Neighborhood Conditions and Psychosocial Outcomes Among Middle-Aged African Americans: A Cross-sectional Analysis

Maya Tabet; Erin A. Sanders; Mario Schootman; Jen Jen Chang; Fredric D. Wolinsky; Theodore K. Malmstrom; Douglas K. Miller

doi:10.1177/2150131916675350

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Neighborhood Conditions and Psychosocial Outcomes Among Middle-Aged African Americans: A Cross-sectional Analysis

Journal article

Open access

Peer reviewed

Neighborhood Conditions and Psychosocial Outcomes Among Middle-Aged African Americans: A Cross-sectional Analysis

Maya Tabet, Erin A. Sanders, Mario Schootman, Jen Jen Chang, Fredric D. Wolinsky, Theodore K. Malmstrom and Douglas K. Miller

Journal of primary care & community health, Vol.8(2), pp.63-70

10/31/2016

DOI: 10.1177/2150131916675350

PMCID: PMC5932661

PMID: 27799414

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Abstract

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 β = −0.18; P = .002) and depressive symptoms (standardized β = −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 β = 0.18; P = .305) or depressive symptoms (standardized β = 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.

Community Health

African American

managerial epidemiology

neighborhood

Original Research

psychosocial factors

Details

Title: Subtitle: Neighborhood Conditions and Psychosocial Outcomes Among Middle-Aged African Americans: A Cross-sectional Analysis
Creators: Maya Tabet - Saint Louis University
Erin A. Sanders - Saint Louis University
Mario Schootman - Saint Louis University
Jen Jen Chang - Saint Louis University, Saint Louis, MO, USA University of Iowa, Iowa City, IA, USA Regenstrief Institute Inc, Indianapolis, IN, USA Indiana University School of Medicine, Indianapolis, IN, USA Indiana University Center for Aging Research, Indianapolis, IN, USA
Fredric D. Wolinsky - University of Iowa
Theodore K. Malmstrom - Saint Louis University
Douglas K. Miller - University of Iowa
Resource Type: Journal article
Publication Details: Journal of primary care & community health, Vol.8(2), pp.63-70
DOI: 10.1177/2150131916675350
PMID: 27799414
PMCID: PMC5932661
NLM abbreviation: J Prim Care Community Health
ISSN: 2150-1319
eISSN: 2150-1327
Publisher: SAGE Publications
Language: English
Date published: 10/31/2016
Academic Unit: Health Management and Policy
Record Identifier: 9984364398902771

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