere was generally linked to poorer health, except for those moving to emerging middle-class areas. These findings underscore the importance of longitudinal and life course approaches in understanding the complex relationship between place and health.

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智利老年人的社会空间轨迹和健康差异。

在这项研究中，我们考察了智利圣地亚哥大都会区老年人自出生以来的居住轨迹及其与健康结果的关系。我们将 2019 年年龄在 65-75 岁之间的 802 个样本的回顾性居住信息与十年一次的人口普查中基于背景的信息联系起来。我们的分析揭示了个人居住轨迹的实质性异质性，从而反映了智利最大城市的社会和城市变化。我们发现，居住历史与访谈时的健康结果之间存在重大关联。一直居住在条件优越地区的人健康状况较好，而从其他地方搬迁到大都市区的人健康状况一般较差，但搬迁到新兴中产阶级地区的人除外。这些发现强调了纵向和生命过程方法对于理解地方与健康之间复杂关系的重要性。

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