Journal
HEALTH & PLACE
Volume 67, Issue -, Pages -Publisher
ELSEVIER SCI LTD
DOI: 10.1016/j.healthplace.2020.102498
Keywords
Built environment; Neighborhood audit; Perceived stress; Breast cancer survivors; Black women
Categories
Funding
- National Cancer Institute [R01CA185623, K07CA222158, K01CA193527]
- Rutgers Cancer Institute of New Jersey [P30CA072720]
- New Jersey Alliance for Clinical and Translational Science - National Center for Advancing Translational Sciences (NCATS), United States [UL1TR0030117]
- National Institute on Minority Health and Health Disparities [K99 MD013300]
- Breast Cancer Research Foundation
- Surveillance, Epidemiology and End Results (SEER) Program of the National Cancer Institute [HSN261201300021I, N01-PC-2013-00021]
- National Program of Cancer Registries (NPCR), Centers for Disease Control and Prevention [NU5U58DP006279-02-00]
- State of New Jersey
- Rutgers Cancer Institute of New Jersey
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The study investigated the relationship between visual cues of residential environments and stress in Black breast cancer survivors, finding a marginal association in univariate models but attenuated after adjustment for other factors. The associations between observed built environment characteristics and stress may be influenced by socioeconomic and health behavior factors, warranting further longitudinal studies for validation.
We investigated relationships between independently observed, visual cues of residential environments and subsequent participant-reported stress within a population-based cohort of Black breast cancer survivors (n = 476). Greater visual cues of engagement - presence of team sports, yard decorations, outdoor seating (compared to less engagement) was marginally associated with lower perceived stress in univariate models, but attenuated towards null with adjustment for socio-demographic, behavioral, and health-related covariates. Similarly, physical disorder and perceived stress were not associated in adjusted models. Relationships between observed built environment characteristics and perceived stress might be influenced by socioeconomic and health behavior factors, which longitudinal studies should investigate.
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