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Arleen F. Brown, MD, PhD, Alfonso Ang, PhD and Anne R. Pebley, PhD

Arleen F. Brown and Alfonso Ang are with the Division of General Internal Medicine and Health Services Research, University of California, Los Angeles. Anne R. Pebley is with the School of Public Health, University of California, Los Angeles, and the Rand Corporation, Santa Monica, Calif.

Correspondence: Requests for reprints should be sent to Arleen F. Brown, MD, PhD, UCLA Division of General Internal Medicine and Health Services Research, 911 Broxton Plaza, Los Angeles, CA 90024 (e-mail: abrown{at}mednet.ucla.edu).

Objectives. We sought to determine whether the association between neighborhood characteristics and health differs for people with and without a chronic condition.

Methods. We analyzed data from 2536 adults from the Los Angeles Family and Neighborhood Survey and evaluated the relationship between the presence of a chronic condition at the individual level, neighborhood socioeconomic status (SES), and self-rated health. We constructed multilevel models to evaluate the relationship between the neighborhood SES index and self-rated health for people with and without chronic conditions, after adjustment for other individual characteristics.

Results. Having a chronic condition was associated with substantially poorer self-rated health among participants in a deprived area than among those in a more advantaged area.

Conclusions. Residence in a disadvantaged neighborhood may be associated with barriers to the management of a chronic condition. Further work is needed to identify the specific characteristics of disadvantaged areas associated with poorer self-rated health for adults with chronic conditions.

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