Neighborhood Characteristics and Change in Depressive Symptoms Among Older Residents of New York City

Datos Bibliográficos

ID11029673
AutoresJennifer Beard (0000-0002-8557-0242, The University of Sydney), John R Beard (John R. Beard, Shannon Blaney, David Vlahov, and Sandro Galea are with the Center for Urban Epidemiological Studies, New York Academy of Medicine, New York. John R. Beard is also with the School of Public Health, University of Sydney, Sydney, Australia. David Vlahov is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York. Magda Cerdá and Sandro Galea are with the Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor....), Magdalena Cerdá (0000-0001-8441-7046, Carestream (United States)), Magda Cerdá (John R. Beard, Shannon Blaney, David Vlahov, and Sandro Galea are with the Center for Urban Epidemiological Studies, New York Academy of Medicine, New York. John R. Beard is also with the School of Public Health, University of Sydney, Sydney, Australia. David Vlahov is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York. Magda Cerdá and Sandro Galea are with the Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor....), Shannon Blaney (John R. Beard, Shannon Blaney, David Vlahov, and Sandro Galea are with the Center for Urban Epidemiological Studies, New York Academy of Medicine, New York. John R. Beard is also with the School of Public Health, University of Sydney, Sydney, Australia. David Vlahov is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York. Magda Cerdá and Sandro Galea are with the Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor....), John Ahern (0000-0002-3853-9760, Carestream (United States)), Jennifer Ahern (John R. Beard, Shannon Blaney, David Vlahov, and Sandro Galea are with the Center for Urban Epidemiological Studies, New York Academy of Medicine, New York. John R. Beard is also with the School of Public Health, University of Sydney, Sydney, Australia. David Vlahov is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York. Magda Cerdá and Sandro Galea are with the Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor....), David Vlahov (0000-0003-4007-4445, John R. Beard, Shannon Blaney, David Vlahov, and Sandro Galea are with the Center for Urban Epidemiological Studies, New York Academy of Medicine, New York. John R. Beard is also with the School of Public Health, University of Sydney, Sydney, Australia. David Vlahov is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York. Magda Cerdá and Sandro Galea are with the Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor....), Sandro Galea (0000-0002-7534-0945, John R. Beard, Shannon Blaney, David Vlahov, and Sandro Galea are with the Center for Urban Epidemiological Studies, New York Academy of Medicine, New York. John R. Beard is also with the School of Public Health, University of Sydney, Sydney, Australia. David Vlahov is also with the Department of Epidemiology, Mailman School of Public Health, Columbia University, New York. Magda Cerdá and Sandro Galea are with the Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor....)
Año2009
Volumen99
Número7
Páginas1308-1314
Fecha de publicación2009-07-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2007.125104
PMID19008519
PMCIDPMC2696669
OpenAlexW2032180740
IdiomaEN
Citas recibidas52
Referencias citadas62

Objectives. We investigated the relationship between the depressive symptoms of older adults over time and the characteristics of the neighborhoods in which they live. Methods. We surveyed a random sample of 1325 New York City residents aged 50 years or older in 2005 and conducted 808 follow-up interviews in 2007. We assessed the compositional characteristics of the respondents' neighborhoods at a census-tract level and determined the relationships between these characteristics and changes in respondents' depressive symptoms. Results. In multivariable models that adjusted for individual-level covariates including income, a range of neighborhood characteristics predicted worsening depressive symptoms. Factor analysis suggested that these characteristics operated in 3 clusters: neighborhood socioeconomic influences, residential stability, and racial/ethnic composition, with positive neighborhood socioeconomic influences being significantly protective against worsening symptoms. Life stressors, personality trait neuroticism, African American race, and daily baseline contact with social networks were also associated with worsening symptoms. Conclusions. An older adult's neighborhood of residence is an important determinant of his or her mental health. Those making efforts to improve mental health among the elderly need to consider the role of residential context in improving or impairing mental health

Context (archaeology) · Environmental health · Ethnic group · Geography · Mental health · Neuroticism · Personality · Population · Psychiatry · Residence · Social environment · Socioeconomic status · Stressor · Clinical Psychology · Demography · Health disparities and outcomes · Medicine · Place Attachment and Urban Studies · Psychology · Urban, Neighborhood, and Segregation Studies · Gerontology