Pathways linking census tract typologies with subjective neighborhood disorder and depressive symptoms in the Black Women's Experiences Living with Lupus (BeWELL) Study
| Autor: | Evelyn A. Hunter, Yijie Wang, David H. Chae, S. Sam Lim, Michael R. Kramer, Connor D. Martz, Michael E. Brown, Cristina Drenkard, Kara Chung |
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| Rok vydání: | 2021 |
| Předmět: |
Health (social science)
Geography Planning and Development Population Article Structural equation modeling 03 medical and health sciences 0302 clinical medicine Residence Characteristics medicine Humans Lupus Erythematosus Systemic 030212 general & internal medicine education Depression (differential diagnoses) education.field_of_study Social Segregation 030505 public health Systemic lupus erythematosus Depression Public Health Environmental and Occupational Health Censuses social sciences Census medicine.disease Mental health Metropolitan area Comorbidity population characteristics Female 0305 other medical science Psychology Demography |
| Zdroj: | Health Place |
| ISSN: | 1353-8292 |
| DOI: | 10.1016/j.healthplace.2021.102587 |
| Popis: | Depression is a common comorbidity among Black women with systemic lupus erythematosus (SLE), an understudied autoimmune disease characterized by major racial and gender inequities. Research is needed that examines how area-level factors influence risk of depression in this population. Latent profile analysis revealed four neighborhood typologies among metropolitan Atlanta, Georgia census tracts that participants (n=438) in the Black Women's Experiences Living with Lupus (BeWELL) Study were living in: Integrated/High-SES, Moderately Segregated/Mid-SES, Highly Segregated/Mid-SES, and Highly Segregated/Low-SES. Structural equation models indicated that highly segregated census tracts were associated with the greatest levels of depression via increased subjective assessments of neighborhood disorder. Policies that invest in segregated areas and address physical and social aspects of the environment that contribute to neighborhood disorder may promote mental health among Black women with SLE. |
| Databáze: | OpenAIRE |
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