Do social relations buffer the effect of neighborhood deprivation on health-related quality of life? Results from the LifeLines Cohort Study

We investigated whether social relations buffer the effect of neighborhood deprivation on mental and physical health-related quality of life. Baseline data from the LifeLines Cohort Study (N=68,111) and a neighborhood deprivation index were used to perform mixed effect linear regression analyses. Re...

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Bibliographic Details
Published in:Health & place 2017-03, Vol.44, p.43-51
Main Authors: Klijs, Bart, Mendes de Leon, Carlos F., Kibele, Eva U.B., Smidt, Nynke
Format: Article
Language:English
Subjects:
Adolescent
Adult
Cohort analysis
Cohort Studies
Deprivation
Deprived areas
Female
Health status
Health technology assessment
Humans
Impact analysis
Male
Mental health
Middle Aged
Neighborhoods
Netherlands
Poverty
Public relations
Quality of Life
Regression analysis
Relative deprivation
Residence Characteristics
Social Environment
Social Support
Socioeconomic Factors
Stress, Psychological - psychology
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Summary:We investigated whether social relations buffer the effect of neighborhood deprivation on mental and physical health-related quality of life. Baseline data from the LifeLines Cohort Study (N=68,111) and a neighborhood deprivation index were used to perform mixed effect linear regression analyses. Results showed that fewer personal contacts (b, 95%CI: −0.88(−1.08;−0.67)) and lower social need fulfillment (−4.52(−4.67;−4.36)) are associated with lower mental health-related quality of life. Higher neighborhood deprivation was also associated with lower mental health related quality of life (−0.18(−0.24;−0.11)), but only for those with few personal contacts or low social need fulfillment. Our results suggest that social relations buffer the effect of neighborhood deprivation on mental health-related quality of life. •A large dataset from the LifeLines Cohort Study with information on 68,111 persons from 1649 neighborhoods was used to investigate whether social relations buffer the effect of neighborhood deprivation on mental and physical health-related quality of life.•Our results show that living in a neighborhood of higher deprivation is associated with poorer mental and physical health-related quality of life, irrespective of demographic and socioeconomic characteristics and the presence of chronic diseases.•The association between neighborhood deprivation and mental health-related quality of life was only observed among persons with few personal contacts or low social need fulfillment. No such differential effect was found for physical health related quality of life.•Our results suggest that social relations buffer the effect of neighborhood deprivation on mental but not on physical health-related quality of life.
ISSN:1353-8292
1873-2054
DOI:10.1016/j.healthplace.2017.01.001