Neighborhood Perceptions Research Articles

Race and Ethnicity Differences in Walking and Associations with Neighborhood Perceptions among Older Adults in California.

This paper estimates differences in walking and associations of walking with neighborhood perceptions among older adults in California. We analyzed the restricted-use California Health Interview Survey data merged with the American Community Survey data. Walking at least 10minutes for leisure in the last 7days and number of minutes walked were regressed on perceived neighborhood social cohesion scale (PNSCS) and neighborhood socioeconomic characteristics. We estimated ordinary least squares regression models. We found that positive neighborhood perceptions were significantly (p< 0.05) associated with walking among older Hispanic and Asian adults. Older Hispanic adults with above median PNSCS report that they walk 6.3 percentage points more than Non-Hispanic White adults. Older adults' perceptions of their neighbors and neighborhoods are positively correlated with walking. Policymakers can consider ways to improve neighborhood perceptions and relationships to help increase walking among minority older adults especially in low SES neighborhoods.

In the eyes of the beholder: Race, place and health.

Racial and ethnic health disparities are fundamentally connected to neighborhood quality. For example, as a result of historical systemic inequities, racial and ethnic minorities are more likely to live in neighborhoods with signs of physical disorder (e.g., graffiti, vandalism), and physically disordered environments have been noted to associate with increased risk for chronic illness. Degree of exposure to neighborhood disorder may alter peoples' perception of their neighborhoods, however, with those most exposed (e.g., historically marginalized racial/ethnic groups) perhaps perceiving less threat from signs of neighborhood disorder. The purpose of the present study was to examine the complex interrelationships between people and place by investigating whether exposure to neighborhood physical disorder relates to residents' (1) perceptions of neighborhood safety and (2) perceptions of their health, and (3) examining whether these links vary by race/ethnicity. Using 2016–2018 Health and Retirement Study (HRS) data, a representative sample of US adults aged 51 years and older (n = 9,080, mean age 68 years), we conducted a series of weighted linear regressions to examine the role of neighborhood disorder in relation to both perceived neighborhood safety and self-rated health. Results indicated that greater neighborhood physical disorder was statistically significantly related to feeling less safe among non-Hispanic Whites and Hispanics, but not non-Hispanic Blacks. Regarding self-rated health, neighborhood physical disorder was statistically significantly related to poorer health among all racial/ethnic groups. These findings suggest that, despite differential interpretation of neighborhood disorder as a threat to safety, this modifiable aspect of peoples' environment is related to poor health regardless of one's race/ethnicity.

The Mediating Effect of Maternal Wellbeing on the Association between Neighborhood Perception and Child Wellbeing: A Longitudinal Investigation.

Negative perceptions of one's neighborhood are linked to poor mental and physical health. However, it is unclear how caregiver's neighborhood perception affects health outcomes in children. This study assessed the mediating effect of maternal wellbeing on the association between neighborhood perception and child wellbeing at different time points and overall. A structural equation model (SEM) was used to evaluate whether maternal wellbeing mediates the influence of neighborhood perception on child wellbeing at different ages. The Fragile Families and Child Wellbeing Study data from years 3, 5, and 9 was analyzed. The delta method evaluated the mediation effect of maternal wellbeing, controlling for mothers' age. Direct and indirect effects of neighborhood perception at year 3 on child wellbeing at year 9 via maternal wellbeing at year 5 were analyzed via a longitudinal mediation with a two time points lag. Maternal wellbeing partially mediated the effect of neighborhood perception on child wellbeing at different ages. Longitudinal mediation analyses revealed that better neighborhood perception at year 3 improved maternal wellbeing at year 5 and child wellbeing at year 9; maternal wellbeing at year 5 partially mediated the effect of neighborhood perception at year 3 on child wellbeing at year 5. Our findings suggest that it may be beneficial for mental health practitioners to discuss relationships between neighborhood environment and wellbeing with caregivers, with a focus on reframing negative self-perceptions. Future research should evaluate longitudinal relationships between changes in neighborhood infrastructure and corresponding wellbeing in caregivers and children.

Neighborhood Disorder and Health-Related Work Absences: Perceived Control and Neighborhood Trust as Explanatory Mechanisms

The current research argues that people residing in disordered neighborhoods will tend not to trust their neighbors and perceive less control over life, which will in turn increase the risk of health-related work absences. Researchers also suggest that lower trust in neighbors and perceived control will strengthen the association between living in disordered neighborhoods and risk of health-related work absences. To address these questions, we examine a national study of Canadian workers gathered at the individual level in September of 2019 (N=2,524). Multinomial regression models show that perceptions of neighborhoods as disordered are associated with a greater likelihood of frequent health-related work absences. Reduced trust in neighbors and perceived control largely explain this association, but these factor do not moderate the association. This research contributes to the study of neighborhoods and health by showing that adverse health effects of disordered neighborhoods can have subsequent socioeconomic implications through increased health-related work absences.

Adaptive movement strategy in rock-paper-scissors models

Organisms may respond to local stimuli that benefit or threaten their fitness. The adaptive movement behaviour may allow individuals to adjust their speed to maximise the chances of being in comfort zones, where death risk is minimal. We investigate spatial cyclic models where the rock-paper-scissors game rules describe the nonhierarchical dominance. We assume that organisms of one out of the species can control the mobility rate in response to the information obtained from scanning the environment. Running a series of stochastic simulations, we quantify the effects of the movement strategy on the spatial patterns and population dynamics. Our findings show that the ability to change mobility to adapt to environmental clues is not reflected in an advantage in cyclic spatial games. The adaptive movement provokes a delay in the spatial domains occupied by the species in the spiral waves, making the group more vulnerable to the advance of the dominant species and less efficient in taking territory from the dominated species. Our outcomes also show that the effects of adaptive movement behaviour accentuate whether most individuals have a long-range neighbourhood perception. Our results may be helpful for biologists and data scientists to comprehend the dynamics of ecosystems where adaptive processes are fundamental.

What Is Safety to You? Determining an Inductive Conceptualization of Neighborhood Safety Through Centering the Voices of Community Residents

BackgroundInductive explorations of neighborhood safety are a notable gap in neighborhood effects research. Thus, the current study explores resident definitions of safety and safety threats in urban, suburban, and rural communities.ObjectiveTo reveal urban residents’ phenomenological conceptualizations of neighborhood safety and perceptions of law enforcement as a safety support and/or a safety threat.MethodsThe researchers conducted semi-structured focus groups with community residents across three counties to gather evidence of what makes them feel safe and unsafe in their communities.Findings/ConclusionsThematic analysis generated five themes of what makes residents feel safe, what they perceived are safety threats, and what they believe law enforcement officers do to promote safety. The article concludes with implications for urban social work practice and research.

Older People’s Neighborhood Perceptions Are Related to Social and Emotional Loneliness and Mediated by Social Network Type

Background and ObjectivesLoneliness among older people is a public health issue; however, there is very weak support for the efficacy of individually focused interventions. A public health model, which includes the environmental influence on the formation of social networks and protection from loneliness, and theoretical approaches differentiating between social and emotional loneliness, suggest the importance of neighborhoods in preventing loneliness. This approach was used to test the influence of neighborhood factors on loneliness and the mediating role of social networks.Research Design and MethodsA questionnaire survey of 917 people aged 60–100 years was conducted in one region of Aotearoa/New Zealand to assess loneliness, social network types, social participation, marital status, gender, health, and four aspects of neighborhood perceptions.ResultsSocial and emotional loneliness scores were regressed on predicted demographic and social variables, followed by perceptions of Housing Satisfaction, Neighborhood Accessibility, Neighborhood Security, and Neighborhood Social Cohesion. Neighborhood variables added significant explanation of variance in both social and emotional loneliness. Mediation tests using PROCESS showed that the effects of all neighborhood variables were mediated by Private-Restricted or Locally Integrated Network types on Social Loneliness only.Discussion and ImplicationsThese findings highlight the importance of neighborhood factors in relation to feelings of loneliness and the recognition of social network types as mediators of these relationships for social loneliness. The aspects of neighborhoods that prevent loneliness provide directions for planners and prevention programs. Interventions to prevent social loneliness can usefully and practicably focus on the housing and neighborhood environment.

Associations between the built environment and emotional, social and physical indicators of early child development across high and low socioeconomic neighbourhoods

Emerging evidence indicates that the built environment influences early child development. Access to, and the quality of, built environment features vary with the socioeconomic status (SES) of neighbourhoods. It has not yet been established whether the association between built environment features and early child development varies by neighbourhood SES. We sought to identify built environment features associated with neighbourhood-level variations in the early child development domains of physical health and wellbeing, social competence, and emotional maturity, and how these associations differ among high and low SES neighbourhoods where child development patterns follow expected outcomes ("on-diagonal" neighbourhoods) and where child development patterns differ from expected outcomes ("off-diagonal" neighbourhoods). This cross-sectional study analysed data from the Australian Early Development Census (AEDC) for children residing in 3839 neighbourhoods in the Perth and Peel metropolitan areas of Western Australia. Children's AEDC scores were aggregated at the area-level and merged with Geographic Information Systems derived measures of neighbourhood residential density, parks, walkability, community facilities and public transport. Multivariate logistic regressions modelled the odds of low and high SES neighbourhoods having a higher proportion of children developmentally "on-track" (scores in the 26th to 100th percentile of the AEDC) or "not on-track" (scores in the bottom 25th percentile of the AEDC) for each built environment feature. In high SES neighbourhoods, better development across all three domains was associated with greater residential density and improved access to parks, public transport, learning, childcare and health services. Conversely, in low SES neighbourhoods, greater residential density was associated with better physical, but poorer social and emotional development; increased traffic and street connectivity were associated with poorer physical and emotional development; shorter distances to parks, learning, childcare and health services were associated with poorer physical and emotional development; and more services and public transport stops were associated with poorer emotional development. The mixed findings in low SES neighbourhoods suggest that positive associations with built environment features seen in one domain of early child development may be negative in other domains. The reasons for the mixed findings in low SES neighbourhoods are likely multifactorial and may include parental neighbourhood perceptions, as well as quality and usage of built environment features. These findings can be used to inform state and local governments to establish child-friendly town planning and urban design features. Further research is needed to confirm the interplay between SES, early child development, the built environment and other unmeasured factors to better inform public health policy.

Adolescents' perceptions of school neighbourhood built environment for walking and cycling to school

Walking is a more common transport mode to school than cycling among adolescents in many countries worldwide. Adolescents' and their parents' have different perceptions of walking versus cycling to school. This study compared adolescents' perceptions of school neighbourhood built environment characteristics for walking versus cycling to school. Adolescents familiar with their school neighbourhoods (n=411; age: 15.0 ± 1.2 years; male: 31.3%) from six secondary schools in Dunedin, New Zealand completed an online survey about their travel to school and perceptions of their school neighbourhood environments for walking and cycling to school. Overall, 32.8% of adolescents walked to school, and only 1.2% cycled. More adolescents reported sufficient footpaths than cycle paths (77.9% vs 42.3%) in their school neighbourhoods. Compared to walking, adolescents reported that their school neighbourhood environments provided less support for cycling to school, including fewer crossings/signals for cyclists versus pedestrians (52.8% vs 69.3%), fewer street lights (cycling vs walking; 57.9% vs 70.3%) and fewer destinations within easy cycling versus walking distance from their school (65.5% vs 50.4%) (all p<0.05). Active transport users perceived lower traffic volume, higher traffic speed, and fewer hilly streets along the walking and cycling routes to school than motorised and mixed transport users (all p<0.05). Future active transport interventions in school neighbourhoods need to be tailored to address walking- and/or cycling-specific barriers, including built environment and traffic safety in a local context.

Census-Based Variables Are Informative about Subjective Neighborhood Relations, but Only When Adjusted for Residents’ Neighborhood Conceptions

Subjective neighborhood perceptions (such as attachment or satisfaction) have been linked to demographic factors and self-reported living conditions. There has been less success to include census-based variables. One explanation is the frequent a priori application of rigid neighborhood definitions. We assessed subjective neighborhood relations, demographic information, and self-defined neighborhoods via a postcard-based, participatory GIS approach. We linked several census-based variables (e.g., the proportion of seniors or the average members per household) to four different neighborhood definitions. We found that census-based variables allowed no prediction of neighborhood relations when adjusted to statistical districts, and a limited prediction when adjusted to two different-sized buffers. We found the best prediction of neighborhood relations through census-based variables when they were adjusted to self-defined neighborhoods. Larger households, fewer households per building, and a higher proportion of seniors benefited neighborhood relations. Our findings underline the importance of adjusting the definition of ‘neighborhood’ to that of the residents when studying neighborhood attachment or sense of community.

Pathways from Built Environment to Health Care Costs: Linking Objectively Measured Built Environment with Physical Activity and Health Care Expenditures

Evidence connecting health care expenditures with physical activity and built environment is rare. We examined how detailed urban form relates to mode specific moderate-to-vigorous physical activity (MVPA) and health care costs—controlling for transit access, residential choices/preferences, sociodemographic factors. We harness high resolution data for 476 participants in the Rails and Health study on health care costs, mode specific MVPA, parcel-level built environment, and neighborhood perception surveys. To account for dependencies among outcomes, structural equation modeling framework is used. A 1% increase in bike, walk, and transit-related MVPA was associated with lower health care costs by −0.28%, −0.09%, and −0.27% respectively. A one-unit increase in neighborhood walkability index correlates with a 6.48% reduction in health care costs. Indirect associations between residential choices, attitudes, and health outcomes through MVPA were also observed. The results suggest the potential to alter behaviors and lower health care costs through retrofitting neighborhoods.

Social-ecological factors related to preventive behaviors during the COVID-19 pandemic in South Korea.

Most studies on COVID-19 preventive behaviors have focused on single-level factors such as national policy, community social capital, or individuals’ sociodemographic characteristics. Through a social-ecological model, this study attempts to comprehensively examine the multilevel factors associated with COVID-19 preventive practices in South Korea. Accordingly, a web survey involving 1,500 participants was conducted in December 2020. An ordinary least squares (OLS) regression was used to examine the multilevel factors (individual, interpersonal, community, and policy levels) related to COVID-19 preventive measures, which are based on wearing a mask, washing hands, covering the mouth when coughing or sneezing, and social distancing. When factors at each level were investigated, higher scores of COVID-19 fear and correct knowledge at the individual level, COVID-19 information share at the interpersonal level, and better evaluation of the national government policies in regard to COVID-19 at the policy level were positively associated with COVID-19 preventive behaviors. Community-level factors—neighborhood perception and community participation—were negatively significantly related to COVID-19 preventive behaviors. Additionally, older age, being female, and having a graduate-level education were positively related to better preventive behaviors. The findings of the current study suggest that multilevel efforts are needed to promote preventive behaviors. Specifically, more effort to alleviate COVID-19-related fear and disseminate correct knowledge among Korean citizens is needed as the individual-level characteristics explained the preventive behaviors more than the factors at upper levels.

The association between resilience resources, contextual factors and mental health status: a national population-based study

BackgroundAlthough a range of risk factors have been linked with poor mental health across the population, the underlying pathways leading to mental ill health remain unclear. There is a need to investigate the effects and interplay of both protective and risk factors. This population-based study aimed to explore the effects of individual and contextual factors on mental health status. Record-linkage was implemented between health and lifestyle data drawn from HealthWise Wales (HWW), a national population health survey of people > 16 years who live or access their healthcare in Wales, and treatment data from primary healthcare records. Mental health status was assessed using three different measures, including the self-reported MHI-5 and WEMWBS scales and mental health treatment in electronic healthcare records (EHR).ResultUsing cross-sectional data from 27,869 HWW participants aged over 16 years, lifestyle factors, resilience, social cohesion and neighbourhood attraction were associated with mental health across all measures. However, compared to contextual factors, the cluster of individual factors was more closely associated with poor mental health, explaining more of the variance across all measures used (MHI-5: 9.8% versus 5.4%; WEMWBS: 15.9% versus 10.3%; EHR: 5.5% versus 3.0%). Additional analysis on resilience sub-constructs indicated that personal skills were the most closely correlated with poorer mental health.ConclusionMental health status was more closely linked with individual factors across the population than contextual factors. Interventions focusing on improving individual resilience and coping skills could improve mental health outcomes and reduce the negative effect of contextual factors such as negative neighbourhood perceptions.

Area Deprivation Index as a predictor of economic risk and social and neighborhood perceptions among families enrolled in Early Head Start

Previous research suggests that aggregate neighborhood-level measures of socioeconomic disadvantage are related to social and medical outcomes. To date, these measures have primarily been used in health-related research, with far fewer applications to developmental psychology and education. This study used a measure of neighborhood socioeconomic disadvantage, the Area Deprivation Index, to examine relationships between neighborhood disadvantage, family risk factors, and perceptions of neighborhood safety, social cohesion, and social status in Early Head Start families. Results suggest that neighborhood disadvantage is important to consider in efforts to support the health and well-being of low-income families with young children and that the Area Deprivation Index is appropriate for this use. Neighborhood disadvantage predicted economic hardship and pressure, perceived neighborhood safety and social cohesion, and subjective social status. This has implications for planning and implementation of family supports offered through programs like Early Head Start.

Tell Me Where You Live… How the Perceived Entitativity of Neighborhoods Determines the Formation of Impressions About Their Residents.

The studies presented here apply the concept of entitativity in order to understand how belonging to a particular geographical area – neighborhood - can determine the way others organize information and form impressions about area’s residents. In order to achieve this objective, three studies were carried out. The first study aims to verify if a neighborhood varies in terms of perceived entitativity, and identify the physical and social characteristics of the neighborhoods that are more strongly associated with the perception of entitativity. The Study 2 and 3 used an experimental paradigm to explore how people’s perceptions of neighborhoods’ entitativity influenced their impressions of residents. To activate stereotypes, Study 2 used the name of real neighborhoods, and Study 3 employed only a set of pictures of unknown neighborhoods. The results show that the neighborhoods vary significantly with the regard to the perception of entitativity, and a set of physical attributes of place were strongly related with entitativity. The results showed that, independent of stimuli, the neighborhoods perceived as highly entitative, the supposed residents were subject to more extreme and quicker trait judgments, supported by greater confidence on the part of perceivers. Study 3 also reported that in highly entitative neighborhoods, the perceivers transferred more traits from the group to individual members. These results provide strong evidence that physical structure of neighborhoods imply different entitatity judgments that influences the way in which residents are perceived.

Abstract P070: Individual And Environmental Correlates Of Objectively Assessed Physical Activity Levels In Rural Residents

Introduction: Rural communities in the US face disproportionately higher rates of physical inactivity as well as coronary heart disease mortality, when compared to their urban and suburban counterparts. As such, increasing physical activity (PA) and reducing barriers to PA is critical in improving population health. Neighborhood characteristics have been shown to influence PA, but are understudied in rural communities. The current analysis: (1) describes PA patterns in rural mid-western communities, and (2) examines the associations of and interactions between individual and environmental correlates of objectively assessed weekly moderate to vigorous physical activity (MVPA) minutes. Hypotheses: Overall, we expected low levels of weekly MVPA in rural residents; with lower levels anticipated in female, older, and low-income participants. We also expected positive associations of favorable perceptions of the neighborhood environment, trail use, and self-efficacy for PA with weekly MVPA. Finally, the test of interactions between intrapersonal and perceived environmental factors in relation to weekly MVPA is exploratory. Methods: Telephone surveys were conducted with 280 adults in 14 rural southeast Missouri communities, who were also asked to wear accelerometer devices for seven days. Participants were recruited via address-based sampling, and at local community events. Participants self-reported demographic information (age, sex, income), individual level behavioral factors (self-efficacy for PA, trail use) and neighborhood environment perceptions (indoor recreational access, safety from traffic, home neighborhood environment). Weekly MVPA minutes were assessed using the accelerometry data. Generalized linear mixed models using a negative binomial distribution were used examining associations of and interactions between individual characteristics and environmental correlates with weekly MVPA (Analyses were conducted using STATA V15). Results: Participants had a weekly average of 97 minutes MVPA, with 21% meeting PA guidelines. Increased age and being female were significantly associated with lower weekly MVPA. Additionally, increased self-efficacy and trail use were significantly associated with higher weekly MVPA. When exploring interaction effects, there was a significant interaction between gender and safety from traffic. For females, increased perceived safety from traffic was associated with lower MVPA. Conclusions: Rural residents have low levels of PA with less than a quarter meeting PA guidelines (75 minutes of vigorous and/or 150 minutes of moderate PA per week). Specifically, female residents face disproportionately lower levels of MVPA, with only 75 weekly minutes compared to 135 weekly minutes in males. Promoting trail use and targeting self efficacy for PA, may be effective strategies for increasing PA in rural residents.

Te Ara Mua – Future Streets: Can a streetscape upgrade designed to increase active travel change residents’ perceptions of neighbourhood safety?

We aim to understand how a streetscape intervention, Te Ara Mua- Future Streets, designed to improve the ease and safety of active modes, influenced perceptions of neighbourhood safety and security in Māngere, New Zealand. In this controlled intervention study, survey, focus group and in-depth interview data on neighbourhood perceptions were gathered from adults and children in 2014 and 2017, before and after the intervention. General Linear Mixed Modelling (GLMM) was used to undertake a difference in differences analysis of the individual level survey data on traffic and neighbourhood safety perceptions. Focus group and interview data were analysed thematically. Survey data indicate improvements in neighbourhood safety but not traffic safety perceptions after the streetscape upgrade. Conversely, focus group and interview data suggest enduring fears around people and dogs, but an easing of traffic-related fears attributed to safer crossings and slower vehicle speeds. Our contrasting quantitative and qualitative findings demonstrate a complex interplay of neighbourhood people and place attributes in shaping residents’ experiences of safety and security, and therefore the importance of combining personal safety and traffic safety, as well as multiple measures, when investigating pathways between built environment change and active travel.

Assessing changes in neighbourhood satisfaction among older age adults in England using the English Longitudinal Study of Ageing

Scholars from a variety of disciplines have become interested in neighbourhood satisfaction as a gateway to understanding relationships between ‘neighbourhood factors’, ‘individual characteristics’ and ‘neighbourhood perceptions’ in shaping residents’ attitudes to their local area. As recent studies have emphasised, the global search for ‘age-friendly cities’ prompts exploration of the drivers of change in neighbourhood satisfaction that could be critical to delivering targeted policy interventions to help improve physical and mental health and subjective wellbeing of older age adults. This study uses a growth curve model to examine associations between change in neighbourhood satisfaction over time and factors such as neighbourhood deprivation, social engagement, relationship status, health and wellbeing and socioeconomic status using data from the English Longitudinal Study of Ageing, 2002-03 to 2014-15. The study finds, in line with previous empirical research, that neighbourhood deprivation is a key associate of neighbourhood satisfaction, but also the role of moving status, social activity, relationship status, quality of life, age, sex and country of birth are contributing factors. The findings suggest policymakers and public health professionals need to focus on a combination of short- and long-term, area-based and people-focused policies to address structural inequalities and deprivation to improve neighbourhood satisfaction. Policy interventions should especially focus on addressing the needs of vulnerable groups of older age adults including those who have recently moved, disengage with social activities, living alone, with lower levels of mental wellbeing, older, male, born abroad and living in areas of higher levels of neighbourhood deprivation.

Physical inactivity and perceived environmental factors: a cross-sectional study among civil servants in Abia State, Southeastern Nigeria.

Introductionphysical inactivity has been identified as the fourth leading risk factor for global mortality due to non-communicable diseases. Prevalence rates of 91.0% and 62.2%, have been documented among civil servants in the northern and southern parts of Nigeria, respectively. There is a paucity of data regarding the relationship between physical inactivity and environmental factors among civil servants in the State. This study assessed the prevalence and perceived environmental factors associated with physical inactivity among civil servants in Abia State Nigeria.Methodswe conducted a cross-sectional study in which we recruited 440 civil servants using a multistage sampling technique. We used an interviewer-administered structured questionnaire to collect data on sociodemographic, physical activity, and neighbourhood environmental attributes. Descriptive, bivariate and multivariate analysis were done. The level of significance was set at 5%.Resultsthe mean age of the respondents was 39.0±9.2 years, and 61% were females. The prevalence of physical inactivity was 48.4% (95%CI: 43.7%-53.2%). The putative environmental factors included perceptions of low residential density areas, perceived absence of neighbourhood sidewalks, perceived unavailability of bicycling facilities and the perception of an unsafe neighbourhood due to night crimes. The predictor of physical inactivity was the perceived absence of neighbourhood sidewalks (aOR=2.02, 95%CI: 1.10-3.73).Conclusionin this study, physical inactivity is prevalent among civil servants in Abia State. The need for the stakeholders in collaboration with the Ministry of Environment to focus on the provision of sidewalk facilities, layout of residential areas and limit security risks in the State to enhance physical activity is highlighted.

Predictors of Depressive Symptoms in Caregivers of Children With Poorly Controlled Asthma: Is the Neighborhood Context Important?

Children residing in low-income neighborhoods are disproportionately affected by asthma morbidity and mortality. Neighborhood violence has been explored in relationship to child morbidity and health and developmental outcomes, but less is known about the relationship of violence to caregiver mental health. The purpose of this study was to examine the relationship of neighborhood violent crime victimization (objective and subjective measures), perceptions of community well-being and support, and depressive symptoms among a sample of primarily single female caregivers of children with uncontrolled asthma. This is a secondary analysis of baseline data obtained from a randomized controlled trial of a home-based environmental control intervention for children aged 3 to 12 years, who were primarily African American, and diagnosed with persistent, uncontrolled asthma. Results showed that both objective and subjective measures of crime, particularly in those with relatively low life stress (P < .001), limited education of the caregiver (P < .001), and fewer children (P < .01) in the household had direct associations with depressive symptoms in caregivers of children with uncontrolled asthma. Neighborhood perceptions of satisfaction and a sense of community, as well as perceptions of social support, were not associated with depressive symptoms. Our findings emphasize the need to screen for depressive symptoms, life stress, as well as both objective and subjective perceptions of neighborhood violence among caregivers of children with poorly controlled asthma. Furthermore, when providing holistic care to these caregivers, stress reduction and the provision of mental health resources are paramount.