Format

Send to

Choose Destination
Health Place. 2013 Nov;24:147-56. doi: 10.1016/j.healthplace.2013.09.005. Epub 2013 Sep 17.

Do observed or perceived characteristics of the neighborhood environment mediate associations between neighborhood poverty and cumulative biological risk?

Author information

1
Department of Health Behavior & Health Education, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI 48109-2029, USA. Electronic address: ajschulz@umich.edu.

Abstract

OBJECTIVE:

To examine contributions of observed and perceived neighborhood characteristics in explaining associations between neighborhood poverty and cumulative biological risk (CBR) in an urban community.

METHODS:

Multilevel regression analyses were conducted using cross-sectional data from a probability sample survey (n=919), and observational and census data. Dependent variable: CBR.

INDEPENDENT VARIABLES:

neighborhood disorder, deterioration and characteristics; perceived neighborhood social environment, physical environment, and neighborhood environment. Covariates: neighborhood and individual demographics, health-related behaviors.

RESULTS:

Observed and perceived indicators of neighborhood conditions were significantly associated with CBR, after accounting for both neighborhood and individual level socioeconomic indicators. Observed and perceived neighborhood environmental conditions mediated associations between neighborhood poverty and CBR.

CONCLUSIONS:

Findings were consistent with the hypothesis that neighborhood conditions associated with economic divestment mediate associations between neighborhood poverty and CBR.

KEYWORDS:

Allostatic load; Neighborhood; Neighborhood environment; Poverty; Urban health inequalities

PMID:
24100238
PMCID:
PMC3837295
DOI:
10.1016/j.healthplace.2013.09.005
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center