Urban neighbourhood unemployment history and depressive symptoms over time among late middle age and older adults

Wight, Richard G.; Aneshensel, Carol S.; Barrett, Christopher D.; Ko, Michelle J; Chodosh, Joshua; Karlamangla, Arun S.

doi:10.1136/jech-2012-201537

Cited by 33 publications

(21 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Neighborhood-level factors were operationalized at the Census tract level, which is a common approach in health research (Wight et al, Forthcoming). We draw our neighborhood-level data from the American Community Survey (ACS) 2006–2010 five-year estimates (US Census Burean, 2011).…”

Section: Methodsmentioning

confidence: 99%

Examining the Complexity and Variation of Health Care System Distrust across Neighborhoods: Implications for Preventive Health Care

Yang

Chen

Noah

2015

Research in the Sociology of Health Care

View full text Add to dashboard Cite

Purpose Recently, the institutional performance model has been used to explain the increased distrust of health care system by arguing that distrust is a function of individuals’ perceptions on the quality of life in neighborhood and social institutions. We examined (1) whether individuals assess two dimensions of distrust consistently, (2) if the multilevel institutional performance model explains the variation of distrust, and (3) how distrust patterns affect preventive health care behaviors. Methodology Using data from 9,497 respondents in 914 census tracts (neighborhoods) in Philadelphia, we examined the patterns of how individuals evaluate the competence and values distrust using the Multilevel Latent Class Analysis (MLCA), and then investigated how neighborhood environment factors are associated with distrust patterns. Finally, we used regression to examine the relationships between distrust patterns and preventive health care. Findings The MLCA identified four distrust patterns: Believers, Doubters, Competence Skeptics, and Values Skeptics. We found that 55 % of the individuals evaluated competence and values distrust coherently, with Believers reporting low levels and Doubters having high levels of distrust. Competence and Values Skeptics assessed distrust inconsistently. Believers were the least likely to reside in socioeconomically disadvantaged and racially segregated neighborhoods than other patterns. In contrast to Doubters, Believers were more likely to use preventive health care, even after controlling for other socioeconomic factors including insurance coverage. Practical implications Our findings suggest that distrust patterns are function of neighborhood conditions and distrust patterns are associated with preventive health care. This study provides important policy implications for health care and future interventions.

show abstract

Section: Methodsmentioning

confidence: 99%

Examining the Complexity and Variation of Health Care System Distrust across Neighborhoods: Implications for Preventive Health Care

Yang

Chen

Noah

2015

Research in the Sociology of Health Care

View full text Add to dashboard Cite

show abstract

“…Also, depressive symptoms are highest among those residing in neighborhoods characterized by high historical unemployment (Wight et al, 2013). A limited number of studies have examined the relationship between socioeconomic conditions and perceived racial discrimination.…”

Section: The Neighborhood Environmentmentioning

confidence: 99%

Neighborhood Environment and Self-Rated Health Among Urban Older Adults

Mathis

Rooks

Kruger

2015

Gerontology and Geriatric Medicine

View full text Add to dashboard Cite

Objective: This study examines associations between neighborhood environment and self-rated health (SRH) among urban older adults. Method: We selected 217 individuals aged 65+ living in a de-industrialized Midwestern city who answered questions on the 2009 Speak to Your Health survey. The relationship between neighborhood environment and SRH was analyzed using regression models. Neighborhood variables included social support and participation, perceived racism, and crime. Additional models included actual crime indices to compare differences between perceived and actual crime. Results: Seniors who have poor SRH are 21% more likely to report fear of crime than seniors with excellent SRH (p = .01). Additional analyses revealed Black seniors are 7% less likely to participate in social activities (p = .005) and 4% more likely to report experiencing racism (p < .001). Discussion: More than 80% of older adults live in urban areas. By 2030, older adults will account for 20% of the U.S. population. Given the increasing numbers of older adults living in urban neighborhoods, studies such as this one are important. Mitigating environmental influences in the neighborhood that are associated with poor SRH may allow urban older adults to maintain health and reduce disability.

show abstract

“…34 Another study using neighborhood unemployment rates as the exposure of interest found that even those who remain employed report more depressive symptoms. 114 If confirmed, such results would merit close attention by policy makers given that remaining workers generally represent the largest and healthiest portion of the population.…”

Section: Unemployment Vs Recessions Vs Downsizingmentioning

confidence: 99%

A Review of Health Consequences of Recessions Internationally and a Synthesis of the US Response during the Great Recession

et al. 2013

View full text Add to dashboard Cite

Urban neighbourhood unemployment history and depressive symptoms over time among late middle age and older adults

Cited by 33 publications

References 33 publications

Examining the Complexity and Variation of Health Care System Distrust across Neighborhoods: Implications for Preventive Health Care

Examining the Complexity and Variation of Health Care System Distrust across Neighborhoods: Implications for Preventive Health Care

Neighborhood Environment and Self-Rated Health Among Urban Older Adults

A Review of Health Consequences of Recessions Internationally and a Synthesis of the US Response during the Great Recession

Contact Info

Product

Resources

About