Community Informant Explanations for Unusual Neighborhood Rates of Child Maltreatment Reports

This study explored perceptions of community informants on socioenvironmental factors that explain why rates of child maltreatment reporting are different in neighborhoods with similar population characteristics. This study used data from the SoCal Neighborhoods and Child Welfare study, a multiphase, mixed-methods study of neighborhoods in Los Angeles and San Diego counties. Semistructured qualitative interviews with key informants (N = 28) in 22 census tracts explored factors that account for differences in maltreatment rates among sociodemographically similar neighborhoods. Thematic content analysis revealed three themes regarding neighborhood contributors to maltreatment behaviors and reporting: (a) community norms and values, (b) community resources and providers, and (c) housing dynamics and built environment. Findings indicate complexity in forces that affect maltreatment behavior and reporting. Adding to research on neighborhood social dynamics and child maltreatment, findings suggest that composite indicators of maltreatment within neighborhoods are affected by maltreatment behaviors and the definition, recognition, and reporting of maltreatment.     

Neighborhood mechanisms and the spatial dynamics of birth weight

This study addresses two questions about why neighborhood contexts matter for individuals via a multilevel, spatial analysis of birthweight for 101,662 live births within 342 Chicago neighborhoods. First, what are the mechanisms through which neighborhood structural composition is related to health? The results show that mechanisms related to stress and adaptation (violent crime, reciprocal exchange and participation in local voluntary associations) are the most robust neighborhood-level predictors of birth weight. Second, are contextual influences on health limited to the immediate neighborhood or do they extend to a wider geographic context? The results show that contextual effects on birth weight extend to the social environment beyond the immediate neighborhood, even after adjusting for potentially confounding covariates. These findings suggest that the theoretical understanding and empirical estimation of 'neighborhood effects' on health are bolstered by collecting data on more causally proximate social processes and by taking into account spatial interdependencies among neighborhoods.     

Neighborhood Scale and Collective Efficacy: Does Size Matter?

The theory of collective efficacy emphasizes the role of the neighborhood as a unit of social control that can deter crime. The neighborhood unit is most often defined as a census tract or a similar administratively defined measure. These neighborhood definitions are not always sociologically meaningful. That is, administratively defined geographical areas do not necessarily align with residents' perceptions of their neighborhood's boundaries, which incorporate the familiarity with an area and interactions with other residents. Officially defined neighborhoods often present an inaccurate representation of collective efficacy, as these areas are not likely to function as a cohesive social unit. An alternative measure of “bespoke” neighborhoods is presented in geographical research. The bespoke neighborhood identifies a neighborhood area as the distance from a specific point or the number of people situated nearest to a specific location. This concept takes into consideration each resident's unique definition of the neighborhood. In addition, the bespoke neighborhood can be assessed on different scales to identify the most appropriate neighborhood size, where patterns of behavior are most meaningful. Bespoke neighborhoods can be used to identify sociologically meaningful neighborhoods that can inform the theory of collective efficacy.     

A Population-Wide Screening and Tailored Intervention Platform for Eating Disorders on College Campuses: The Healthy Body Image Program

Abstract

Objectives: This article presents a new approach to intervention for eating disorders and body image concerns on college campuses, using a model of integrated eating disorder screening and intervention. Formative data on implementation feasibility are presented. Participants: College students enrolled at 2 universities between 2011 and 2012. Methods: The Healthy Body Image program is an evidence-based screening and intervention platform, enacted via community and online resources. An online screen was used to identify students at varying levels of risk or eating disorder symptom status; responses were used to direct students to universal or targeted online interventions or further evaluation. Universal prevention programs to improve healthy weight regulation and body image culture were offered to all students. Results: Formative data from 1,551 students illustrates the application of this model. Conclusions: The Healthy Body Image program is feasible to deliver and provides a comprehensive system of screening, evidence-based intervention, and community culture change.     

Explorations in Neighborhood Differentiation*

The cyclical interest in local units of the urban community has failed to provide cumulative knowledge about the varieties, functions and ethnic distribution of types of neighborhoods. Research in Detroit, involving 16 black and 12 white neighborhoods, provides sufficient quantitative data to formulate multivariate distinctions of neighborhood type and function. Among the most important findings was the extent to which residents of given types of neighborhoods used informal and formal services. The total utilization of neighbor and formal agency services was also tied to neighborhood type. The present research suggests a more comprehensive typology for describing the character of local neighborhoods and for devising strategies of intervention where the prime unit is a local neighborhood.     

The location of placement and juvenile delinquency: Do neighborhoods matter in child welfare?

This study aims to advance the knowledge base by investigating where foster youth are placed in terms of neighborhood characteristics and whether specific neighborhood characteristics were associated with delinquency for adolescents in the child welfare system. This study followed the placement experiences of 2360 foster youth in Chicago from birth to 16 years of age. The study used State administrative data, census data, and the community survey of the Project of Human Development in Chicago Neighborhoods. The results indicated that foster care placements cluster in neighborhoods characterized by high concentrated disadvantage, low ethnic heterogeneity, low collective efficacy, prevalent neighborhood disorder and violent culture. The results indicated that neighborhood ethnic heterogeneity is positively associated with delinquent offending. The implications for policy and practice are discussed.     

Foster care,geographic neighborhood change,and the risk of delinquency

Background and purposePrevious studies report that foster care placement is associated with an increased risk of delinquency. Yet it remains unclear which aspects of the placement experience increase the risk of delinquency. The current study addresses this knowledge gap. This study investigates the relationship between geographic neighborhood change and the risk of delinquency for adolescents in foster care settings. Based on findings from the neighborhood effects literatures, we hypothesize that moving to a neighborhood characterized by concentrated disadvantage and residential instability is associated with increased risk of delinquency.MethodsThe design for the current study is longitudinal. The sample is comprised of 145 foster youth from two birth cohorts, one born in 1983 and one in 1984, in Chicago, Illinois. The sample was 92% African American and 52% male. Overall, 11% had an official juvenile arrest. We used data from multiple sources, including the 1990 census data and administrative data from the Illinois Department of Children and Family Services and the Cook County Juvenile Court. To measure neighborhood change, we calculated a difference between children's home and placement neighborhoods on ten census variables: percentages of households in a given neighborhood that were below the poverty line, neighborhood households on public assistance, female-headed households, unemployed population, and persons < 18 years old, African American, Latino, foreign-born, residents living in the same house as five years earlier, and owner-occupied homes, all of which are commonly used in neighborhood studies. We identified two factors within the neighborhood variables—concentrated disadvantage and residential instability,—and used the two-factor scores in the following analysis. We conducted a Cox regression to model time to first arrest.ResultsThe results indicate that moving to a neighborhood with high residential instability significantly increases an individual's risk of juvenile delinquency. In addition, two subgroups—male foster youth; and all foster youth with an experience of neglect—are significantly more likely to be associated with a formal delinquency petition.Conclusions and implicationsThe current study is unique and builds the knowledge base with regard to the placement of children and adolescents in substitute care settings. The findings indicate that the neighborhoods in which children are placed do matter in terms of their outcomes, and thus they should be considered in the placement decision process. This finding is consistent with the “person-in-environment” concept advanced by social work professionals.     

The Supportive Community

Abstract

This study examines supportive community programs in Israel, which aim to improve the quality of life of the elderly. These innovative programs pool existing resources to provide a benefits package that includes medical services, an emergency call switchboard, a “neighborhood facilitator,” and social activities. Data were collected in 2000-2001 using qualitative and quantitative methods. The program provides specific services to meet needs that otherwise are not adequately addressed. The major contributions of the program reported by the members was increasing their personal security (two-thirds), easing the burden on their children (one-third), and enabling them to remain at home (one-quarter). The supportive community program enriches the variety of services available, thus providing the elderly with the choice of staying within their familiar surroundings of their homes and neighborhoods. This model appears to be both a cost-effective way to facilitate aging in place and a way to meet many of the elderly's essential needs, thereby maintaining their quality of life.     

The supportive community: a new concept for enhancing the quality of life of elderly living in the community

This study examines supportive community programs in Israel, which aim to improve the quality of life of the elderly. These innovative programs pool existing resources to provide a benefits package that includes medical services, an emergency call switchboard, a "neighborhood facilitator," and social activities. Data were collected in 2000-2001 using qualitative and quantitative methods. The program provides specific services to meet needs that otherwise are not adequately addressed. The major contributions of the program reported by the members was increasing their personal security (two-thirds), easing the burden on their children (one-third), and enabling them to remain at home (one-quarter). The supportive community program enriches the variety of services available, thus providing the elderly with the choice of staying within their familiar surroundings of their homes and neighborhoods. This model appears to be both a cost-effective way to facilitate aging in place and a way to meet many of the elderly's essential needs, thereby maintaining their quality of life.     

Mapping child maltreatment: looking at neighborhoods in a suburban county

This study used administrative data, census data, and geographic information system (GIS) technology to map and analyze the rates and distribution of child physical abuse, sexual abuse, and neglect at the neighborhood level in a suburban jurisdiction. The results provide an example of how administrative data, census data, and GIS technology can give child protective services and community-based agencies a visual tool to help identify and target neighborhoods in which children may be at high risk for maltreatment.     

Neighborhood Selection and Residential Segregation

Residential segregation has long been a topic of investigation for urban scholars. In attempting to understand this phenomenon, most researchers have examined the characteristics of different residential neighborhoods (typically census tracts) and have often compared the composition of the population within the census tract over time. This study looks at the household characteristics of the mobile family, as well as the aggregate characteristics of the census tract into which the family moves. The findings reveal that households display a tendency to move to areas where the existing population has characteristics similar to their own. A multiple logit analysis reveals that the race/ethnicity of the household is generally the best predictor of the neighborhood where the household will move.     

A socio-medical study of infant mortality among disadvantaged blacks

This report profiles the woman at highest risk of a low birthweight delivery and infant death, in a generally disadvantaged, Black population in a major northeastern city which maintains one of the highest infant mortality rates in the nation. It discusses the existence of a very high risk subpopulation which contributes disproportionately and repeatedly to the infant and perinatal death statistics. If adequately identified, these women can be subject to intervention programs. Results show that within an inner-city Black population, where educational levels are relatively low and much of the reproductive segment is young and unmarried, the standard identification criteria of age, education, and marital status do not vary with poor pregnancy outcome. Furthermore, certain factors associated stereotypically with inner city lifestyle, such as drug abuse and venereal disease, also fail to distinguish women having normal and very low birthweight infants. Instead, alcoholism, smoking, low maternal weight at delivery, hypertension history, migrant status, ineffective contraception, prenatal care, violence, and relatively poor psychological adjustments and social support systems distinguish the study samples.     

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.     

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.     

Creating New Patterns of Social and Economic Activity Through Planned Housing Environments

Abstract

HOPE VI programs have transformed distressed public housing areas into “planned neighborhoods.” This research highlights key results from an evaluation request by the Tampa Housing Authority to assess the social and economic impact of the local HOPE VI community. Findings suggest that the majority of residents enjoy the new neighborhood. Questions remain regarding the social cohesion among the mixed-income community residents and the potential for economic revitalization of the surrounding area. Implications for social workers are addressed.     

Family-Based HIV Preventive Intervention

Summary

Social indicators suggest that African American adolescents are in the highest risk categories of those contracting HIV/AIDS (CDC, 2001). The dramatic impact of HIV/AIDS on urban African American youth have influenced community leaders and policy makers to place high priority on programming that can prevent youth's exposure to the virus (Pequegnat & Szapocznik, 2000). Program developers are encouraged to design programs that reflect the developmental ecology of urban youth (Tolan, Gorman-Smith, & Henry, 2003). This often translates into three concrete programmatic features: (1) Contextual relevance; (2) Developmental-groundedness; and (3) Systemic Delivery. Because families are considered to be urban youth's best hope to grow up and survive multiple dangers in urban neighborhoods (Pequegnat& Szapocznik, 2000), centering prevention within families may ensure that youth receive ongoing support, education, and messages that can increase their capacity to negotiate peer situations involving sex. This paper will present preliminary data from an HIV/AIDS prevention program that is contextually relevant, developmentally grounded and systematically-delivered. The collaborative HIV/AIDS Adolescent Mental Health Project (CHAMP) is aimed at decreasing HIV/AIDS risk exposure among a sample of African American youth living in a poverty-stricken, inner-city community in Chicago. This study describes results from this family-based HIV preventive intervention and involves 88 African American pre-adolescents and their primary caregivers. We present results for the intervention group at baseline and post intervention. We compare post test results to a community comparison group of youth. Suggestions for future research are provided.     

Applying RE-AIM to evaluate two community-based programs designed to improve access to eye care for those at high-risk for glaucoma

IntroductionGlaucoma is a leading cause of vision loss and blindness in the U.S. Risk factors include African American race, older age, family history of glaucoma, and diabetes. This paper describes the evaluation of a mobile eye health and a telemedicine program designed to improve access to eye care among people at high-risk for glaucoma.MethodsThe RE-AIM (reach, efficacy, adoption, implementation, and maintenance) evaluation framework was used to harmonize indicators. Both programs provided community-based eye health education and eye services related to glaucoma detection and care. Each program reported data on participants and community partners. An external evaluator conducted site visit interviews with program staff and community partners. Quantitative and qualitative data were integrated and analyzed using the RE-AIM dimensions.DiscussionBy targeting high-risk populations and providing comprehensive eye exams, both programs detected a large proportion of new glaucoma-related cases (17–19%) – a much larger proportion than that found in the general population (<2%). The educational intervention increased glaucoma knowledge; evidence that it led people to seek eye care was inconclusive.ConclusionsEvaluation findings from the mobile eye health program and the telemedicine program may provide useful information for wider implementation in public health clinics and in optometrist clinics located in retail outlets.     

Exploring the Social Construction of Crime by Neighborhood: News Coverage of Crime in Boston

ABSTRACT

Information disseminated by the news shapes the way that the public perceives criminal events, often providing a distorted view of crime. Previous research has largely overlooked neighborhoods in discussions of how the news portrays crime. This study examines the ways that the news media report the neighborhoods in which homicides, robberies, and assaults are committed. Multiple theoretical perspectives rooted in the law of opposites and racial typification provide differing explanations for the reporting of crime. Using Boston as a test site, this study employs a content analysis of The Boston Globe crime articles to identify the neighborhoods in which instances of homicide, robbery, and assault receive coverage. A comparison with official crime data from the Boston Police Department suggests differences in neighborhood reporting trends for robbery and assault but not for homicide. Specifically, the news media tend to disproportionately report more robberies and assaults in neighborhoods with lower levels of neighborhood disadvantage. Implications for the social construction of crime and neighborhoods as well as criminal justice response for disadvantaged neighborhoods are discussed.     

Finding Place in Community Change Initiatives: Using GIS to Uncover Resident Perceptions of their Neighborhoods

The growing recognition that place matters has led to numerous foundation- and government-sponsored initiatives that attempt to simultaneously strengthen neighborhoods and address the needs of families that live there. Despite the centrality of the concept of neighborhood, these place-based initiatives have few tools to understand how residents identify with the space within their target areas. This article demonstrates how resident-drawn maps gathered in a household survey can be used to uncover individual and collective neighborhood definitions. Using data gathered as part of the Annie E. Casey Foundation's Making Connections program in 10 cities, the study finds that there is considerable variation among residents in how they define their neighborhoods, but that there are also commonly held neighborhood identities that need to be taken into account in community practice.