Perception of Neighborhood Disorder and Health Service Usage in a Canadian Sample
Bibliographic record
Abstract
BACKGROUND: Neighborhood environment, both actual and perceived, is associated with health outcomes; however, much of this research has relied on self-reports of these outcomes. PURPOSE: The association between both perception of neighborhood disorder and neighborhood poverty (as measured by postal code socioeconomic status) was examined in the prediction of health service usage. METHOD: Participants in a longitudinal project were contacted in mid-adulthood regarding their perception of neighborhood disorder. Their census tract data and medical records were drawn from government databases. RESULTS: Higher perceived neighborhood disorder was significantly associated with higher levels of total health services usage, lifestyle illnesses, specialist visits, and emergency room visits, even when neighborhood poverty and individual-level variables were controlled for. Neighborhood poverty was only significantly associated with fewer total hospitalizations. CONCLUSIONS: Higher perceived neighborhood disorder was associated with higher rates of health service usage, suggesting further investigation into the mechanisms by which perceptions of the environment influences health outcomes.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".