Predictors of Residential Mobility among Older Canadians and Impact on Analyses of Place and Health Relationships

影响加拿大老年人居住流动性的预测因素及其对居住地与健康关系分析的影响

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Abstract

This study aimed to identify predictors of residential mobility in 55+ Canadians, to characterise neighbourhood changes following mobility, to assess whether such changes differ according to income, and to evaluate for cross-sectional estimations of place-health relationships the extent of bias associated with residential mobility. Using longitudinal data from the Canadian National Population Health Study (NPHS), residential mobility was operationalised by a change in postal code between two consecutive waves. Individuals' sociodemographic factors and neighbourhood characteristics were analysed in relation to mobility. Bias in cross-sectional estimations of place-health associations was assessed analysing neighbourhood-level deprivation and housing quality in relation to self-assessed health. Multiple age-related events were predictive of moving. Three out of 10 individuals moved at least once. Two thirds of movers experienced a change in neighbourhood type and such changes were not associated with income. No systematic biases in estimating place effects on health using cross-sectional data were observed. Given that individual-level socioeconomic status (SES) was neither a predictor of moving nor of its consequences in terms of neighbourhood type, controlling for SES could potentially lead to biased estimations of place-health associations. Results suggest that cross-sectional data can yield valid estimations of place-health associations among older adults.

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