Neighbourhood environment and the incidence of depressive symptoms among middle-aged African Americans

Mario Schootman; Elena M Andresen; Fredric D Wolinsky; Theodore K Malmstrom; J Philip Miller; Douglas K Miller

doi:10.1136/jech.2006.050088

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Neighbourhood environment and the incidence of depressive symptoms among middle-aged African Americans

Journal article

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Neighbourhood environment and the incidence of depressive symptoms among middle-aged African Americans

Mario Schootman, Elena M Andresen, Fredric D Wolinsky, Theodore K Malmstrom, J Philip Miller and Douglas K Miller

Journal of epidemiology and community health (1979), Vol.61(6), pp.527-532

06/2007

DOI: 10.1136/jech.2006.050088

PMCID: PMC2465732

PMID: 17496262

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Abstract

Aim: To investigate the association between attributes of subject location and incidence of clinically relevant levels of depressive symptoms (CRLDS), and to investigate whether an association remained after adjusting for individual-level factors using data from the population-based African American Health Study. Methods: An 11-item depression scale (Center for Epidemiologic Studies Depression scale) was obtained at baseline and 3 years later through in-home evaluations. Census tract and block group deprivation indices were obtained from the 2000 census. The external appearance of the block where the subject lived was rated during sample enumeration, and the interior and exterior of the subject’s dwelling were observed during the initial in-home interview. Results: Of 998 subjects at baseline, 21.1% had CRLDS. Although 12.7% of the 672 people without CRLDS at baseline developed them by the 3-year follow-up, univariate and propensity-adjusted analyses revealed no association between the subject’s location and the incidence of CRLDS. Sensitivity analyses confirmed the robustness of the findings. Conclusion: Despite other studies showing independent effects of neighbourhood characteristics on the prevalence of CRLDS, attributes of subject location are not independent contributors to the incidence of CRLDS in middle-aged urban African Americans.

Center for Epidemiologic Studies Depression

CES-D

clinically relevant levels of depressive symptoms

CRLDS

LBFL

lower-body functional limitations

Details

Title: Subtitle: Neighbourhood environment and the incidence of depressive symptoms among middle-aged African Americans
Creators: Mario Schootman - Washington University in St. Louis
Elena M Andresen - University of Florida Health Science Center
Fredric D Wolinsky - University of Iowa
Theodore K Malmstrom - Saint Louis University
J Philip Miller - Division of Biostatistics, Washington University School of Medicine, St Louis, Missouri, USA
Douglas K Miller - Indiana University
Resource Type: Journal article
Publication Details: Journal of epidemiology and community health (1979), Vol.61(6), pp.527-532
DOI: 10.1136/jech.2006.050088
PMID: 17496262
PMCID: PMC2465732
NLM abbreviation: J Epidemiol Community Health
ISSN: 0143-005X
eISSN: 1470-2738
Publisher: BMJ Publishing Group Ltd
Language: English
Date published: 06/2007
Academic Unit: Health Management and Policy
Record Identifier: 9984363588602771

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