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.     

RESIDENTIAL STABILITY, NEIGHBORHOOD RACIAL COMPOSITION, AND THE SUBJECTIVE ASSESSMENT OF NEIGHBORHOOD PROBLEMS AMONG OLDER ADULTS

This study investigates the effects of neighborhood racial composition and residential stability—as measured by the percentage of individuals who have lived in the same location for the past five years—on perceived neighborhood problems. Among a sample of older black and white adults, findings indicate that the patterns are contingent upon residents' race. For whites who reside in neighborhoods with a low percentage of black residents, greater residential stability is associated with fewer perceived neighborhood problems net of individual- and neighborhood-level disadvantage. For blacks, greater residential stability is associated with fewer neighborhood problems, but the percentage of black residents is associated with more neighborhood problems. In both cases, individual- and neighborhood-level socioeconomic disadvantages contribute to those patterns. These findings have implications for theories about the personal and social effects of residential stability and neighborhood racial composition, as well as race differences in the links between neighborhood context and the subjective assessment of neighborhood problems.     

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.     

A MODEL OF RACIAL RESIDENTIAL HISTORY AND ITS ASSOCIATION WITH SELF-RATED HEALTH AND MORTALITY AMONG BLACK AND WHITE ADULTS IN THE UNITED STATES

We construct a dynamic racial residential history typology and examine its association with self-rated health and mortality among black and white adults. Data are from a national survey of U.S. adults, combined with census tract data from 1970–1990. Results show that racial disparities in health and mortality are explained by both neighborhood contextual and individual socioeconomic factors. Results suggest that living in an established black neighborhood or in an established interracial neighborhood may actually be protective of health, once neighborhood poverty is controlled. Examining the dynamic nature of neighborhoods contributes to an understanding of health disparities.     

“A Grain of Salt in a Pepper Shaker”: Interviewing Whites,Blacks, and Latinos about Their Neighborhood Preferences

Several perspectives dominate as explanations for neighborhood preferences: pure race, racial proxy, race‐based neighborhood stereotyping, and race‐associated neighborhood factors. This analysis extends and supports the pure race and race‐associated neighborhood factors arguments by showing that these theories are applied differently depending on respondents' social class, race and ethnicity, and whether they are talking about white, black, or Latino neighborhoods. Race‐associated factors are emphasized for white and black neighborhoods, but pure race serves as a better theoretical framework for understanding people's preferences for Latino neighborhoods. I analyze qualitative interview data, using maps of real neighborhoods and hypothetical neighborhood show cards, to examine the neighborhood preferences of 65 white, black, and Latino residents in Ogden, Utah, and Buffalo, New York.     

The effects of racial/ethnic segregation on Latino and Black homicide

Racial/ethnic residential segregation has been shown to contribute to violence and have harmful consequences for minority groups. However, research examining the segregation–crime relationship has focused almost exclusively on blacks and whites while largely ignoring Latinos and other race/ethnic groups and has rarely considered potential mediators (e.g., concentrated disadvantage) in segregation–violence relationships. This study uses year 2000 arrest data for California and New York census places to extend segregation–crime research by comparing the effects of racial/ethnic residential segregation from whites on black and Latino homicide. Results indicate that (1) racial/ethnic segregation contributes to both Latino and black homicide, and (2) the effects for both groups are mediated by concentrated disadvantage. Implications for segregation–violence relationships, the racial-invariance position, and the Latino paradox are discussed.     

Seven years later: effects of a neighborhood mobility program on poor Black and Latino adults' well-being

This study explored program effects on adults' well-being seven years following the implementation of a court-ordered neighborhood mobility program. Low-income black and Latino adults residing in poor, segregated neighborhoods in Yonkers, New York were randomly selected to relocate to publicly funded townhouses in middle-class neighborhoods within the city. Adults who moved (n = 141) and demographically similar adults who were not selected to move (n = 106) were interviewed. Data indicate that 85 percent of adults who moved to the new housing remained there at follow-up. Results revealed that adults who moved resided in neighborhoods with higher collective efficacy and less disorder and danger but had fewer neighborhood social ties than adults who stayed in poor neighborhoods. Movers were also more likely to work and less likely to receive welfare than nonmovers. Adults who remained in low-poverty neighborhoods at the time of the follow-up reported better physical health than adults residing in poor neighborhoods, but mental health did not vary by neighborhood.     

Neighborhood residential segregation and physical health among Hispanic Americans: good, bad, or benign?

Although considerable evidence shows that residential segregation is deleterious to the health of African Americans, findings regarding segregation and health for Hispanic Americans are inconsistent. Competing hypotheses regarding the effects of neighborhood segregation on health are tested with data from Puerto Rican and Mexican American residents of Chicago. Multilevel analyses reveal that segregation is associated with more health problems for Puerto Rican Americans but not for Mexican Americans. In addition, the relationship between segregation and health was conditioned by generational status for Mexican Americans: Second- or later-generation Mexican Americans living in highly segregated neighborhoods had better health than first-generation Mexican Americans in such neighborhoods. These findings reveal that residential segregation has differential effects across Hispanic groups and suggest that a high degree of contact with Mexican Americans promotes health by facilitating flow of informal health resources and social support.     

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.     

Micro-structure in micro-neighborhoods: A new social distance measure,and its effect on individual and aggregated perceptions of crime and disorder

This study links social network methodology with the social disorganization literature to test the effect of block-level social distance on neighborhood perceived crime and disorder. Employing a unique study design that allows creating matrices of social distance (based on demographic characteristics) between 11 residents on each of over 650 blocks at three time points, we find that more socially distant residents perceive more disorder than their neighbors. Consistent with the bridging social capital literature, overall social distance in the block has a curvilinear relationship with perceived crime. And blocks with two cohesive subgroups, based on social distance, have lower levels of perceived disorder.     

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.     

Racial Differences on Well-Being among Aged and Disabled Public Housing Residents

This research examined racial differences in well-being among aged and disabled public housing residents. Predictors of interest to this research included health and functional status, income and income adequacy, social integration, and residential preference and perception of environmental quality. Participants in this research included a random sample of 427 (186 white and 241 black) aged and disabled public housing residents. Findings from this research indicate that environmental perception and preference along with health are of greater importance among white residents while among blacks health and income adequacy are more critical in determining moral among aged and disabled public housing residents.     

Moving beyond poverty: neighborhood structure, social processes, and health

We investigate the impact of neighborhood structural characteristics, social organization, and culture on self-rated health in a large, cross-sectional sample of urban adults. Findings indicate that neighborhood affluence is a more powerful predictor of health status than poverty, above and beyond individual demographic background, socioeconomic status, health behaviors, and insurance coverage. Moreover, neighborhood affluence and residential stability interact in their association with health. When the prevalence of affluence is low, residential stability is negatively associated with health. Neighborhood affluence also accounts for a substantial proportion of the racial gap in health status. Finally, collective efficacy is a significant positive predictor of health but does not mediate the effects of structural factors.     

ALCOHOL, ETHNICITY, AND VIOLENCE: The Role of Alcohol Availability for Latino and Black Aggravated Assaults and Robberies

This article is one of the first to assess the impact of alcohol availability, an important but understudied neighborhood element, and other social disorganization measures for Latino and black aggravated assault and robbery victimizations. Using data from Miami, Florida, for 1996 and 1997, we find that although most predictors have similar effects on the outcomes for both groups, higher alcohol availability rates are associated with more Latino but not black victims. To explain this finding, we relate the criminogenic influence of alcohol to contextual features of Latino and black neighborhoods, thereby integrating qualitative observations and quantitative data. Higher concentrations of recent immigrants are also related to fewer black assault victims, more Latino assault victims, but not to robberies for either group.     

Is discrimination an equal opportunity risk?: racial experiences, socioeconomic status, and health status among black and white adults

Using the 2004 Behavioral Risk Factor Surveillance System, we explore the relationship between racial awareness, perceived discrimination, and self-rated health among black (n = 5,902) and white (n = 28,451) adults. We find that adjusting for group differences in racial awareness and discrimination, in addition to socioeconomic status, explains the black-white gap in self-rated health. However, logistic regression models also find evidence for differential vulnerability among black and whites adults, based on socioeconomic status. While both groups are equally harmed by emotional and/or physical reactions to race-based treatment, the negative consequences of discriminatory experiences for black adults are exacerbated by their poorer socioeconomic standing. In contrast, the association between racial awareness and self-rated health is more sensitive to socioeconomic standing among whites. Poorer health is more likely to occur among whites when they reflect at least daily on their own racial status-but only when it happens in tandem with mid-range educational achievement, or among homemakers.     

Resurgent Ethnicity among Asian Americans: Ethnic Neighborhood Context and Health

In this study I investigate the associations of neighborhood socioeconomic and social environments with the health of Asian Americans living in both Asian ethnic neighborhoods and non-Asian neighborhoods. I use a sample of 1962 Asian Americans from the National Latino and Asian American Study (NLAAS, 2003-04). Three key findings emerge. First, absolute levels of socioeconomic and social resources do not differ greatly between the Asian ethnic neighborhoods and non-Asian neighborhoods in which Asian Americans live. Second, the ethnic neighborhood context conditions the effects of neighborhood education on health so that higher neighborhood education is related to better self-rated health among Asian Americans only when they live in Asian ethnic neighborhoods. Finally, the social environment, measured by everyday discrimination and social cohesion, does not differ in its health effects for individuals living in Asian ethnic and non-Asian neighborhoods. Together, these findings illuminate the complex ways that racial and ethnic neighborhood concentration impacts health.     

Residential Segregation on the Island: The Role of Race and Class in Puerto Rican Neighborhoods

In this paper, we use racial data from Census 2000, available for the first time in 50 years, to examine the links among race, socioeconomic status, and residential location on the island of Puerto Rico. Puerto Ricans overwhelmingly chose white as their race, and they chose only one race, not a combination of races that would seem more in keeping with the ideology of mestizaje. Overall, segregation by race is modest compared with residential segregation in the United States. In keeping with the Puerto Rican claim that class is more important than race, we find that segregation by race is generally lower than segregation between the lowest and highest income categories in all metro areas, but that the results for education and occupational status differ by metropolitan area. In San Juan-Bayamón, the most diverse metropolitan area on the island, we find that as percent black increases, neighborhood socioeconomic status decreases, though the changes are not that stark, except in Loiza, a community of black Puerto Ricans and in some Dominican neighborhoods, though there are relatively few of these neighborhoods.     

Local Gatekeeping Practices and Residential Segregation*

This article links the statistical data on residential segregation with the informal practices of individuals. Local gatekeeping practices contribute to the perpetuation of segregation and further explain the patterns of macro-level analyses. This research focuses on the community of Greenpoint, a predominantly white, working-class neighborhood in Brooklyn. The study describes the strategies used by residents of Greenpoint to accomplish residential segregation and to maintain a predominantly white non-Hispanic neighborhood. The process of informal housing networking is supported by the arrangements of local institutions.     

Segregation and Mortality: The Deadly Effects of Racism?

Elevated rates of mortality for African Americans compared to whites, coupled with the persistence of high levels of racial residential segregation, have directed attention to the structural manifestations of racism as potentially important pathogens for health. Using national mortality and census data for 1990 and a measure of black social isolation from whites, we examine the association between residential segregation and mortality in 107 major U.S. cities. Our analyses revealed that black social isolation tended to predict higher rates of mortality for African American males and females, although the strength of the association varied by cause of death. Socioeconomic deprivation explained a modest part of this association for black males but not for black females. Our analyses also found that a positive association between social isolation and mortality was more pronounced, for both blacks and whites, in cities that were also high on the index of dissimilarity. These findings highlight the need for research to identify the specific mechanisms and processes that link residential environments to adverse changes in health status.