Academic literature on the topic 'Socioeconomically disadvantaged neighborhoods'

Abstract Research shows regular physical activity (PA) is associated with better health and longevity; however, few studies consider contextual factors related to PA among African American (AA) older adults living in socioeconomically disadvantaged neighborhoods. The Physical and Cognitive Health Pilot Study (n=50) was used to examine associations between PA and level of neighborhood socioeconomic disadvantage among sedentary, AA older adults from four public housing communities in Durham, NC and Annapolis, MD (mean age=64.5; SD=10.42; 72% women). Participants were administered the Community Healthy Activities Model Program for Seniors (CHAMPS), a self-report questionnaire measuring weekly frequency and duration of PAs. Neighborhood socioeconomic disadvantage was defined by the Neighborhood Atlas Area Deprivation Index (ADI), which ranks neighborhoods according to Census block group/neighborhoods within each state and nationally. For the present sample, two of the Durham housing facilities were located in communities in the most disadvantaged block groups. Meanwhile, one Durham location and the Annapolis community were located in the least disadvantaged block groups. Bivariate correlations showed greater neighborhood socioeconomic disadvantage was associated with less participation in various PAs (p<.05). Next, ANOVA revealed the Annapolis group participated in statistically significantly more PAs, including visiting the senior center, church attendance, and light gardening (p<.05) compared to the most disadvantaged groups. The present findings suggest there are benefits to living in advantaged contexts despite lower-income status. These findings also suggest barriers within disadvantaged neighborhoods that limit access to recreational activities favorable to health status. Future research should address ways to overcome such barriers.

A growing body of evidence has shown that neighborhood characteristics have significant effects on quality metrics that evaluate health plans or health care providers. Using a data set of an urban teaching hospital patient discharges, this study aimed to determine whether a significant effect of neighborhood characteristics, measured by the Area Deprivation Index, could be observed on patients’ readmission risk, independent of patient-level clinical and demographic factors. This study found that patients residing in more disadvantaged neighborhoods had significantly higher 30-day readmission risks compared to those living in less disadvantaged neighborhoods, even after accounting for individual-level factors. Those who lived in the most extremely socioeconomically challenged neighborhoods were 70% more likely to be readmitted than their counterparts who lived in less disadvantaged neighborhoods. These findings suggest that neighborhood-level factors should be considered along with individual-level factors in future work on adjustment of quality metrics for social risk factors.

Does life in the city foster mistrust of others? This study tests four connected hypotheses about urban mistrust by comparing the City of Chicago to suburbs, small cities, towns, and rural areas. The Urban Mistrust Hypothesis is that urban residents are more mistrusting than residents of places outside the city. The Neighborhood Disadvantage Hypothesis is that mistrust increases with the prevalence of economic and social disadvantage in one's neighborhood, which accounts for some of the mistrust associated with urban residence. The Individual Disadvantage Hypothesis is that socioeconomically disadvantaged individuals are more mistrusting than others, which accounts for some of the mistrust associated with residence in Chicago and in disadvantaged neighborhoods. The Neighborhood Disorder Hypothesis is that mistrust correlates positively with observing signs of disorder in one's neighborhood such as graffiti, vandalism, run‐down or abandoned buildings, noise, crime, and people hanging out on the streets, drinking, or taking drugs; and disorder mediates some of the effects of residence in the city and in a disadvantaged neighborhood. Some, but not all, of the association between disorder and mistrust is mediated by criminal victimization. We examine these hypotheses using the Community, Crime and Health data, which is a 1995 survey of a representative sample of 2,482 Illinois residents linked to contextual data on their neighborhoods. We find results consistent with all four hypotheses. The mean level of mistrust reported by residents of Chicago is more than half a standard deviation above that of people living elsewhere. Most of the higher mistrust in Chicago can be attributed to three related things: neighborhood disadvantage, individual disadvantage, and neighborhood disorder; but even with adjustments for disadvantage and disorder, urban residents report more mistrust.

Implementing motivated behaviors on the basis of prior reward is central to adaptive human functioning, but aberrant reward-motivated behavior is a core feature of neuropsychiatric illness. Children from disadvantaged neighborhoods have decreased access to rewards, which may shape motivational neurocircuits and risk for psychopathology. Here, we leveraged the unprecedented neuroimaging data from the Adolescent Brain Cognitive Development (ABCD) study to test the hypothesis that neighborhood socioeconomic disadvantage shapes the functional recruitment of motivational neurocircuits in children. Specifically, via the ABCD study’s monetary-incentive-delay task ( N = 6,396 children; age: 9–10 years), we found that children from zip codes with a high Area Deprivation Index demonstrate blunted recruitment of striatum (dorsal and ventral nuclei) and pallidum during reward anticipation. In fact, blunted dorsal striatal recruitment during reward anticipation mediated the association between Area Deprivation Index and increased attention problems. These data reveal a candidate mechanism driving elevated risk for psychopathology in children from socioeconomically disadvantaged neighborhoods.

Neighborhood greenery contributes to improving mental, emotional, and physical health and may help to promote neighborhood safety. Several studies have reported positive effects of neighborhood greenery on the improvement of outdoor safety, but little is known about whether the relationship between green vegetation and outdoor safety varies with the income status of neighborhoods. The purpose of this study is to examine neighborhood greenery as a predictor of outdoor crime rates between low and high-income neighborhoods while controlling for the sociodemographic conditions of the neighborhoods. This study used 2010 census block group data and objectively measured natural environment data derived from GIS in Austin, Texas. Comparison t-tests and ordinal least square regressions were conducted as statistical analyses. The t-tests showed that low-income neighborhoods were more socioeconomically disadvantaged and had less greenery than high-income neighborhoods. The final regression models showed that neighborhood greenery had a negative relationship with outdoor crimes for low-income neighborhoods but a positive relationship with crimes for high-income neighborhoods. The results suggest that different strategies may be needed in dealing with neighborhood safety according to neighborhood-level income.

ABSTRACT IMPACT: Neighborhood disadvantage was significantly associated with brain structure and function in trauma-exposed adults, providing evidence that contextual factors should be assessed in mental health research, particularly in high-risk populations. OBJECTIVES/GOALS: Over 13 percent of Americans live in a socioeconomically disadvantaged neighborhood. Previous work has linked lower individual socioeconomic position to alterations in brain structure and function. However, the neural effects of area-level socioeconomic factors, such as neighborhood disadvantage, are unclear. METHODS/STUDY POPULATION: We recruited two-hundred and fifteen traumatically-injured participants from an Emergency Department in southeastern Wisconsin. An Area Deprivation Index (ADI) score, a national measure of neighborhood socioeconomic disadvantage, was derived from each participant’s home address. Two-weeks post-trauma, participants underwent a battery of self-report measures and functional magnetic resonance imaging (fMRI) scans. Using a multi-modal approach, we investigated the impact of ADI on brain structure as well as neural activation during rest and during an emotional uncertainty task. We sought to disentangle the relationship between neighborhood and individual socioeconomic position and neural activity in the context of trauma. RESULTS/ANTICIPATED RESULTS: We demonstrated that neighborhood disadvantage is associated with decreased volume and alterations of resting state functional connectivity of structures implicated in affect processing, including the hippocampus, amygdala, and ventromedial prefrontal cortex. These results held even after controlling for relevant individual variables, including acute post-traumatic stress symptoms and years of education. Moreover, individuals from disadvantaged neighborhoods exhibited heighted activation of these same structures in response to aversive stimuli. Thus, brain regions critical for recognizing and processing negative stimuli are susceptible to the effects of area-level socioeconomic factors. DISCUSSION/SIGNIFICANCE OF FINDINGS: The results offer additional evidence that neurobiological mechanisms clarify how stress ‘gets under the skin’. Changes to key brain regions may explain why those living in disadvantaged neighborhoods are at a heighted risk of PTSD. Broadly, these findings should inform future policies and community-driven interventions aimed at reducing poverty.

Abstract The Medicare Annual Wellness Visit (MWV) includes an assessment of health risks for older adults in the United States. Research suggests that neighborhood-level social inequality influences multiple health outcomes. We sought to examine the association between neighborhood socioeconomic position and older adults’ cognition, health management self-efficacy, and other health risks. We identified a cohort of 12,434 adults aged 65 and over from the NEOCARE Learning Health Registry who attended a routine MWV between 2011 and 2019. NEOCARE includes electronic health record and neighborhood data from 1999-2017 on over 3 million unique Northeast Ohio individuals. The study population was 60% White, 32% Black or African American, 64% female, and 90% non-Hispanic. Over 60% were ages 65-74, 29% 75-84, and 10% 85 years or older (range from 65 to 101). We used ANOVA and chi square tests to examine variation in health risks by quintile of census tract area deprivation index. Cognitive functioning differed across quintiles of area deprivation and Bonferroni-corrected tests indicated that adults in the most socioeconomically disadvantaged neighborhoods had lower average cognitive screening scores as compared to older adults in less disadvantaged areas (F=53.50, df=4, n=12,204, p<.001). The proportion of adults feeling efficacious in managing their health differed according to area deprivation, with adults in more disadvantaged neighborhoods having slightly lower self-efficacy, (x2=11.01, df=8, n=11,937, p<.001). Better understanding of the relationship between cognitive functioning and health self-efficacy and neighborhood environment is critical for designing programmatic and policy interventions aimed at supporting proactive aging in older adulthood.

Mental health is an exceedingly prevalent concern for the urban population. Mounting evidence has confirmed the plausibility of high incidences of mental disorders in socioeconomically disadvantaged neighborhoods. However, the association between the neighborhood built environment and individual mental health is understudied and far from conclusive, especially in developing countries such as China. The underlying mechanism requires in-depth analysis combining potential intermediates such as perceived environmental disorder and supportive social relationships. Using a health survey conducted in Beijing in 2017, this study investigates for the first time a socio-environmental pathway through which perceived disorder and social interaction account for the relationship between the built environment and mental health under the very notion of the neighborhood effect. The results from multilevel structural equation models indicate that individual mental health is influenced by the neighborhood-scale built environment through three pathways, independent of neighborhood socioeconomic disadvantages: (1) proximity to parks is the sole indicator directly linked to mental health; (2) population density, road connectivity and proximity to parks are indirectly associated with mental health through interactions with neighbors; and (3) population density, road connectivity and facility diversity are partially associated with perceived neighborhood disorder, which is indirectly correlated with mental health through interactions with neighbors. This study is a preliminary attempt to disentangle the complex relationships among the neighborhood environment, social interaction and mental health in the context of developing megacities. The relevant findings provide an important reference for urban planners and administrators regarding how to build health-supportive neighborhoods and healthy cities.

The study examined the relationship between dispensing patterns of prescription opioids, neighborhood-disadvantage-index, and standardized doses dispensed. Three-year’s dispensing data drawn from 80 local government areas (LGAs) within Victoria, Australia’s second most populous state, was analyzed. Quantities dispensed in defined daily dose (DDD)/1000-people/day were computed for LGAs of low, moderate, high, and very high socio-economic disadvantage. LGAs with various levels of dispensing, and neighborhood disadvantage were identified and mapped. A multivariable regression model examined the effect of neighborhood level disadvantage and identified other factors that are associated with standardized doses dispensed. More women were dispensed opioids than men. Dispensing increased with increasing age. Most of the LGAs with relatively high dispensing were socioeconomically disadvantaged and located outside the major cities. Dispensing gradually increased from low disadvantage to very high disadvantage areas. Dispensing of standardized doses were consistently higher in rural areas than in urban areas. Neighborhood level disadvantage, age, sex, and urbanization were significant factors in the standardized doses dispensed. As inappropriate dispensing of opioids is a major public health problem, research should facilitate understanding of utilization in small areas to enable tailored public health programs. Nationwide and consistent introduction of real-time prescription drug-monitoring programs, and structural interventions to reduce the fundamental causes of socioeconomic disadvantage and isolation are recommended.

Does neighborhood socioeconomic status (SES) have a significant positive effect on health over and above the personal and household socioeconomic status of the residents who live there, and, if it does, what is its relative importance compared to an individual's own SES? Resolution of this question has been impeded by lack of conceptual clarity in the definitions of socioeconomic status on the micro– and macro–levels, and unreliable and noncomprehensive adjustment for micro–level socioeconomic status. Using the Community, Crime and Health Survey (CCH), based on a representative sample of Illinois households with linked census tract information, we find that, with adjustment for personal socioeconomic status, residents of socioeconomically disadvantaged neighborhoods have significantly higher levels of physical impairment than do residents of more advantaged neighborhoods. The neighborhood effect is small compared to individual socioeconomic status, especially education, employment status, household income, and economic hardship, all of which have larger associations with health than does neighborhood socioeconomic status (measured as home ownership, college–educated adults, and poverty). in comparison, home ownership on the micro–level does not have a significant effect on physical functioning. We conclude that about 40 percent of the association between neighborhood socioeconomic status and individual health is contextual and about 60 percent is compositional.

Introduktion: Fysisk inaktivitet beskrivs idag som ett växande globalt folkhälsoproblem där en tredjedel av världens alla vuxna inte når upp till de internationella rekommendationerna för fysisk aktivitet. Fysisk inaktivitet fastställs även som en av de ledande riskfaktor för förtida död och förknippas ofta med sjukdomar som hjärt- och kärlsjukdomar, diabetes och cancer. Kvinnor i åldrarna 18–64 år boende i socioekonomiskt utsatta områden beskrivs vara i särskild risk för fysisk inaktivitet, framförallt då bristande möjligheter till att utöva fysisk aktivitet är ledande för denna befolkningsgrupp. Syfte: Syftet med denna litteraturstudie är att beskriva vilka riskfaktorer som kan bidra till fysisk inaktivitet samt vilka skyddsfaktorer som kan bidra till fysisk aktivitet bland kvinnor i åldrarna 18–64 år i socioekonomiskt utsatta områden i höginkomstländer. Metod: Den metod som tillämpades var en systematisk litteraturöversikt där 20 vetenskapliga artiklar stod till grund för resultatet. De databaser som användes i studien var PubMed och Medline och de vetenskapliga artiklarna var publicerade mellan år 2005–2020. Vidare granskades och bearbetats dessa artiklar utifrån en tematisk innehållsanalys. Resultat: Resultatet redovisades med utgångspunkt från tre huvudteman; socioekonomiska faktorer, psykosociala faktorer samt fysisk miljö. I resultatet framkom det att faktorer som låg utbildningsnivå, låg nivå av self-efficacy, avsaknad av socialt stöd samt bristande ekonomiska förutsättningar och fysisk miljö var påverkande orsaker till fysisk inaktivitet bland kvinnor i socioekonomiskt utsatta områden. Slutsats: Utifrån resultatet går det att dra slutsatsen att fysisk inaktivitet bland kvinnor i socioekonomiskt utsatta områden är ett synnerligen viktigt ämne som berör många perspektiv, både på individnivå och på samhällsnivå. Den fysiska inaktiviteten bland kvinnor i socioekonomiskt missgynnade stadsdelar handlar i stora delar om brist på de skyddsfaktorer som kan bidra till en ökad fysisk aktivitet.
Introduction: Physical inactivity is described as a growing global public health problem where one third of all the world’s adults do not achieve the international recommendations for physical activity. Physical inactivity is also identified as one of the leading risk factors for premature death and is often associated with diseases such as cardiovascular disease, diabetes and cancer. Women aged 18-64 living in socioeconomically disadvantaged neighborhoods are described as being at particular risk of physical inactivity, especially as lack of opportunitiesis common among this group of population when it comes to physical activity. Aim: The aim of this literature study is to describe the risk factors that can contribute to physical inactivity and the protective factors that can contribute to physical activity among women aged 18-64 living in socioeconomically disadvantaged neighborhoods in high-income countries. Methods: The method used was a systematic literature review based on 20 scientific articles.The databases that were used in the study were PubMed and Medline and the scientific articles were published between 2005–2020. Furthermore, these articles were reviewed and processed on the basis of a thematic content analysis. Results: The results were presented on the basis of three main themes; socioeconomic factors, psychosocial factors and physical environment. The results showed that factors such as low level of education, low level of self efficacy, lack of social support and lack of financial prerequisites and physical environment were influential causes of physical inactivity among women in socioeconomically disadvantaged neighborhoods. Conclusion: Based on the results, it can be concluded that physical inactivity among women in socioeconomically disadvantaged neighborhoods is a particularly important topic that affects many perspectives, both at the individual level and at the societal level. The physical inactivity among women in socioeconomically disadvantaged neighborhoods is largely due to a lack of the protective factors that can contribute to increased physical activity.