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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Neighborhood contextual influences on depressive symptoms in the elderly
American Journal of Epidemiology, Volume 162, No. 3, Year 2005
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Description
To understand whether neighborhood contexts contribute to the onset or maintenance of mental health problems independently of individual characteristics requires the use of multilevel study designs and analytical strategies. This study used a multilevel analytical framework to examine the relation between neighborhood context and risk of depressive symptoms, using data from the New Haven component of the Established Populations for Epidemiologic Studies of the Elderly, a community-based sample of noninstitutionalized men and women aged 65 years or older and living in the city of New Haven, Connecticut, in 1982. Neighborhoods were characterized by census-based characteristics and also by measures of the neighborhood service environment using data abstracted from the New Haven telephone book Yellow Pages. Living in a poor neighborhood was associated with higher levels of depressive symptoms in older adults, above and beyond individual vulnerabilities. In addition, the presence of more elderly people in the neighborhood was associated with better mental health among older adults. The authors found no evidence that access to services hypothesized to promote social engagement, to provide health services, or to affect the reputation of a neighborhood explained (i.e., mediated) neighborhood variations in depressive symptoms. Copyright © 2005 by the Johns Hopkins Bloomberg School of Public Health. All rights reserved.
Authors & Co-Authors
Kubzansky, Laura Diane
United States, Boston
Harvard T.h. Chan School of Public Health
Subramanian, Sankaran Venkata
United States, Boston
Harvard T.h. Chan School of Public Health
Kawachi, Ichiro I.
United States, Boston
Harvard T.h. Chan School of Public Health
Berkman, Lisa F.
United States, Boston
Harvard T.h. Chan School of Public Health
Statistics
Citations: 230
Authors: 4
Affiliations: 1
Identifiers
Doi:
10.1093/aje/kwi185
ISSN:
00029262
Research Areas
Health System And Policy
Mental Health
Participants Gender
Male
Female