Metro Area Research Articles

Relationship between psychological distress and manifest behaviors of young adults in the Detroit Metro area during a COVID-19 wave

Relationship between psychological distress and manifest behaviors of young adults in the Detroit Metro area during a COVID-19 wave

House price bubbles under the COVID-19 pandemic

We analyze bubble formations in house prices under the COVID-19 pandemic in 382 metropolitan areas in the U.S. with a special attention to the role of population density. We use a robust sieve-bootstrap version of the right-tailed unit root test procedure to identify periods of explosiveness in price–rent ratios across metro areas when controlling for fundamentals such as mortgage debt financing costs and the wealth of households. The bubble tests reveal evidence of explosive house prices during the COVID-19 pandemic but with important cross-area differences. In contrast to earlier bubble episodes, we find that the frequency and size of bubble formations under the pandemic have been stronger in low-density metro areas compared to high-density metro areas.

Sports Sprawl: Arlington Stadium and the Rise of Suburban Baseball Venues

Arlington Stadium in Arlington, Texas, originally opened as a minor-league stadium in 1965, but by 1972, it became home to the Texas Rangers of baseball’s American League. Although it was an architecturally undistinguished facility, Arlington Stadium shows how civic leaders in Arlington, alongside boosters in nearby Dallas and Fort Worth, utilized organized baseball’s legal doctrine of territorial rights to unify the metro area’s baseball market within a centrally located suburb. Quickly growing Arlington thus became home to a stadium that might one day host a big-league team, although in the meantime, it could host a minor-league team. This article tells the story of Arlington Stadium’s planning and construction, as well as the Rangers’ relocation from Washington, D.C., as a way to understand how a metro area used organized baseball’s idiosyncratic rules, based on a longstanding federal antitrust exemption, to build a suburban home for a major-league team.

Interstitial lung disease hospitalizations, outcomes, and costs in the United States from 2008-2018

BackgroundInterstitial lung diseases (ILD) are associated with frequent hospitalizations, however, limited studies have evaluated the hospitalization rates and outcomes. Study design and methodsWe extracted hospitalization data for ILD patients using the National Inpatient Sample Database. Regression models were used to assess trends in hospitalizations and outcomes. ResultsThere were 345,063 hospitalizations with a principal diagnosis of ILD from 2008 to 2018. Hospitalization rates were higher in females, older age groups, and those living in rural areas. Rates were lower in those with income levels at or above the median and in the western U.S. Of those hospitalized, 5.1 % died, but ∼37 % require skilled nursing facility/home health. Deaths were lower among females and in those with Medicaid and private insurance. Rates were higher in the older age groups, those with median and above income levels, and those living in medium/small metro and rural areas. The overall hospitalization rate decreased by ∼23 % during this period. The percentage of deaths remained stable (except in rural hospitals) during this period. The average length of stay (LOS) was 5.5 days. The average hospital cost was $10,438 which increased by ∼38 %. InterpretationHospitalizations for ILD have been decreasing, however, the death percentage has been stable. The LOS has remained stable, but hospital costs have been increasing. We identified differences in ILD hospitalization rates and outcomes/costs based on patient and hospital characteristics. Identifying the causes for these differences would be important in reducing health disparities in ILD patients. Clinical trial registrationn/a.

Epidemiology of Cervical Spine Injuries Requiring Surgical Treatment in Plovdiv and Plovdiv Region, Bulgaria.

Cervical spine injuries (CSI) are associated with high rates of permanent disability and mortality, which increase the socioeconomic burden on healthcare systems worldwide. We aimed to investigate the epidemiology of CSI, frequency of operative treatment, and incidence of associated neurological deficits at regional level. We performed a retrospective monocentric study of patients with sustained CSI from January 2017 to December 2021, carried out only in a first-level trauma center in the Plovdiv metro region. Demographic, clinical, and imaging data from the medical records were thoroughly analyzed. Based on the assumption that all patients with CSI were hospitalized in single trauma center, the percentage of cases indicated for surgical treatment was calculated based on the population of the entire Plovdiv metro area. One hundred forty-nine patients permanently residing in the Plovdiv metro region were included in this study. Of the 149 patients, 97 (65.1%) were surgically treated and 61 (62.9%) were over 60 years of age. The frequency of operative interventions for CSI was 2.9/100,000 patients. Annually, 10.6 people from the Plovdiv metro region suffer from neurological deficits as a result of neck injuries (1.6/100,000 residents). The number of patients with complete spinal cord injury in the surgically treated group was 11 (11.3%); that is, the regional frequency was 2.2 people per year. In the Plovdiv metro region, a significant annual frequency of neurological deficits requiring surgical intervention for CSI has been established, especially in patients aged >60 years.

Ground subsidence risk assessment method using PS-InSAR and LightGBM: a case study of Shanghai metro network

ABSTRACT Ground subsidence is a common geological hazard in urban areas that endangers the safety of infrastructure, such as subways. In this study, the ground subsidence risk assessment method considering both ground subsidence intensity and susceptibility is proposed and applied to assess ground subsidence risk of the Shanghai Metro network. Initially, PS-InSAR is used for the ground subsidence survey in the Shanghai Metro area. Subsequently, ten subsidence causal factors are collected, and the LightGBM machine learning algorithm is employed to conduct the ground subsidence susceptibility analysis. Then, a risk matrix is introduced to define ground subsidence risk by combining subsidence intensity and susceptibility. Finally, the risk map is generated in ArcGIS and classified into five levels. The assessment results were used to identify ground subsidence risk at different scales. The results indicate that the risk is higher in the southwest part of the study area, and the ground subsidence risk of the metro network exhibits a regional-related characteristic. On-site investigations were conducted to verify the results. The method enables fast ground subsidence assessment over a large area at a low cost and the assessment results can provide data for the prevention and management of ground subsidence hazards in the city.

Prevalence and co-prevalence of comorbidities among patients with type 2 diabetes mellitus living in Puerto Rico.

This is a descriptive study using healthcare claims data from patients with T2DM from public and private healthcare insurance companies providing services in Puerto Rico in 2013, aimed to estimate the prevalence of comorbidities in this population. Descriptive analyses were performed by sociodemographic, and type of service variables using frequency and percent for categorical data or means (+/-SD) or median (IQR) for continuous variables. Chi-square, Fisher exact or two-sample t-tests were used for comparisons. A total of 3,100,636 claims were identified from 485,866 adult patients with T2DM. Patients older than 65 years represented 48% of the study population. Most patients were women (57%) and had private health insurance (77%). The regions of Metro Area (17%) and Caguas (16%) had the higher number of persons living with T2DM. The overall estimated prevalence of T2DM was 17.4%. The number of claims per patient ranged from 1 to 339. A mean of 6.3 claims (SD±9.99) and a median of 3 claims (Q1 1- Q3 8) per subject were identified. Of the 3,100,636 claims most (74%) were related to the diagnosis of diabetes (59%) and associated to outpatient services (88%). The most prevalent comorbidities were hypertension (48%), hyperlipidemia (41%), neuropathy (21%); renal disease (15%), and retinopathy (13%). A high prevalence and co-prevalence of comorbidities and use of healthcare services were identified in patients with T2DM, especially in older adults. Since most comorbidities were due to diabetes-related conditions, this analysis highlights the importance of early diagnosis and adequate management of T2DM patients to avoid preventable burden to the patient and to the healthcare system.

Right-Moving Supercell Tornadogenesis during Interaction with a Left-Moving Supercell’s Rear-Flank Outflow

Abstract On the local afternoon of 29 May 2012, a long-lived, right-moving (RM) supercell formed over northwestern Oklahoma and turned roughly southeastward. For >3 h, as it moved toward the Oklahoma City, Oklahoma, metro area, this supercell remained nontornadic and visually high-based, producing a nearly tornadic gustnado and a swath of significantly severe, sometimes giant hail up to 5 in. (12.7 cm) in diameter. Meanwhile, a left-moving (LM) supercell formed over southwestern Oklahoma about 100 mi (161 km) south-southwest of the RM storm, and moved northeastward, with a rear-flank gust front that became well defined on radar imagery as the LM storm approached southern and central parts of the metro. The authors, who had been observing the RM supercell in the field since genesis, surmised its potential future interaction with the LM storm’s trailing gust front about 1 h beforehand. We repositioned to near the gust front’s extrapolated collision point with the RM mesocyclone, in anticipation of maximized tornado potential, then witnessed a small tornado from the RM mesocyclone immediately following its interception of the boundary. Synchronized radar and photographic images of this remarkable sequence are presented and discussed in context of more recent findings on tornadic supercell–boundary interactions, with implications for operational utility. Significance Statement Supercells—well-organized, rotating thunderstorms mainly found in midlatitudes—commonly produce the largest hail, along with damaging gusts and most tornadoes. In radar imagery and photographs, we show the characteristics and merger of two supercell types: left-moving and right-moving, with respect to winds aloft. As the left-moving storm’s trailing gust front interacted with the right-mover’s mesocyclone, the latter strengthened quickly, soon producing a tornado. Observed evolution of these storms supports idealized numerical and conceptual models for supercell behavior and interactions with storm-scale boundaries, and may be useful in short-fused tornado forecast and warning operations.

Pemberdayaan Masyarakat dalam Devirsivikasi Limbah Kayu Menjadi Kerajinan Wall Décor Flower Pada Komunitas Omah (TBC)

This article is about community empowerment in deviating wood waste into Wall Décor Flower crafts. This community empowerment is carried out in the Community of People Suffering from TBC, which is organized into a community called Omah (TBC). This community is located in the West Metro area of Metro Lampung City. This mentoring program is for the community to gain skills and theoretical understanding in processing wood waste to become wall decor flower crafts. In addition, wood wastes that will be used as wall décor flower crafts will reduce waste which will actually pollute the environment, with the use of wood waste, the community will get a solution in improving the community's economy. The focus of this article's study is How to Empower the Community through Devisivying Wood Waste into Wall Décor Flower Crafts in the Omah TIBI (TBC) Community in West Metro District? The service research method or strategy used in this program is the Asset-Based Community Development (ABCD) method. The ABCD method is a community service approach with an orientation so that people have the power to recognize and utilize all their strengths and assets for the good of the community.

Guerrilla Gardening: At the Intersection of Birnam Wood and Minneapolis

ABSTRACT To reflect on guerrilla gardening and the narratives sprouting from it, I intersect a literary work – the New Zealand writer Eleanor Catton’s novel Birnam Wood, published in 2023, loosely based on Shakespeare’s Macbeth—with descriptions of gardens at sites of police killings in the greater Minneapolis metro area. I argue that guerrilla garden infrastructures sprout in the soil of highly unequal power, often in the wake of the fatal exercise of state power, and usually in the shadow of a foreshortened environmental future. They are DIY infrastructures, constructed by people weathering the breakdowns inherent to entwined environmental, political, and economic crises in the 21st century.

Differences in Intakes of Select Nutrients by Urbanization Level in the United States Population 2 Years and Older, NHANES 2013–2018

BackgroundDifferences in nutrient intakes by urbanization level in the Unites States is not well understood. ObjectiveDescribe, by urbanization level: 1) intake of protein, fiber, percent of energy from added sugars (AS) and saturated fat (SF), calcium, iron, potassium, sodium, and vitamin D; 2) the percent of the population meeting nutrient recommendations. MethodsTwenty-four-hour dietary recalls from 23,107 participants aged 2 y and over from the 2013–2018 National Health and Nutrition Examination Surveys were analyzed. Usual intakes were estimated, and linear regression models adjusted for age, sex, race and Hispanic origin, and whether family income met the 130% threshold examined intake differences by urbanization levels—large urban areas (LUA), small to medium metro areas (SMMA), and rural areas (RA). ResultsA small percentage of the population met the nutrient recommendations, except for protein (92.8%) and iron (70.5%). A higher percentage of the population met recommendations than SMMA and RA for fiber (11.8% compared with 8.1% and 5.3%, P < 0.001), AS (40.2% compared with 33.4% and 31.3%, P < 0.001), SF (26.8% compared with 18.2% and 20.1%, P < 0.001), and potassium (31.5% compared with 25.5% and 22.0%, P < 0.001). Mean protein intake were also higher in LUA than RA (80.0 g compared with 77.7 g, P = 0.003) and fiber intake higher in LUA than SMMA (16.5 g compared with 15.9 g, P = 0.01) and RA (16.5 g compared with 15.2 g, P = 0.001). In addition, contributions to energy intake were lower in LUA than SMMA for AS (11.3% compared with 12.0%, P < 0.001) and SF (11.5% compared with 11.7%, P < 0.001), and for LUA than RA for AS (11.3% compared with 12.9%, P < 0.001) and SF (11.5% compared with 11.8%, P < 0.001). ConclusionsRA had some markers of poorer diet quality—lower protein and fiber intake and higher AS intake—compared with LUA, and these differences persisted in adjusted regression models. These results may inform public health efforts to address health disparities by urbanization levels in the Unites States.

Hyper-local to regional exposure contrast of source-resolved PM2.5 components across the contiguous United States: implications for health assessment.

Improved understanding of sources and processes that drive exposure contrast of fine particulate matter (PM2.5) is essential for designing and interpreting epidemiological study outcomes. We investigate the contribution of various sources and processes to PM2.5 exposure contrasts at different spatial scales across the continental United States. We consider three cases: exposure contrast within a metro area, nationwide exposure contrast with high spatial resolution, and nationwide exposure contrast with low spatial resolution. Using national empirical model estimates of source- and chemically specific PM2.5 concentration predictions, we quantified the contribution of various sources and processes to PM2.5 exposure contrasts in these three cases. At the metro level (i.e., metropolitan statistical area; MSA), exposure contrasts of PM2.5 vary between -1.8 to 1.4 µg m-3 relative to the MSA-mean with about 50% of within-MSA exposure contrast of PM2.5 caused by cooking and mobile source primary PM2.5. For the national exposure contrast at low-resolution (i.e., using MSA-average mean concentrations), exposure contrasts (relative to the national mean: -3.9 to 3.2 µg m-3) are larger than within an MSA with ~80% of the variation due to secondary PM2.5. National exposure contrast at high resolution (census block) has the largest absolute range (relative to the national mean: -4.7 to 3.7 µg m-3) due to both regional and intra-urban contributions; on average, 65% of the national exposure contrast is due to secondary PM2.5 with the remaining from the primary PM2.5 (cooking and mobile source 26%, other 9%). Our study provides a comprehensive analysis of the sources and processes that contribute to exposure contrasts of PM2.5 across different geographic areas in the US. For the first time on a national scale, we used high spatial resolution source-specific exposure estimates to identify the primary contributors to PM2.5 exposure contrasts. The study also highlights the advantages of different study designs for investigating the health impacts of specific PM2.5 components. The findings provide novel insights that can inform public health policies aimed at reducing PM2.5 exposure and advance the understanding of the epidemiological study outcomes.

Grads on the go: Measuring college‐specific labor markets for graduates

AbstractThis paper introduces a new measure of the labor markets served by colleges and universities across the United States. About 50% of recent college graduates are living and working in the metro area nearest the institution they attended, with this figure climbing to 67% in‐state. The geographic dispersion of alumni is more than twice as great for highly selective 4‐year institutions as for 2‐year institutions. However, more than one quarter of 2‐year institutions disperse alumni more diversely than the average public 4‐year institution. In one application of these data, we find that the average strength of the labor market to which a college sends its graduates predicts college‐specific intergenerational economic mobility. In a second application, we quantify the extent of “brain drain” across areas and illustrate the importance of considering migration patterns of college graduates when estimating the social return on public investment in higher education.

Medical School Civic Engagement During COVID-19: Activating Institutions for Equitable Community Response

The Medical College of Wisconsin (MCW) serves the Milwaukee metro area, one of the most diverse and segregated urban areas in the United States. In the acute crisis phase of the COVID-19 pandemic, MCW’s Civic and Community Engagement (C/CE) efforts were leveraged to address community concerns around four key initiatives: (a) availability of personal protective equipment in community; (b) food and housing issues for homeless individuals; (c) the need for multi-lingual, culturally tailored public health information around infection control through work with artists, influencers, and community health workers; and (d) later, addressing vaccination disparities and fears in an equitable way. These efforts were undertaken in collaboration with the City of Milwaukee Health Department, the Milwaukee County Office of African American Affairs, and other external partners. A multi-actor case study approach examined the intersection of Institutions of Higher Education, government, and community—with a particular emphasis on how Schools of Medicine can serve a unique role in bridging these domains to create a more robust framework for equitable, humanistically informed community crisis response. Implications for future public health disasters, as well as institutional civic engagement in response to pervasive, day-to-day problems around upstream determinants of health are explored.

Excess deaths associated with COVID-19 by rurality and demographic factors in the United States.

To estimate percent excess deaths during the COVID-19 pandemic by rural-urban residence in the United States and to describe rural-urban disparities by age, sex, and race/ethnicity. Using US mortality data, we used overdispersed Poisson regression models to estimate monthly expected death counts by rurality of residence, age group, sex, and race/ethnicity, and compared expected death counts with observed deaths. We then summarized excess deaths over 6 6-month time periods. There were 16.9% (95% confidence interval [CI]: 16.8, 17.0) more deaths than expected between March 2020 and February 2023. The percent excess varied by rurality (large central metro: 18.2% [18.1, 18.4], large fringe metro: 15.6% [15.5, 15.8], medium metro: 18.1% [18.0, 18.3], small metro: 15.5% [15.3, 15.7], micropolitan rural: 16.3% [16.1, 16.5], and noncore rural: 15.8% [15.6, 16.1]). The percent excess deaths were 20.2% (20.1, 20.3) for males and 13.6% (13.5, 13.7) for females, and highest for Hispanic persons (49% [49.0, 49.6]), followed by non-Hispanic Black persons (28% [27.5, 27.9]) and non-Hispanic White persons (12% [11.6, 11.8]). The 6-month time periods with the highest percent excess deaths for large central metro areas were March 2020-August 2020 and September 2020-February 2021; for all other areas, these time periods were September 2020-February 2021 and September 2021-February 2022. Percent excess deaths varied by rurality, age group, sex, race/ethnicity, and time period. Monitoring excess deaths by rurality may be useful in assessing the impact of the pandemic over time, as rural-urban patterns appear to differ.

Pengaruh Self Esteem, Self Efficacy, Kinerja Pegawai Terhadap Kepuasan Pegawai Pada Badan Pengelola Keuangan Dan Aset Daerah Kota Metro

The influence of globalization today will lead to increasingly global competition. Human resources, namely employees or employees have an important role in a company. The existence of competent and quality human resources will support the company's activities and are assets that must be guarded by the company to be managed and managed. This study aims to determine the relationship between slef esteem and employee satisfaction at BPKAD metro city. Knowing the effect of self efficacy on job satisfaction of employees at BPKAD metro city, knowing the effect of employee performance on job satisfaction at BPKAD in metro city, knowing the effect of slef esteem, slef efficacy of employee performance, on employee job satisfaction at BPKAD Metro city. The sample of respondents in this study were employees of the financial and asset management agency of the Kora metro area, totaling 60 people, using the accideal sampling technique. The quantitative method in this study used a quantitative approach. n comparative. The data were collected in questionnaire sheets and analyzed using multiple linear regression analysis. The results of this study showed that the self-esteem variable obtained a tcount value of 0.315 ttable &lt;234 with a significant value of 0.754 &lt;0.05, meaning that the quality of self-esteem has an effect on employee satisfaction. tcount 18.905 ttable &lt;234 with a significant value of 0.00 &lt;0.05, meaning that the quality of self-efficacy affects employee satisfaction. tcount -0.315 ttable &lt;234 with a significant value of 0.754 &lt;0.05, meaning that the quality of self-efficacy has no effect on employee satisfaction. While in the f-test (both test fcount 865.963 and ftable 2.77 that the independent variables jointly influence positive and significant employee satisfaction. This means that self-esteem (x1), self-efficacy (x2), employee performance (3), employee satisfaction (y) the independent variable is able to explain the independent variable of 98.1% while the remaining 1% is influenced by the variable which were not included in this study.

Association of Medicaid expansion with health insurance, unmet need for medical care and substance use disorder treatment among people who inject drugs in 13 US states.

Impoverished people who inject drugs (PWID) are at the epicenter of US drug-related epidemics. Medicaid expansion is designed to reduce cost-related barriers to care by expanding Medicaid coverage to all US adults living at or below 138% of the federal poverty line. This study aimed to measure whether Medicaid expansion is (1) positively associated with the probability that participants are currently insured; (2) inversely related to the probability of reporting unmet need for medical care due to cost in the past year; and (3) positively associated with the probability that they report receiving substance use disorder (SUD) treatment in the past year, among PWID subsisting at ≤ 138% of the federal poverty line. A two-way fixed-effects model was used to analyze serial cross-sectional observational data. Seventeen metro areas in 13 US states took part in the study. Participants were PWID who took part in any of the three waves (2012, 2015, 2018) of data gathered in the Center for Disease Control and Prevention's National HIV Behavioral Surveillance (NHBS), were aged ≤ 64years and had incomes ≤ 138% of the federal poverty line. For SUD treatment analyses, the sample was further limited to PWID who used drugs daily, a proxy for SUD. State-level Medicaid expansion was measured using Kaiser Family Foundation data. Individual-level self-report measures were drawn from the NHBS surveys (e.g. health insurance coverage, unmet need for medical care because of its cost, SUD treatment program participation). The sample for the insurance and unmet need analyses consisted of 19 946 impoverished PWID across 13 US states and 3 years. Approximately two-thirds were unhoused in the past year; 41.6% reported annual household incomes < $5000. In multivariable models, expansion was associated with a 19.0 [95% confidence interval (CI) = 9.0, 30.0] percentage-point increase in the probability of insurance coverage, and a 9.0 (95% CI = -15.0, -0.2) percentage-point reduction in the probability of unmet need. Expansion was unrelated to SUD treatment among PWID who used daily (n = 17 584). US Medicaid expansion may curb drug-related epidemics among impoverished people who inject drugs by increasing health insurance coverage and reducing unmet need for care. Persisting non-financial barriers may undermine expansion's impact upon substance use disorder treatment in this sample.

A radio frequency identification based smart shopping trolley system for automated billing

On holidays and weekends, we can notice a large rush at shopping centres in metro areas. This is exacerbated when there are substantial discounts and deals. By applying the notion of internet of thing (IoT) for concerning all things in the grocery store, an automated smart shopping system is created. Each product within such scheme had an economical radio frequency identification (RFID) tag positioned with it. Once an item has been added to a smart cart, the information about the merchandise is quickly read by the RFID reader on the cart. The outcome is, direct invoicing is done out from shopping cart, saving clients from having to wait in a long line at the checkout. The product's expiration date is also displayed and broken products can be determined by their weight. As a result, expired and damaged products will not be taken into account when calculating the cost. Furthermore, this system gains the addition of smart shelves incorporating RFID readers which may check stock and possibly update a central server. Inventory control becomes simpler as a result. Finally, cashier stations could verify a customer's purchase. As a result, billing may be done right in the trolley, saving clients a lot of time.

Abstract A047: Increasing cancer-related community-engagement strategies among Historically Black Colleges and Universities and Minority Serving Institutions

Abstract Addressing cultural beliefs and barriers is imperative to successfully designing and implementing behavior change interventions to increase cancer screening and treatment among underserved communities. Community-based participatory research (CBPR) fosters proven strategies that reduce barriers to cancer screening in several diverse population groups. Citizen scientists are laypersons who do not have formal science training but receive training to engage in research efforts responsive to community needs. Project Brotherhood, a community-based health organization on Chicago’s southside, has developed a community engagement model known as the Murray Model. It specifically engages black men in improving their health status. One aspect is engaging black men as citizen scientists to address cancer disparities within their communities. Evidence shows that citizen scientists were better equipped to understand lung cancer risks and increased their advocacy for better health within their communities. In partnership with Project Brotherhood and the University of Illinois Cancer Center, the National Cancer Institute, Informatics Technology for Cancer Research (ITCR) Training Network (ITN) Program is scaling up the citizen scientist Train-the-Trainer program at historically black colleges and universities and minority-serving universities. The Train-the-Trainer ITCR citizen scientist program is partnering with the Morehouse School of Medicine to increase its community and academic capacities in the Atlanta metro area to address cancer disparities. Citation Format: Rohan D. Jeremiah, Marcus Murray, Maisha Standifer, LeChaun Kendall, Carrie Wright, Candace Savonen, Jeff Leeks. Increasing cancer-related community-engagement strategies among Historically Black Colleges and Universities and Minority Serving Institutions [abstract]. In: Proceedings of the 16th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2023 Sep 29-Oct 2;Orlando, FL. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(12 Suppl):Abstract nr A047.

Neighborhood Safety and Perinatal Mental Health

Neighborhood safety (NS) has important implications for mental health, yet research is needed to clarify how different constructs that measure NS associate with mental health problems. Research is particularly underdeveloped on NS among low-income, postpartum individuals, who may experience greater vulnerability. This study examined two measures of NS, self-reported and coder-rated, and their associations with prenatal and postnatal depression and PTSD symptoms, and lifetime adversity. Participants were 121 perinatal individuals living in a major metro area. Both types of NS were significantly intercorrelated. Neither prenatal nor postnatal depression symptoms predicted self-reported or coder-rated NS. However, higher lifetime adversity and higher postnatal PTSD symptoms predicted lower self-reported postnatal NS (but not coder-rated NS). After controlling for prenatal PTSD symptoms, lower self-reported NS also predicted higher postnatal PTSD symptoms. Findings underscore the importance of focusing on individuals’ lived experiences in their neighborhoods to understand links between perceptions of NS and PTSD symptoms.