期刊
JOURNAL OF PRIMARY CARE AND COMMUNITY HEALTH
卷 8, 期 2, 页码 63-70出版社
SAGE PUBLICATIONS INC
DOI: 10.1177/2150131916675350
关键词
African American; community health; managerial epidemiology; neighborhood; psychosocial factors
资金
- National Institutes of Health [AG010436]
Objective: We examined associations between observed neighborhood conditions (good/adverse) and psychosocial outcomes (stress, depressive symptoms, resilience, and sense of control) among middle-aged and older African Americans. Methods: The sample included 455 middle-aged and older African Americans examined in Wave 10 of the African American Health (AAH) study. Linear regression was adjusted for attrition, self-selection into neighborhoods, and potential confounders, and stratified by the duration at current address (<5 vs >= 5 years) because of its hypothesized role as an effect modifier. Results: Among individuals who lived at their current address for >= 5 years, residing in neighborhoods with adverse versus good conditions was associated with significantly less stress (standardized beta = -0.18; P = .002) and depressive symptoms (standardized beta = -0.12; P = .048). Among those who lived at their current address for <5 years, residing in neighborhoods with adverse versus good conditions was not significantly associated with stress (standardized beta = 0.18; P = .305) or depressive symptoms (standardized beta = 0.36;P = .080). Conclusion: Neighborhood conditions appear to have significant, complex associations with psychosocial factors among middle-aged and older African Americans. This holds important policy implications, especially since adverse neighborhood conditions may still result in adverse physical health outcomes in individuals with >5 years at current residence despite being associated with better psychosocial outcomes.
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