Multilevel Analysis in Public Health Research
Bibliographic Data
| ID | 23314568 |
|---|---|
| Authors | Ana V Diez-Roux (Columbia University), Ana V Diez–roux (Columbia University, corresponding author) |
| Year | 2000 |
| Volume | 21 |
| Issue | 1 |
| Pages | 171-192 |
| Publication date | 2000-05-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Annual Review of Public Health (BOOK_SERIES) |
| Journal identifiers | ISSN: 0163-7525 • E-ISSN: 1545-2093 |
| Publisher | Annual Reviews (PUBLISHER • US) |
| DOI | 10.1146/annurev.publhealth.21.1.171 |
| PMID | 10884951 |
| OpenAlex | W2119217392 |
| Language | EN |
| Citations received | 310 |
| References cited | 100 |
Over the past few years there has been growing interest in considering factors defined at multiple levels in public health research. Multilevel analysis has emerged as one analytical strategy that may partly address this need, by allowing the simultaneous examination of group-level and individual-level factors. This paper reviews the rationale for using multilevel analysis in public health research, summarizes the statistical methodology, and highlights some of the research questions that have been addressed using these methods. The advantages and disadvantages of multi level analysis compared with standard methods are reviewed. The use of multilevel analysis raises theoretical and methodological issues related to the theoretical model being tested, the conceptual distinction between group and individual-level variables, the ability to differentiate “independent” effects, the reciprocal relationships between factors at different levels, and the increased complexity that these models imply. The potentialities and limitations of multilevel analysis, within the broader context of understanding the role of factors defined at multiple levels in shaping health outcomes, are discussed.
Context (archaeology) · Data science · Geography · Management science · Multilevel model · Public health · Reciprocal · Advanced Causal Inference Techniques · Computer Science · Health disparities and outcomes · Medicine · Psychology · Urban, Neighborhood, and Segregation Studies
Sex Composition of Twins and Associations With Morbidity, Mortality and Maternal Treatment-Seeking Outcomes in Resource-Poor Settings
Community Socioeconomic Context and Its Influence on Intermediary Determinants of Child Health
Methodology and Epistemology of Multilevel Analysis
Understanding Well-Being in Multi-Levels
Associations of Family and Neighborhood Socioeconomic Characteristics with Longitudinal Adiposity Patterns in a Biracial Cohort of Adolescent Girls
Continuity of Care Is Associated with Medical Costs and Inpatient Days in Children with Cerebral Palsy
Decomposing socioeconomic inequalities in childhood obesity
Better science with sex and gender
The contribution of objective and perceived crime to neighbourhood socio-economic inequity in loneliness
Patient-level Predictors of Extent of Exposure to a Community Health Worker Intervention in a Randomized Controlled Trial
Desigualdades en salud y desigualdades sociales
The social epidemiology of tuberculosis in South Africa
Air pollution and poverty
On the Times , Edwin Chadwick, and the nanny state (I paraphrase)
Disparidades étnico-raciais em saúde autoavaliada
Macroeconomic fluctuations and mortality in postwar Japan
Ethnicity ,Assimilation, and Un-partnered Childbearing in Guatemala
A Quantitative Observational Study of Physician Influence on Hospital Costs
Dental care for early childhood in Brazil
Individual and Contextual Risks of Death among Race and Ethnic Groups in the United States
Neighborhood Residence and Mental Health Problems of 5- to 11-Year-Olds
Effectiveness of a smartphone app in increasing physical activity amongst male adults
Application of variance components to the identification of determinants of modern contraceptive use in the Tanzania demographic and health survey data
Social Inequalities in Fertility in Women Residing in Urban Neighbourhoods in Spain
Assessing individual and neighborhood social factors in child oral health-related quality of life
The associations of socioeconomic status and social capital with gingival bleeding among schoolchildren
The Built Environment and Obesity
The Social Epidemiology of Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome
The Study of Group-Level Factors in Epidemiology
The Social Epidemiology of Substance Use
Appropriate Assessment of Neighborhood Effects on Individual Health
Area Characteristics, Individual-Level Socioeconomic Indicators, and Smoking in Young Adults
Health, wealth, and air pollution
Accumulative job demands and support for strength use
Built and Social Environments
Statistical and Substantive Inferences in Public Health
Health disparities across the lifespan
Influences on Children's Oral Health
Socioeconomic Status and Health
Fixed effects analysis of repeated measures data
Comparison of a Spatial Perspective with the Multilevel Analytical Approach in Neighborhood Studies
Toward dynamic urban environmental exposure assessments in mental health research
Dietary quality among men and women in 187 countries in 1990 and 2010
Neighborhoods and health
Social capital and health
Physical Activity and Other Health-Risk Behaviors During the Transition Into Early Adulthood
Ecological Models Revisited
Mapping fatal police violence across U.S. metropolitan areas
Nature Contact and Human Health
Environmental Health Disparities
Neighborhood Food Environment and Walkability Predict Obesity in New York City
Neighborhoods and health
Community Social Characteristics and Health at Older Ages
Longitudinal Associations Between Neighborhood Environments and Functional Disabilities Among Community-Dwelling Older Adults in China
Family Caregiver Satisfaction With the Nursing Home After Placement of a Relative With Dementia
Empowerment and use of modern contraceptive methods among married women in Burkina Faso
Geographic determinants of individual obesity risk in Spain
Assessing Women’s Negative Sanitation Experiences and Concerns
The influence of neighbourhood formality status and socio-economic position on self-rated health among adult men and women
Subjective Wellbeing in Rural China
Assessing Women’s Menstruation Concerns and Experiences in Rural India
Factors associated with anaemia among women of reproductive age in Ethiopia
Modelling and prediction of global non-communicable diseases
Do smoke-free policies in work and public places increase smoking in private venues
Individual and Contextual Factors Associated with Teenage Pregnancy in Colombia
Neighborhood and weight-related health behaviors in the Look Ahead (Action for Health in Diabetes) Study
Association of the built environments and health-related quality of life in community-dwelling older adults
Policy, Research and Residents’ Perspectives on Built Environments Implicated in Heart Disease
Multilevel analysis of individual- and community-level determinants of birth certification of children under-5 years in Nigeria
Influence of children's oral health‐related quality of life on school performance and school absenteeism
Determinants of spousal physical violence against women in Zambia
Influence of contextual socioeconomic position on hypertension risk in low- and middle-income countries
Does workplace health promotion contribute to job stress reduction? Three-year findings from Partnering Healthy@Work
Neighborhood Deprivation and Risks of Autoimmune Disorders
Neighborhood Income Inequality and Alcohol Use among Adolescents in Boston, Massachusetts
Magnitude and determinants of breastfeeding initiation within one hour among reproductive women in Sub-Saharan Africa; evidence from demographic and health survey data
A multilevel analysis to explain self-reported adverse health effects and adaptation to urban heat
Improving mental and neurological health research in Latin America
Inequitable walking conditions among older people
Association between the food and physical activity environment, obesity, and cardiovascular health across Maine counties
The Relationship between Obesity and Urban Environment in Seoul
Neighborhood Socioeconomic Status, Depression, and Health Status in the Look Ahead (Action for Health in Diabetes) Study
Predictors of postpartum contraceptive use in rural Tigray region, northern Ethiopia
A Macro-Level Association of Vaccination Rate with the Number of Confirmed Covid-19 Cases in the United States and Japan
Neighborhood Social Environment and Patterns of Adherence to Oral Hypoglycemic Agents Among Patients With Type 2 Diabetes Mellitus
Spatiotemporal Variations in Lung Cancer Mortality in China between 2006 and 2012
Magnitude and determinants of intimate partner controlling behavior among women in sub-Saharan African countries from the recent demographic and health survey data
Intimate Partner Violence, Power, and Equity Among Adolescent Parents
Correlates of sedentary time in children
Crime against women in India
Do Differences in Drinking Attitudes and Alcohol-Related Problems Explain Differences in Sick Leave? A Multilevel Analysis of 95 Work Units Within 14 Companies From the Wirus Study
Small-Area Factors and Their Impact on Low Birth Weight—Results of a Birth Cohort Study in Bielefeld, Germany
Epidemiological and spatial–temporal clustering characteristics of pertussis in Southwest China, 2013–2024
Coping With Diagnostic Uncertainty in Antibiotic Prescribing
Effects of Infrastructure Service Disruptions Following Hurricane Irma
The effects of individual-level and area-level socioeconomic status on preferences and behaviour in leisure time physical activities
Predictors of Subjective Health Among Spouses and Its Relations With Happiness
Income Inequality and Bullying Victimization and Perpetration
Green innovation performance
Impact of residential environments on social capital and health outcomes among public rental housing residents in Seoul, South Korea
The Effect of Interviewer and Respondent Characteristics on the Quality of Survey Data
Introducing Multilevel Modeling
The Hierarchical Logistic Regression Model for Multilevel Analysis
Random-Effects Models for Longitudinal Data
Higher mortality in deprived areas
Income distribution, socioeconomic status, and self rated health in the United States
Empirical Bayes Estimates of Age-Standardized Relative Risks for Use in Disease Mapping
Poverty or income inequality as predictor of mortality
Macro‐to‐Micro Links in the Relation between Income Inequality and Mortality
Neighborhood Social Environment and Risk of Death
Models for Longitudinal Data
Mortality Effects of Community Socioeconomic Status
League Tables and Their Limitations
People and Places
Standard Errors and Sample Sizes for Two-Level Research
Neighborhood Environments and Coronary Heart Disease
Improved Approximations for Multilevel Models with Binary Responses
Hierarchical linear models
Multilevel models and health economics
Multilevel models and health economics
Contextual Analysis
Multilevel Statistical Models
The Effect of Different Forms of Centering in Hierarchical Linear Models
Individuals and their ecologies
Neighbourhood differences in diet
Deprivation indicators as predictors of life events 1981-1992 based on the UK ONS Longitudinal Study
Smoking behaviour can be predicted by neighbourhood deprivation measures
Modelling inequality in reported long term illness in the UK
New Statistical Methods for Analysing Social Structures
Analysis of clustered data in community psychology
Poverty area residence and changes in physical activity level
The effects of community policies to reduce youth access to tobacco
The fallacy of the ecological fallacy
Hospital- and patient-related characteristics determining maternity length of stay
Violence by male partners against women during the childbearing year
Neighborhood risk factors for low birthweight in Baltimore
Bringing context back into epidemiology
Phantom of the area
Individual causal models and population system models in epidemiology
The logic in ecological
Contextual Analysis through the Multilevel Linear Model
The Multilevel Analysis of Trends with Repeated Cross-Sectional Data
The multilevel dependence of contraceptive use on socioeconomic development and family planning program strength
Modeled Variance in Two-Level Models
The Impact of Area Context on Long Term Illness and Premature Mortality
Patient Satisfaction with the General Practitioner
Geographic Variation of Procedure Utilization
Regional variations in mortality rates in England and Wales
Do places matter? A multi-level analysis of regional variations in health-related behaviour in Britain
Modelling Complexity
Analyzing perceived limiting long-term illness using U.K. census microdata
Context, composition and heterogeneity
Smoking and deprivation
Infant mortality
People, places and coronary heart disease risk factors
Does organization matter? A multilevel analysis of the demand-control model applied to human services
Health-related behaviour in context
Neighborhood Social Context and Racial Differences in Women's Heart Disease Mortality
Community-Level Socioeconomic Status Effects on Adult Health
Multilevel Cross-Classified Models
Multilevel Analysis Methods
Contextual-Effects Models
Social Theory, Social Research, and a Theory of Action
Area, Class and Health
| Unique citing works | 310 |
|---|---|
| Citations per year | 12,4 |
| Citation span | 2001 - 2026 (26) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 289 |