TY - JOUR
T1 - Neighborhood socioeconomic conditions are associated with psychosocial functioning in older black and white adults
AU - Everson-Rose, Susan A.
AU - Skarupski, Kimberly A.
AU - Barnes, Lisa L.
AU - Beck, Todd
AU - Evans, Denis A.
AU - Mendes de Leon, Carlos F.
N1 - Funding Information:
This work was supported by grants HL084209, AGO22018, AG11101, and ES10902 from the National Institutes of Health, with additional support provided by the Program in Health Disparities Research and the Applied Clinical Research Program at the University of Minnesota. None of the funding sources contributed to the study design, collection, analysis, or interpretation of data, writing the manuscript, or in the decision to submit the paper for publication.
PY - 2011/5
Y1 - 2011/5
N2 - We examined neighborhood socioeconomic status (NSES) in relation to depressive symptoms, perceived stress, and hostility in 5770 community-dwelling older black and white adults (mean age=73 years; 62% female) from 3 contiguous neighborhoods covering 82 census block groups in Chicago, IL. NSES was an average of z-scores of four Census 2000 block-group variables: % public assistance, % households earning <25,000 annually, % with >college degree, and % owner-occupied dwellings valued >200,000. NSES was inversely related to hostility (beta=-0.305), stress (beta=-0.333), and depressive symptoms (beta=-0.223) (p<0.001) in multi-level mixed-effects regression models adjusted for age, sex, race, and the number of years in the neighborhood. With further adjustment for education, income, marital status, and health conditions, NSES remained associated with depressive symptoms (beta=-0.078) and hostility (beta=-0.133) (p<0.05); the association with hostility was strongest in non-black neighborhoods. Neighborhood social conditions contribute to the psychosocial well-being of older residents; research is needed to investigate pathways through which neighborhoods influence health outcomes in an aging population.
AB - We examined neighborhood socioeconomic status (NSES) in relation to depressive symptoms, perceived stress, and hostility in 5770 community-dwelling older black and white adults (mean age=73 years; 62% female) from 3 contiguous neighborhoods covering 82 census block groups in Chicago, IL. NSES was an average of z-scores of four Census 2000 block-group variables: % public assistance, % households earning <25,000 annually, % with >college degree, and % owner-occupied dwellings valued >200,000. NSES was inversely related to hostility (beta=-0.305), stress (beta=-0.333), and depressive symptoms (beta=-0.223) (p<0.001) in multi-level mixed-effects regression models adjusted for age, sex, race, and the number of years in the neighborhood. With further adjustment for education, income, marital status, and health conditions, NSES remained associated with depressive symptoms (beta=-0.078) and hostility (beta=-0.133) (p<0.05); the association with hostility was strongest in non-black neighborhoods. Neighborhood social conditions contribute to the psychosocial well-being of older residents; research is needed to investigate pathways through which neighborhoods influence health outcomes in an aging population.
KW - Aging
KW - Multi-level models
KW - Psychosocial factors
KW - Socioeconomic status
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U2 - 10.1016/j.healthplace.2011.02.007
DO - 10.1016/j.healthplace.2011.02.007
M3 - Article
C2 - 21421335
AN - SCOPUS:79955762556
SN - 1353-8292
VL - 17
SP - 793
EP - 800
JO - Health and Place
JF - Health and Place
IS - 3
ER -