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Social support moderates association between area deprivation index and changes in physical health among adults in the Baltimore Study of Black Aging (BSBA)

Bibliographic Data

ID12554940
AuthorsAlexa C Allan (0009-0000-7548-5100, Department of Human Development and Family Studies, The Pennsylvania State University, University Park, PA, USA, corresponding author), Alyssa A Gamaldo (0000-0003-0072-5151, Clemson University), Alyssa Gamaldo (Clemson University), R S Wright (0000-0001-9276-8647, University of Delaware), Adrienne T Aiken‐Morgan (0000-0001-7069-9601, Divinity School, Campbell University, Buies Creek, NC, USA), Anna Lee (0000-0002-7420-2954, North Carolina Agricultural and Technical State University), Jason C Allaire (0000-0002-2632-5546, North Carolina State University), Roland J Thorpe (0000-0002-4448-4997, Hopkins Center for Health Disparities Solutions, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA), Keith E Whitfield (University of Nevada, Reno)
Year2024
Volume29
Issue7
Pages774-792
Publication date2024-07-14
Open AccessYes
TypeARTICLE
VenueEthnicity and Health (JOURNAL)
Journal identifiersISSN: 1355-7858 • E-ISSN: 1465-3419
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/13557858.2024.2376035
PMID39003724
OpenAlexW4400621513
LanguageEN
References cited49

Despite the association of neighborhood quality with poorer adult health, limited research has explored the association between neighborhood disadvantage, e.g. Area Deprivation Index (ADI), and older Black adults' health, prospectively. This observational study examined the association between ADI and changes in longitudinal physical health within older Black adults. The analytic sample ( n = 317) included data from waves 1 & 2 of the Baltimore Study of Black Aging: Patterns of Cognitive Aging (BSBA-PCA). Study variables included the Area Deprivation Index (ADI), objective (e.g. average heart rate) and subjective (e.g. activities of daily living) measures of physical health. Multiple linear regression models were conducted controlling for sociodemographic and social support characteristics. Participants living in more disadvantaged neighborhoods, based on national and state ADIs, were more likely to have a decreasing heart rate even after adjusting for covariates. Likewise, participants reporting increasing levels of ADL difficulty were living in a neighborhood with greater disadvantage based on national and state ADI rankings. Significant social support received and ADI (national and state) interactions were observed for average heart rate. The findings suggest that research on the effect of neighborhood quality and social support can enhance our understanding of its impact on older Black adults' health prospectively

Association (psychology · Index (typography · Social deprivation · Sociology · Demography · Health and Wellbeing Research · Health disparities and outcomes · Medicine · Psychological Well-being and Life Satisfaction · Psychology · Gerontology

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