Levels Of Neighborhood Disadvantage Research Articles

Longitudinal associations between parenting practices and children’s later decision-making competence

Developmental research has suggested that certain parenting practices impact the development of children’s later risk behaviors. However, little evidence exists regarding how parenting may impact a child’s actual decision-making skills later in life. This study examined the degree to which earlier child-reports of parenting practices (assessed at age 10–12 and 12–14), specifically monitoring/involvement, firm/lax control, and psychological control, predicted decision-making competence (DMC), a measure of decision-making skills, at age 19. We conducted these analyses on a large, diverse sample of children (N = 775; 227 Female, 21.8% African-American); approximately half had at least one parent with a positive Substance Use Disorder (SUD) diagnosis. Analyses revealed that children reporting greater levels of psychological control demonstrated lower DMC performance at age 19, holding other parenting variables, level of neighborhood disadvantage, and parental SUD status constant. We relate these results to the broader effects of psychological control on decision-making and self-regulatory capabilities.

In the context of a deprived neighborhood, does self‐identified race cause dementia?

AbstractBackgroundAlthough accumulating evidence has shown that individual socioeconomic status affects dementia incidence, it remains unknown whether a higher degree of neighborhood disadvantage which is independent of individual socioeconomic status contributes to the excess risk of dementia among African Americans (AA).MethodIn the Monongahela‐Youghiogheny Healthy Aging Team and 15104 Senior Project, two population‐based prospective cohort studies in an economically disadvantaged Rust Belt community, 2733 participants aged 65+ years were assessed for their health history, lifestyle, and cognitive functioning. Mild cognitive impairment (MCI) or dementia was defined as Clinical Dementia Rating score ≥0.5. Each participant was assigned an Area Deprivation Index (ADI) value according to the census block group where one resided, indicating the level of neighborhood disadvantage. In cross‐sectional data, racial differences in the odds of MCI or dementia were assessed using weighted logistic regressions. Inverse probability weighting was used to balance AA and European Americans (EA) with respect to 1) ADI, 2) other confounders (age, sex, APOE*4 genotype, cardiometabolic diseases, individual socioeconomic status, health‐related behaviors, use of regular health services, functional health literacy, and air pollution [PM2.5]), and 3) ADI and other confounders.ResultThe frequency of MCI and dementia were 648 (24%) and 25 (0.9%), respectively. AA had significantly higher proportion of MCI or dementia (35% vs. 24%, p = 0.001) and higher mean ADI (96 vs. 79, p<0.0001) than EA. Being AA was associated with higher odds of MCI or dementia compared to being EA (odds ratio [OR] = 1.71, 95% confidence interval [CI] = 1.26 ‐ 2.33, unadjusted model). After balancing racial groups with respect to ADI only, the difference between AA and EA no longer reached the level of significance. When balancing all other confounders only, the OR was 1.66 (95% CI = 1.04 ‐ 2.67) and the confounders explained 5.2% of the observed disparity. After balancing both ADI and other confounders, the difference again became non‐significant (OR = 1.61, 95% CI = 0.93 ‐ 2.80) and resulted in 11.1% of the MCI or dementia disparity being explained.ConclusionA higher degree of neighborhood disadvantage may contribute to the excess risk of MCI or dementia found among AA.

Abstract 3007: Psychosocial stressors and breast cancer gene expression in the Black Women's Health Study

Abstract Introduction: Chronic sympathetic nervous system (SNS) activation following exposure to psychosocial stressors may influence cancer risk through dysregulation of immune function or adrenergic signaling pathways. Prior research out of the Black Women’s Health Study (BWHS) reported associations between psychosocial stressors and breast cancer risk. We hypothesized that women with greater exposure to psychosocial stressors before their breast cancer diagnosis have higher tumor gene expression of immune-related and adrenergic signaling pathways. Methods: The BWHS is a large, prospective cohort study that has collected health and lifestyle information biennially since 1995. We included data from 417 BWHS breast cancer cases with RNA sequencing data and information on early-life trauma and neighborhood disadvantage. We used the R package DESeq2 to conduct age-adjusted differential gene expression analyses by levels of each stress exposure and described the top differentially expressed pathways using the Molecular Signature Database REACTOME subset of canonical pathways. Targeted analyses of immune-related pathways used CIBERSORT to quantify the proportions of infiltrating immune cells and the R package GSVA for single-sample gene set enrichment analysis (ssGSEA) of genes comprising a T cell exhaustion signature. We also used ssGSEA to evaluate a set of genes involved in adrenergic signaling. Given the variability in gene expression for ER+ versus ER- breast cancers, all analyses were run separately for ER+ (n=299) and ER- (n=118) tumors. Results: Pathways related to nervous system development and the metabolism of RNA were differentially expressed by levels of stress exposures among ER+ and ER- cases, while pathways related to immune function and adrenergic signaling were differentially expressed only among ER- cases, and only when evaluating differential gene expression by levels of neighborhood disadvantage. Targeted analyses of tumor immune infiltration showed significantly higher B cell fractions among ER+ cases without exposure to early trauma compared to those with early trauma. The relative fractions of other immune cells did not differ by stress exposure for ER+ or ER- tumors. Findings from ssGSEA gene set analyses indicated similar expression of genes involved in T cell exhaustion and adrenergic signaling pathways by stress exposure levels for both ER+ and ER- breast cancers. Conclusions: Our findings provide evidence of differential gene expression by levels of stress exposure; however, the differential expression may be driven by multiple pathways and not just the hypothesized immune-related and adrenergic signaling pathways. Additional studies are needed to describe mechanisms by which psychosocial stressors may influence breast cancer risk, both overall and by gene expression profile. Citation Format: Mollie E. Barnard, Xutao Wang, Jessica L. Petrick, W. Evan Johnson, Julie R. Palmer. Psychosocial stressors and breast cancer gene expression in the Black Women's Health Study [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2023; Part 1 (Regular and Invited Abstracts); 2023 Apr 14-19; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2023;83(7_Suppl):Abstract nr 3007.

Illuminating Associations between Parenting and Deleterious Neighborhood Characteristics via an Exhaustive Modeling Approach.

Our goal was to illuminate associations between specific characteristics of under-resourced neighborhoods (i.e., socioeconomic deprivation, danger) and specific aspects of parenting (e.g., parental praise, parental nurturance, harsh parenting, parental control). Prior work has highlighted associations between level of neighborhood disadvantage and the parenting of its residents. However, this work has yet to clarify the specific characteristics of the neighborhood or the types of parenting involved. Exhaustive modelling analyses were conducted in a sample of 1,030 families of twins (average age 8 years; 51% male, 49% female; the racial composition was 82% White, 10% Black, 1% Asian, 1% Indigenous, 6% multiracial) from the Twin Study of Behavioral and Emotional Development in Children. Neighborhood and parenting were assessed using multiple informants and assessment strategies (neighborhood informants, family informants, administrative data, videotaped parent-child interactions). Neighborhood socioeconomic deprivation (i.e., limited institutional and economic structural resources) demonstrated small but consistent associations with positive parenting behaviors and maternal control, but not with negative parenting behaviors. Neighborhood danger (i.e., recorded crime, fear of crime, exposure to community violence), by contrast, demonstrated weaker associations with parenting that dissipated once we controlled for overlap with socioeconomic deprivation. Danger and socioeconomic deprivation do not function as interchangeable characteristics of under-resourced neighborhoods, at least in terms of their association with positive parenting. Future studies should identify the specific mechanisms through which neighborhood socioeconomic deprivation is associated with supportive parenting.

Neighborhood Walkability and Physical and Mental Health among Older Adults Living in a Deprived Community

Background: Identifying the factors to improve the quality of life (QOL) is vital to decrease morbidity and mortality rates among older adults. Although unfavorable neighborhood features have a significant negative impact on QOL, few studies have investigated these relationships in a deprived community. The purpose of the study was to understand how neighborhood walkability is associated with QOL using the SF-36 among urban-dwelling older adults. Methods: This is a cross-sectional survey. Participants were recruited in 2018 and 2019 at regional health clinics in Flint, MI. To be eligible, participants had to be over 65 years old and Flint residents. Results: Of the 132 participants, the majority were female (66%), African American (77%), single, divorced, or widowed (75%), and educated below GED level (84%). After adjusting for gender, assistive device use, medication, and the Supplemental Security Income receipt, multiple regression analysis revealed that those with better perceptions of land-mixed use and accessibility within their neighborhood were more likely to have better physical health (β = .36, p<.05). However, the perceptions of greater pedestrian safety were associated with the poor physical and mental health (PCS; β = -0.19, p <.05; MCS; β = -0.25, p < .05). Perceptions of the presence of walking hazards and crime were not significantly associated with QOL. Discussion: Findings suggest that neighborhood walkability characteristics are associated with physical health. The development of walking programs with accessible neighborhoods will be urgent to improve the health-related QOL for older adults living in a targeted community.

Geographic distribution of availability of adult day services in Missouri

Adult day service (ADS) is an important component of long-term supportive services. Geographic availability of ADS is an essential factor for aging in place especially for people with assistance needs. This study aims to examine the geographic distribution of availability of ADS and its relationship with the disadvantaged characteristics of neighborhoods. Data from the Missouri Department of Health and Senior Services and the American Community Survey were utilized. Geographic availability of ADS was measured as capacity (number of clients served) of ADS centers per week divided by the number of people who were 65 or older and under poverty at the census tract level. To examine neighborhood disadvantaged characteristics, principal component analysis was applied to construct a socioeconomic deprivation index (SDI). Using geographic information systems, we mapped ADS centers, geographic availability of ADS, and SDI scores. Pearson correlation coefficient was calculated between geographic availability of ADS and SDI scores. In 92.3% of the census tracts in Missouri, ADS centers are not available. Further, ADS centers are less likely to locate in rural areas or census tracts with higher numbers of residents 65 or older and poor. Also, lower availability of ADS was associated with higher levels of neighborhood disadvantage at a marginal level (r = - 0.163). Our findings suggested that strategies should be identified to provide ADS in rural areas, especially in the areas with higher levels of neighborhood disadvantage. Further investigation on the geographic distribution of ADS accessibility and its association with neighborhood characteristics is warranted.

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

ABSTRACTInformation 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.

Exclusionary School Discipline and Neighborhood Crime

The author investigates the impact of law-and-order schools, defined as those that rely heavily on exclusionary discipline (i.e., suspension and expulsion) as a form of punishment, on neighborhood crime. Additional analyses are performed to assess whether the effects of punitive school discipline on local crime are moderated by neighborhood disadvantage. Findings suggest that suspensions are associated with increases in local crime—evidence of a macro-level school-to-prison pipeline—while expulsions are generally associated with fewer crime incidents. Although disciplinary exclusions appear to increase crime at fairly consistent rates across levels of neighborhood disadvantage, both exclusion types are associated with more aggravated assault in areas with higher levels of disadvantage. As such, institutional processes of the school appear to help explain variations in community crime.

Neighborhood Norms, Disadvantage, and Intimate Partner Violence Perpetration.

Most theoretical treatments of intimate partner violence (IPV) focus on individual-level processes. More recently, scholars have begun to examine the role of macrolevel factors. Results of that research indicate that social ties facilitate the diffusion of cultural norms-including tolerance of deviance/violence-across neighborhoods. Yet the influence of the neighborhood normative climate extends beyond norms regarding the use of violence, shaping cultural understanding about dating and the opposite sex. Using data from the Toledo Adolescent Relationships Study (TARS), the current investigation examines the multilevel association between dating norms and IPV perpetration among a large, diverse sample of adolescents and young adults. Results indicate that individuals' liberal dating attitudes are associated with IPV perpetration. Furthermore, this effect varies across levels of neighborhood disadvantage.

Abstract WP520: The Role of Neighborhood Deprivation in Stroke Risk in Two Countries: France and the United States

Background and Aims: The role of socioeconomic status in stroke has been difficult to study due to differences at both the individual and neighborhood level. We therefore sought to examine the role of neighborhood socioeconomic status on risk of stroke in two countries: the United States (US) and France. Methods: We used the REasons for Geographic and Racial Differences in Stroke (REGARDS) study in the US and the 3-City (3C) study in France. In both studies, we used a factor analysis to combine various socioeconomic indicators collected by the governments of the two countries (in France IRIS and in the US the census) into a score indicating the level of neighborhood disadvantage. We limited the analysis to those free from stroke at baseline and used combined outcome of ischemic or hemorrhagic stroke. Cox models were used to model the association between neighborhood deprivation and risk of stroke; all models were adjusted for components of the Framingham Stroke Risk Score (REGARDS also adjusted for race), dietary pattern, individual income and education. Results: There were 802 strokes in REGARDS in 17996 participants and 326 strokes in 3C in 7647 participants. In both studies neighborhood deprivation was associated with lower individual income and educational attainment as well as higher BMI and systolic blood pressure. Only in the REGARDS study was neighborhood deprivation associated with greater risk of stroke. In REGARDS, comparing the 5 th quintile to the 1 st quintile the hazard ratio (HR) and 95% CI was 1.36 (1.09, 1.72). In the 3C study comparing the 5 th quintile to the 1 st quintile, the HR (95% CI) was 1.04 (0.73, 1.47). Conclusion: In the REGARDS study neighborhood deprivation was associated with risk of stroke but these findings were not seen in the 3C study. Future work to further evaluate the role of diet and individual socio-economic status in mediating the findings observed in France could help to better explain the differences in these two studies.

Neighborhood Disadvantage and Body Mass Index: A Study of Residential Relocation.

Natural experiments, such as longitudinal observational studies that follow-up residents as they relocate, provide a strong basis to infer causation between the neighborhood environment and health. In this study, we examined whether changes in the level of neighborhood disadvantage were associated with changes in body mass index (BMI) after residential relocation. This analysis included data from 928 residents who relocated between 2007 and 2013, across 4 waves of the How Areas in Brisbane Influence Health and Activity (HABITAT) study in Brisbane, Australia. Neighborhood disadvantage was measured using a census-derived composite index. For individual-level data, participants self-reported their height, weight, education, occupation, and household income. Data were analyzed using multilevel, hybrid linear models. Women residing in less disadvantaged neighborhoods had a lower BMI, but there was no association among men. Neighborhood disadvantage was not associated with within-individual changes in BMI among men or women when moving to a new neighborhood. Despite a growing body of literature suggesting an association between neighborhood disadvantage and BMI, we found this association may not be causal among middle-aged and older adults. Observing associations between neighborhood socioeconomic disadvantage and BMI over the life course, including the impact of residential relocation at younger ages, remains a priority for future research.

Collective efficacy in disadvantaged neighborhoods: The influence of Habitat for Humanity

ABSTRACTIn this study, we examine neighborhood poverty and the problems with which it is associated. Much of housing policy is based on the assumption that poor people need more affluent people around them to solve these problems. We argue instead that individual motivation to better one’s life may have a larger impact on surrounding neighbors, especially if these individuals are similar in race and income. We investigate low-income neighborhoods characterized by a large presence of Habitat for Humanity homeowners in five U.S. cities to determine whether their Habitat residents’ motivation to better their lives has a spillover effect on their neighbors. Through a comparative multiple case study design, we examine the collective efficacy of these census blocks and find that there is a positive “Habitat effect” on these neighborhoods. However, we find that the local Habitat affiliate characteristics, number and development pattern of Habitat houses present, and level of neighborhood disadvantage are also key contextual variables in determining any positive effect on their neighborhoods. Our conclusions provide lessons for local Habitat affiliates, as well as policymakers, planning agencies, and housing advocates.

Neighborhood socioeconomic disadvantage and body mass index among residentially stable mid-older aged adults: Findings from the HABITAT multilevel longitudinal study

Despite a body of evidence on the relationship between neighborhood socioeconomic disadvantage and body mass index (BMI), few studies have examined this relationship over time among ageing populations. This study examined associations between level of neighborhood socioeconomic disadvantage and the rate of change in BMI over time. The sample included 11,035 participants aged between 40 and 65years at baseline from the HABITAT study, residing in 200 neighborhoods in Brisbane, Australia. Data were collected biennially over four waves from 2007 to 2013. Self-reported height and weight were used to calculate BMI, while neighborhood disadvantage was measured using a census-based composite index. All models were adjusted for age, education, occupation, and household income. Analyses were conducted using multilevel linear regression models. BMI increased over time at a rate of 0.08kg/m2 (95% CI 0.02, 0.13) and 0.17kg/m2 (95% CI 0.11, 0.29) per wave for men and women respectively. Both men and women residing in the most disadvantaged neighborhoods had a higher average BMI than their counterparts living in the least disadvantaged neighborhoods. There were no evident differences in the rate of BMI change over time by level of neighborhood disadvantage. The findings suggest that by mid-older age, the influence of neighborhood socioeconomic conditions over time on BMI may have already played out. Future research should endeavor to identify the genesis of neighborhood socioeconomic inequalities in BMI, the determinants of these inequalities, and then suitable approaches to intervening.

Parental Monitoring, Association with Externalized Behavior, and Academic Outcomes in Urban African-American Youth: A Moderated Mediation Analysis.

African-American adolescents exposed to neighborhood disadvantage are at increased risk for engaging in problem behavior and academic underachievement. It is critical to identify the mechanisms that reduce problem behavior and promote better academic outcomes in this population. Based on social disorganization and socioecological theories, the current prospective study examined pathways from parental monitoring to academic outcomes via externalizing behavior at different levels of neighborhood disadvantage. A moderated mediation model employing maximum likelihood was conducted on 339 African-American students from 9th to 11th grade (49.3% females) with a mean age of 14.8years (SD±0.35). The results indicated that parental monitoring predicted low externalizing behavior, and low externalizing behavior predicted better academic outcomes after controlling for externalizing behavior in 9th grade, intervention status, and gender. Mediation was supported, as the index of mediation was significant. Conversely, neighborhood disadvantage did not moderate the path from parental monitoring to externalizing behavior. Implications for intervention at both community and individual levels and study limitations are discussed.

The Impact of Neighborhood Disadvantage on Adolescent Women’s Romantic Relationship Development

Purpose: Neighborhood-level disadvantage is an influential context for adolescent sexual risk behaviors, yet little is known about how this same context of disadvantage may impact the characteristics of romantic relationships that precede and organize sexual decision-making. Since many partners are met through neighborhood networks, differing levels of neighborhood disadvantage may impact the developmental trajectory of relationship attributes over time.

Avoiding Violent Victimization Among Youths in Urban Neighborhoods: The Importance of Street Efficacy

We investigated how street efficacy--the perceived ability to avoid dangerous and unsafe situations--is related to violent victimization across different levels of neighborhood disadvantage. We used 2 waves of self-report data collected between 1995 and 1999 from 1865 youths in the 9-, 12-, and 15-year-old cohorts of the Project on Human Development in Chicago Neighborhoods to measure violent victimization, street efficacy, and risk factors for violent victimization. We also analyzed data from the 1990 US Census to measure categories of neighborhood concentrated disadvantage for which the cohorts of youths reside. We used logistic regression models to examine the association between street efficacy and violent victimization while we controlled for demographic, family and parenting, self-control, and behavioral and lifestyle variables. Logistic regression results showed that street efficacy had its strongest association with violent victimization in the most disadvantaged neighborhoods (odds ratio = 0.700; 95% confidence interval = 0.55, 0.89). Our findings support the need to teach youths ways to successfully navigate potentially violent situations in environments that pose moderate to high risks for exposure to violence.

Exploring the Role of Neighborhood Socio-Demographic Factors on HPV Vaccine Initiation Among Low-Income, Ethnic Minority Girls

Little is known about whether neighborhood factors are associated with human papillomavirus (HPV) vaccine uptake, especially among disadvantaged groups that can benefit most from the vaccine. We used data collected from immigrant, low-income mothers of adolescent girls and data from the 2005-2009 American Community Survey to investigate the relationship between HPV vaccine initiation and neighborhood characteristics. We compared initiation rates across levels of neighborhood disadvantage and employed multilevel logistic regression models to examine contextual effects on uptake. Overall, 27% of girls (n=479) initiated the vaccine. Initiation rates were highest among girls from the most disadvantaged neighborhoods (30%), however, neighborhood factors were not independently associated with vaccine initiation after adjusting for individual factors. Mother's awareness of HPV, age, and insurance status were strong predictors for initiation. Future interventions should focus on improving awareness among low-income mothers as well as targeting vulnerable families outside the catchment area of public programs.

Low-Skill Employment Opportunity and African American-White Difference in Recidivism

Previous contextual analyses of recidivism are limited by a focus on traditional disadvantage indicators. The authors examine whether those indicators, including poverty, family composition, high school dropout, and unemployment explain disproportionate involvement in serious criminal recidivism among African American relative to White ex-prisoners. Given the fundamental necessity of finding employment after release, the authors move beyond traditional measures and investigate the availability of low-skill employment opportunity in the industries that prior research suggests are most likely to hire ex-prisoners (retail and manufacturing). To address the issue, the authors collected and geo-coded data for a representative sample of 1,568 Ohio ex-prisoners released on community supervision during the first six months of 1999. Contextual analysis reveals that race difference in serious recidivism is explained by low-skill employment opportunity in manufacturing and that it is contingent on levels of neighborhood disadvantage and unemployment.

Community involvement and adolescent mental health: moderating effects of race/ethnicity and neighborhood disadvantage

AbstractSocial development and stress process theories suggest that participation in one's community can function as a protective factor for mental health, especially for youth from socioeconomically disadvantaged areas. However, the effects of community involvement on adolescent mental health could vary across racial/ethnic groups and levels of neighborhood disadvantage. The objectives of this paper are to: (1) examine the effects of various types of community involvement on adolescent mental health, and (2) assess the extent to which race/ethnicity and neighborhood disadvantage moderate the effects of community involvement on adolescent mental health. Using data from two waves (1994/95 and 1996) of the National Longitudinal Study of Adolescent Health (“Add Health,” N=7,863), multilevel (hierarchical) linear models were estimated that tested for interaction effects of race/ethnicity and neighborhood disadvantage. The types of community participation that impacted adolescent mental health varied across racial/ethnic groups. Neighborhood interaction and religious participation were salient for both White and Hispanic teens, but the impact of religious participation for Whites was moderated by neighborhood disadvantage. Non‐sport extracurricular activities and employment were the salient factors for Black teens, both of which were moderated by neighborhood disadvantage. The findings from this study have implications for community‐level and clinical interventions to prevent and/or treat mental health problems among adolescents. Social integration interventions should take into account adolescents' cultural backgrounds and socioeconomic contexts in order to be effective. © 2008 Wiley Periodicals, Inc.

Residential context, walking and obesity: Two African-American neighborhoods compared

We compare walking and obesity rates in two African-American neighborhoods that are similar in urban form but different in level of neighborhood disadvantage. We find higher rates of utilitarian walking in the neighborhood with higher density and disadvantage and more destinations within walking distance. However levels of leisure walking and physical activity were not higher, and rates of obesity were not lower in the non-poor neighborhood with better maintenance, more sidewalks and recreational facilities. Different types of barriers to physical activity reported in the two neighborhoods and the high rates of overweight and obesity in both may explain the findings.