Context, composition and heterogeneity: Using multilevel models in health research

Author(s): Jones, K., Moon, G.

Journal/Book: Soc Sci Med. 1998; 46: The Boulevard, Langford Lane, Kidlington, Oxford, England OX5 1GB. Pergamon-Elsevier Science Ltd. 97-117.

Abstract: This paper considers the use of multilevel models in health research. Attention focuses on the structure and potential of such models and particular consideration is given to their use in elucidating the importance of contextual effects in relation to individual level social and demographic factors in understanding health outcomes, health-related behaviour and health service performance. Four graphical typologies are used to outline the questions that multilevel models can address and the paper illustrates their potential by drawing on published examples in a number of different research areas.

Note: Article Duncan C, Univ Portsmouth, Dept Geog, Buckingham Bldg, Lion Terrace, Portsmouth PO1 3HE, Hants, ENGLAND

Keyword(s): health outcomes; health-related behaviour; health service performance; context; multilevel model; LONG-TERM ILLNESS; REGIONAL VARIATIONS; HIERARCHICAL-MODELS; IMMUNIZATION UPTAKE; IMPROVING APPLICATION; ALCOHOL-CONSUMPTION; GENERAL-PRACTICE; LINEAR-MODELS; AREA; MORTALITY

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