Robert N Buschmann1, John D Prochaska2, Malcolm P Cutchin3, M Kristen Peek2. 1. University of Alberta, 2-281 Enterprise Square, Edmonton, AB, Canada, T5J 4P6. Electronic address: rob.buschmann@ualberta.ca. 2. University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555-1150. 3. Wayne State University, Eugene Applebaum College of Pharmacy and Health Sciences, 259 Mack Ave., Detroit, MI 48202.
Abstract
PURPOSE: Neighborhood quality is associated with health. Increasingly, researchers are focusing on the mechanisms underlying that association, including the role of stress, risky health behaviors, and subclinical measures such as allostatic load (AL). METHODS: This study uses mixed-effects regression modeling to examine the association between two objective measures and one subjective measure of neighborhood quality and AL in an ethnically diverse population-based sample (N = 2706) from a medium-sized Texas city. We also examine whether several measures of psychological stress and health behaviors mediate any relationship between neighborhood quality and AL. RESULTS: In this sample, all three separate measures of neighborhood quality were associated with individual AL (P < .01). However, only the subjective measure, perceived neighborhood quality, was associated with AL after adjusting for covariates. In mixed-effects multiple regression models there was no evidence of mediation by either stress or health behaviors. CONCLUSIONS: In this study, only one measure of neighborhood quality was related to a measure of health, which contrasts with considerable previous research in this area. In this sample, neighborhood quality may affect AL through other mechanisms, or there may be other health-affecting factors is this area that share that overshadow local neighborhood variation.
PURPOSE: Neighborhood quality is associated with health. Increasingly, researchers are focusing on the mechanisms underlying that association, including the role of stress, risky health behaviors, and subclinical measures such as allostatic load (AL). METHODS: This study uses mixed-effects regression modeling to examine the association between two objective measures and one subjective measure of neighborhood quality and AL in an ethnically diverse population-based sample (N = 2706) from a medium-sized Texas city. We also examine whether several measures of psychological stress and health behaviors mediate any relationship between neighborhood quality and AL. RESULTS: In this sample, all three separate measures of neighborhood quality were associated with individual AL (P < .01). However, only the subjective measure, perceived neighborhood quality, was associated with AL after adjusting for covariates. In mixed-effects multiple regression models there was no evidence of mediation by either stress or health behaviors. CONCLUSIONS: In this study, only one measure of neighborhood quality was related to a measure of health, which contrasts with considerable previous research in this area. In this sample, neighborhood quality may affect AL through other mechanisms, or there may be other health-affecting factors is this area that share that overshadow local neighborhood variation.
Authors: Yanping Jiang; Samuele Zilioli; Raymond P Stowe; Rebecca Rubinstein; M Kristen Peek; Malcolm P Cutchin Journal: Psychosom Med Date: 2021-09-01 Impact factor: 3.864
Authors: Kelsey L Corallo; Sarah M Lyle; Michael L M Murphy; Michelle R vanDellen; Katherine B Ehrlich Journal: Psychosom Med Date: 2021-10-01 Impact factor: 3.864
Authors: Daniel R Y Gan; Grand H-L Cheng; Tze Pin Ng; Xinyi Gwee; Chang Yuan Soh; John Chye Fung; Im Sik Cho Journal: Int J Environ Res Public Health Date: 2022-03-20 Impact factor: 3.390