Neighborhood disorder, psychophysiological distress, and health

How do neighborhoods affect the health of residents? We propose that the impact of neighborhood disorder on self-reported health is mediated by psychological and physiological distress. We hypothesize a stress process in which chronic stressors in the environment give rise to a psychological and physiological stress response that ultimately affects health. The exogenous variable of interest is the neighborhood where disadvantaged persons live, which may expose them to chronic stressors in the form of crime, trouble, harassment, and other potentially distressing signs of disorder and decay. The mediator is the stress response that occurs in the body and brain. Of interest here is a psychological stress response in the form of fearful anxiety and depression, and a physiological stress response in the form of signs and symptoms of autonomic arousal, such as dizziness, chest pains, trouble breathing, nausea, upset stomach, and weakness. The outcome is poor health. This model is supported using data from the Welfare, Children, and Families project, a sample of 2,402 disadvantaged women in disadvantaged neighborhoods in Chicago, Boston, and San Antonio.     

Neighborhood disadvantage, disorder, and health.

We examine the question of whether living in a disadvantaged neighborhood damages health, over and above the impact of personal socioeconomic characteristics. We hypothesize that (1) health correlates negatively with neighborhood disadvantage adjusting for personal disadvantage, and that (2) neighborhood disorder mediates the association, (3) partly because disorder and the fear associated with it discourage walking and (4) partly because they directly impair health. Data are from the 1995 Community, Crime, and Health survey, a probability sample of 2,482 adults in Illinois, with linked information about the respondent's census tract. We find that residents of disadvantaged neighborhoods have worse health (worse self-reported health and physical functioning and more chronic conditions) than residents of more advantaged neighborhoods. The association is mediated entirely by perceived neighborhood disorder and the resulting fear. It is not mediated by limitation of outdoor physical activity. The daily stress associated with living in a neighborhood where danger, trouble, crime and incivility are common apparently damages health. We call for a bio-demography of stress that links chronic exposure to threatening conditions faced by disadvantaged individuals in disadvantaged neighborhoods with physiological responses that may impair health.     

Do work commutes moderate the association between perceived neighborhood disorder and psychological distress?

ABSTRACT

Although numerous studies show that living in a neighborhood that is characterized by disorder (crime and dilapidation) can be psychologically distressing, very few studies have considered the element of exposure time or duration of exposure to adverse neighborhood environments. In this paper, we explore the intersection of commuting, mental health, and the subjective experience of neighborhood disadvantage and impoverished community life. Using data from the Welfare, Children, and Families project (2001), a probability sample of 1057 low-income women with children living in Boston, Chicago, and San Antonio, we test whether the association between neighborhood disorder and psychological distress is moderated or attenuated by commuting time and distance. Our results show that although neighborhood disorder is associated with higher levels of anxiety, depression, and somatization, disorder tends to be less distressing for residents who are able to spend time away from these environments through longer commuting times and distances. In other words, working away from one’s neighborhood of residence may help to mitigate the adverse psychological consequences of neighborhood disorder. Our findings support previous research on the stress process and neighborhood disorder. Our work builds on the commuting literature by re-conceptualizing commuting time and distance as protective resources for disadvantaged populations.     

Neighborhood disadvantage, stress, and drug use among adults

This paper explores the relationships among neighborhood disadvantage, stress, and the likelihood of drug use in a sample of adults (N = 1,101). Using the 1995 Detroit Area Study in conjunction with tract-level data from the 1990 census, we find a positive relationship between neighborhood disadvantage and drug use, and this relationship remains statistically significant net of controls for individual-level socioeconomic status. Neighborhood disadvantage is moderately associated with drug related behaviors, indirectly through increased social stressors and higher levels of psychological distress among residents of disadvantaged neighborhoods. A residual effect of neighborhood disadvantage remains, net of a large number of socially relevant controls. Finally, results from interactive models suggest that the relationship between neighborhood disadvantage and drug use is most pronounced among individuals with lower incomes.     

Anger in black and white: race, alienation, and anger

Using data from the 1996 General Social Survey and the 1973 Chicago Crowding Study, we test the hypotheses that African Americans feel and express more anger than whites, that sense of control (versus powerlessness) lessens anger and mistrust increases anger, and that these indicators of alienation affect anger differently for African Americans and whites. We find that when age and gender are controlled, African Americans neither feel nor express more anger than whites, despite having a lower average sense of control and higher mistrust. This is partly because the effects of sense of control and mistrust on anger differ by race. Sense of control reduces feelings of anger and anger expression more for African Americans than whites. Mistrust increases feelings of anger for whites, but not African Americans. The results provide further evidence that, in the stress process, social structural location may moderate the effects of "detriments" and "resources" on emotional upset.     

Functional Ability,Neighborhood Resources and Housing Satisfaction among Older Adults in the U.S.

The purpose of this study was to explore neighborhood resources that influence the housing satisfaction of older adults. The study included 10,146 participants from the 2009 panel of the American Housing Survey who were 65 years and older. Hierarchical regression modeling was performed to examine older adults’ perceptions of neighborhood resources and consequently the role these resources play in predicting housing satisfaction among community dwelling and residents of assisted living, controlling for age, sex, ethnicity, education, and housing maintenance. In addition, three levels of physical functioning among residents of assisted living were examined. Results showed that there were differences in housing satisfaction by residences and levels of physical functioning. Subjective evaluations of neighborhoods and the near surrounds were significant predictors of housing satisfaction. Results of the study suggest that policy makers and housing professionals need to continue to consider the role of supportive neighborhoods and social environments in promoting successful aging particularly for frail older adults.     

Crime news,fear of crime,and mistrust: an examination of protective factors against influences of local crime news

This study investigates interpersonal communication ties and a neighborhood context as moderators of the influences of local crime news on fear of crime and mistrust. Data from a web survey of residents in Chicago show that the relationship between attention to local crime news and fear of crime is weaker for respondents who more frequently communicate with neighbors both intimately and casually and who live in more walkable neighborhoods. Data also indicate that the relationship between local crime news and mistrust is weaker for those who more often communicate with neighbors intimately and live in more walkable neighborhoods. Findings are discussed in terms of protective factors against the negative influences of local crime news.     

Neighborhood disadvantage, network social capital, and depressive symptoms

Research on why neighborhood disadvantage matters for health focuses on the capacity of neighborhoods to regulate residents' behavior through informal social control. The authors extend this research by conducting a multilevel analysis of data from a 1995 telephone survey of 497 residents of 32 neighborhoods in a U.S. city. The authors find that network social capital mediates the contextual effect of neighborhood disadvantage on depressive symptoms and that health effects of network social capital persist when perceived neighborhood disorder, a standard indicator of low informal social control, is controlled for. The findings demonstrate the value of a conceptualization and measurement of network social capital that (1) considers ties that transcend neighborhood boundaries, (2) investigates health benefits of network social capital in the forms of closure and embedded support resources and range and embedded instrumental resources, and (3) uses network data on specific network members with strong and weak ties to respondents.     

Preschoolers' perceptions of neighborhood environment,safety, and help-seeking

Studies that focus on children's safety and well-being often focus on neighborhoods as the unit of analysis, as it is within these geographic confines that children spend much of their time. Such studies have shown that neighborhoods directly and indirectly influence children's safety and well-being. Much of this research has focused on census data and/or caregivers' perceptions of neighborhood characteristics. Less attention has been given to the neighborhood experiences and perceptions of children themselves, especially young children. The current study utilized two techniques for interviewing pre-schoolers (aged 4 and 5): individual interviews incorporating drawing and focus groups integrating a story and a puppet. The current study highlights the important of incorporating children's perceptions and offers new measures of doing so. In the current study, very young children were put in the center of the exploration and the findings stress that children's experiences in their neighborhood were geographically limited. They talked about their homes, preschools, and the playground. In part, this finding may be indicative of the lack of child-friendly spaces and resources for children in the neighborhood. In addition, the current study shed a light into children understanding and ability to discuss safety and help seeking, which are key concepts to any future planning of prevention and intervention efforts with children. Delve into the individuals to whom children said they turned for help revealed extremely limited list of family members, which raises concerns about the support networks available to the children and their families. This study suggests that the inclusion of young children's perspectives may facilitate programs and initiatives aimed at improving their safety and well-being by identifying sources of protections and threat from children's own perspectives.     

Environmental stressors: the mental health impacts of living near industrial activity

A growing literature examines whether the poor, the working class, and people of color are disproportionately likely to live in environmentally hazardous neighborhoods. This literature assumes that environmental characteristics such as industrial pollution and hazardous waste are detrimental to human health, an assumption that has not been well tested. Drawing upon the sociology of mental health and environmental inequality studies, we ask whether industrial activity has an impact on psychological well-being. We link individual-level survey data with data from the US. Census and the Toxic Release Inventory and find that residential proximity to industrial activity has a negative impact on mental health. This impact is both direct and mediated by individuals' perceptions of neighborhood disorder and personal powerlessness, and the impact is greater for minorities and the poor than it is for whites and wealthier individuals. These results suggest that public health officials need to take seriously the mental health impacts of living near industrial facilities.     

Neighborhood socioeconomic disadvantage and access to health care

Most research on access to health care focuses on individual-level determinants such as income and insurance coverage. The role of community-level factors in helping or hindering individuals in obtaining needed care, however, has not received much attention. We address this gap in the literature by examining how neighborhood socioeconomic disadvantage is associated with access to health care. We find that living in disadvantaged neighborhoods reduces the likelihood of having a usual source of care and of obtaining recommended preventive services, while it increases the likelihood of having unmet medical need. These associations are not explained by the supply of health care providers. Furthermore, though controlling for individual-level characteristics reduces the association between neighborhood disadvantage and access to health care, a significant association remains. This suggests that when individuals who are disadvantaged are concentrated into specific areas, disadvantage becomes an "emergent characteristic " of those areas that predicts the ability of residents to obtain health care.     

Do neighborhood conditions affect high school dropout and college graduation rates?

This article estimates the effects of neighborhood conditions on the educational attainment of young people. Using the Panel Study of Income Dynamics to measure the background characteristics of young people and their educational attainment at age 25 and the U.S. Census to describe the characteristics of the neighborhoods in which respondents lived between ages 14 and 18, the paper estimates neighborhood effects separately for blacks and whites and tests for nonlinearities and important interactions in these effects. We find that neighborhood characteristics influence educational attainment among young people, but do so differently for black and white youth. Among black youth, growing up in neighborhoods with wealthier residents, more two parent families, and a greater percentage of workers in professional or managerial occupations leads to a substantial decrease in the high school dropout rate. These neighborhood characteristics do not affect the probability of graduating from college, however. Neighborhood effects among black youth occur primarily among those from disadvantaged backgrounds. Among white youth, neighborhood conditions positively affect the probability of graduating from college but do not significantly affect the high school dropout rate. These effects are concentrated among those from relatively advantaged backgrounds.     

Neighborhood processes, self-efficacy, and adolescent mental health

Self-efficacy beliefs are central to mental health. Because adolescents' neighborhoods shape opportunities for experiences of control, predictability, and safety, we propose that neighborhood conditions are associated with adolescents' self-efficacy and, in turn, their internalizing problems (i.e., depression/anxiety symptoms). We tested these hypotheses using three waves of data from the Project on Human Development in Chicago Neighborhoods (N = 2,345). Results indicate that adolescents living in violent neighborhoods tended to report lower self-efficacy beliefs, partly because they were more likely to experience fear in their neighborhood. However, moving out of Chicago neighborhoods marked by violence and low collective efficacy to neighborhoods outside of the city was associated with adolescents' increased self-efficacy (vs. staying in such neighborhoods), an association explained by adolescents' school-related experiences. Finally, through self-efficacy, these neighborhood processes had an indirect association with adolescents' internalizing problems. Results partially support a model linking neighborhood conditions, cognitions about the self, and emotions.     

Disadvantaged Neighborhoods and Adolescent Aggression: Behavioral Genetic Evidence of Contextual Effects

This study used behavioral genetic methods to examine differences in genetic and environmental influences on adolescent aggression across adequate and disadvantaged neighborhoods. Analyses used National Longitudinal Study of Adolescent Health data from 2,342 monozygotic twin, dizygotic twin, full‐sibling, and half‐sibling pairs classified into structurally adequate and disadvantaged neighborhoods according to Census data on the proportion of single‐parent households with children, proportion of families in poverty, and unemployment levels in sibling pairs' block groups. Separately estimating genetic and environmental influences across adequate and disadvantaged neighborhoods revealed that although genetic influences are significant in both adequate and disadvantaged neighborhoods, shared environmental influences (e.g., family influences shared by siblings) were significant only among adolescents from disadvantaged neighborhoods. These results provide insight into differences in individual‐level influences that contribute to adolescent aggression within these different types of neighborhoods. Significant shared environmental influences in disadvantaged neighborhoods suggest the importance of family processes is increased by neighborhood disadvantage.     

DETERMINANTS OF INDIVIDUAL NEIGHBORHOOD TIES AND SOCIAL RESOURCES IN POOR URBAN NEIGHBORHOODS

Studies on life in poor urban neighborhoods suggest the importance of kin and non-kin ties for support. Research also notes the dearth of certain ties that are important to locate economic and social resources. This research evaluates the determinants of certain types of social resources for residents in poor urban neighborhoods. Specifically, I consider the relationship between five types of neighborhood ties for residents--religious, kin, friendship, neighbor, and informal jobs--as well as race/ethnicity, and neighborhood poverty and social resources. Using the Urban Poverty & Family Life Survey and OLS and logistic regression analyses, results show religious and friendship ties are important predictors of individual social resources and support. Also, neighborhood poverty is insignificant in most of the analyses and when it is important, residents in more impoverished areas are more likely to seek out social resources than their counterparts in non-poor and moderately poor areas. These findings support variants of Compression and Composition theories as possibleexemplars for explaining ways in which residents secure social resources in poor urban neighborhoods.     

There goes our family friendly neighborhood: Residents’ perceptions of institutionally driven inner-city revitalization in Buffalo,NY

This article examines residents’ perceptions of inner-city revitalization in legacy cities. The analysis focuses on neighborhoods undergoing revitalization in a legacy city, Buffalo, NY. The article draws from data for a larger research project called Turning the Corner which was sponsored by the Urban Institute. The focus of that project was to identify planning strategies to address negative externalities caused by neighborhood change and heightened risks of displacement due to revitalization. Data were collected through a series of focus groups with residents and stakeholders in working-class, minority neighborhoods which were identified as being in the early stages of revitalization. Two findings emerged from the analysis. First, residents perceived urban revitalization to have a destabilizing effect on traditional neighborhoods. Second, residents perceived revitalization as detrimental to the sustainability of family-friendly neighborhoods. Insights from the analysis are used to prompt planners’ advocacy for revitalization strategies aimed at protecting minority, working-class neighborhoods when institutionally driven revitalization occurs.     

Neighborhood disadvantage and anger among older adults: social comparisons as effect modifiers

Using data from a sample of 1,136 adults ages 65 and older in the District of Columbia and two adjoining counties in Maryland, we examine the association between neighborhood structural disadvantage and levels of anger. In addition, we test whether subjective financial comparisons with neighbors modify those effects differently for elders at different levels of income. We find that the association between neighborhood disadvantage and anger is positive among lower-income elders who feel financially advantaged relative to their neighbors. In contrast, the association between neighborhood disadvantage and anger is positive among higher-income elders who feel financially disadvantaged relative to their neighbors. Irrespective of income, neighborhood disadvantage is unrelated to anger among people who feel financially similar to their neighbors. We discuss the implications of our findings for the study of neighborhood context and health, underscoring interrelationships among inequality, social comparisons, and the stress process.     

Limits to social capital: comparing network assistance in two New Orleans neighborhoods devastated by Hurricane Katrina

Sociological research emphasizes that personal networks offer social resources in times of need and that this capacity varies by the social position of those involved. Yet rarely are sociologists able to make direct comparisons of such inequalities. This study overcomes this methodological challenge by examining network activation among residents of two unequal neighborhoods severely devastated by Hurricane Katrina. Results indicate that local network capacities of Lower Ninth Ward residents relative to those of the more affluent Lakeview neighborhood dissipated before, during, and after the disaster to erode the life chances of individual residents and the neighborhood they once constituted.     

Neighborhood Effects in Temporal Perspective

Theory suggests that neighborhood effects depend not only on where individuals live today, but also on where they lived in the past. Previous research, however, usually measured neighborhood context only once and did not account for length of residence, thereby understating the detrimental effects of long-term neighborhood disadvantage. This study investigates the effects of duration of exposure to disadvantaged neighborhoods on high school graduation. It follows 4,154 children in the PSID, measuring neighborhood context once per year from age 1 to 17. The analysis overcomes the problem of dynamic neighborhood selection by adapting novel methods of causal inference for time-varying treatments. In contrast to previous analyses, these methods do not "control away" the effect of neighborhood context operating indirectly through time-varying characteristics of the family, and thus they capture the full impact of a lifetime of neighborhood disadvantage. We find that sustained exposure to disadvantaged neighborhoods has a severe impact on high school graduation that is considerably larger than effects reported in prior research. Growing up in the most (compared to the least) disadvantaged quintile of neighborhoods is estimated to reduce the probability of graduation from 96% to 76% for black children, and from 95% to 87% for nonblack children.     

Neighborhood structural disadvantage,collective efficacy,and self-rated physical health in an urban setting

Our analyses examine the role neighborhood structural characteristics--including concentrated disadvantage, residential instability, and immigrant concentration--as well as collective efficacy in promoting physical health among neighborhood residents. Using data from the 1990 census, the 1994 Project on Human Development in Chicago Neighborhoods Community Survey, and the 1991-2000 Metropolitan Chicago Information Center-Metro Survey, we model the effects of individual and neighborhood level factors on self-rated physical health employing hierarchical ordered logit models. First, we find that neighborhood socioeconomic disadvantage is not significantly related to self-rated physical health when individual level demographic and health background are controlled. Second, individuals residing in neighborhoods with higher levels of collective efficacy report better overall health. Finally, socioeconomic disadvantage and collective efficacy condition the positive effects of individual level education on physical health.