Residential Segregation, Social Cohesion, and Aging in Place: Health and Mental Health Inequities

被引:2
作者
Smith, Richard J. [1 ]
Baik, Sol [2 ]
Lehning, Amanda J. [2 ]
Mattocks, Nicole [2 ]
Cheon, Ji Hyang [2 ]
Kim, Kyeongmo [3 ]
机构
[1] Wayne State Univ, Sch Social Work, 5447 Woodward Ave, Detroit, MI 48202 USA
[2] Univ Maryland, Sch Social Work, 525 W Redwood St, Baltimore, MD 21201 USA
[3] Virginia Commonwealth Univ, Sch Social Work, Richmond, VA 23284 USA
关键词
Anxiety; Depression; Economic vulnerability; Race; Social cohesion; NEIGHBORHOOD RACIAL/ETHNIC COMPOSITION; SELF-RATED HEALTH; DEPRESSIVE SYMPTOMS; RACIAL SEGREGATION; AFRICAN-AMERICANS; UNITED-STATES; OLDER-ADULTS; BLACK; DISPARITIES; MORTALITY;
D O I
10.1093/geront/gnac076
中图分类号
R4 [临床医学]; R592 [老年病学];
学科分类号
1002 ; 100203 ; 100602 ;
摘要
Background and Objectives Research shows that living in segregated neighborhoods may have deleterious health outcomes via social, physical, and socioeconomic contexts that deepen existing inequities. However, there has been limited scholarship examining the effects of segregation on older adults, despite an increasing focus on aging in place. Guided by the Ecological Model of Aging, we examined the effects of segregation on older adults' self-rated health and mental health, accounting for both individual characteristics and neighborhood opportunities and risks (e.g., social cohesion) and the potential moderating role of race and economic vulnerability. Research Design and Methods We used data from the first 4 rounds of the National Health and Aging Trends Study (2011-2014) merged with tract-level census data for a final sample size of 3,084 community-dwelling older adults in urban areas. We conducted multivariate regression analyses after conditioning on residential location selection variables. Results There was no significant association between neighborhood segregation and self-rated health or between segregation and anxiety and depression symptoms. Consistent with the literature, perceived social cohesion was protective of health in each model. Discussion and Implications Our findings highlight the need for more rigorous research on segregation and older residents that utilize longitudinal and spatial data. Our findings also have implications for policies and programs that aim to support the ability to age in place for older adults who have different racial identities and live in different neighborhood contexts. Because social cohesion can be a protective factor for older adults' health and mental health, policymakers and practitioners should support initiatives to increase social cohesion.
引用
收藏
页码:1289 / 1298
页数:10
相关论文
共 62 条
  • [21] Neighborhood disorder, psychophysiological distress, and health
    Hill, TD
    Ross, CE
    Angel, RJ
    [J]. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 2005, 46 (02) : 170 - 186
  • [22] SELF-RATINGS OF HEALTH - DO THEY ALSO PREDICT CHANGE IN FUNCTIONAL ABILITY
    IDLER, EL
    KASL, SV
    [J]. JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 1995, 50 (06): : S344 - S353
  • [23] Self-rated health and mortality: A review of twenty-seven community studies
    Idler, EL
    Benyamini, Y
    [J]. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR, 1997, 38 (01) : 21 - 37
  • [24] Residential segregation and Latino, black and white mortality in New York City
    Inagami, S
    Borrell, LN
    Wong, MD
    Fang, J
    Shapiro, MF
    Asch, SM
    [J]. JOURNAL OF URBAN HEALTH-BULLETIN OF THE NEW YORK ACADEMY OF MEDICINE, 2006, 83 (03): : 406 - 420
  • [25] The relation of residential segregation to all-cause mortality: A study in black and white
    Jackson, SA
    Anderson, RT
    Johnson, NJ
    Sorlie, PD
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 2000, 90 (04) : 615 - 617
  • [26] Kasper J D., 2019, National health and aging trends study user guide: Rounds 1-8 final release, DOI DOI 10.1093/gerona/glz224
  • [27] Racial/ethnic residential segregation and cardiovascular disease risk
    Kershaw K.N.
    Albrecht S.S.
    [J]. Current Cardiovascular Risk Reports, 2015, 9 (3)
  • [28] Neighborhood-Level Racial/Ethnic Residential Segregation and Incident Cardiovascular Disease The Multi-Ethnic Study of Atherosclerosis
    Kershaw, Kiarri N.
    Osypuk, Theresa L.
    Do, D. Phuong
    De Chavez, Peter J.
    Roux, Ana V. Diez
    [J]. CIRCULATION, 2015, 131 (02) : 141 - U59
  • [29] Perceived neighborhood social cohesion and subsequent health and well-being in older adults: An outcome-wide longitudinal approach
    Kim, Eric S.
    Chen, Ying
    Kawachi, Ichiro
    VanderWeele, Tyler J.
    [J]. HEALTH & PLACE, 2020, 66
  • [30] Assessing the factor structure of well-being in older adults: findings from the National Health and Aging Trends Study
    Kim, Kyeongmo
    Lehning, Amanda J.
    Sacco, Paul
    [J]. AGING & MENTAL HEALTH, 2016, 20 (08) : 814 - 822