Is neighborhood racial/ethnic composition associated with depressive symptoms? The multi-ethnic study of atherosclerosis

Christina Mair, Ana V. Diez Roux, Theresa L. Osypuk, Stephen R. Rapp, Teresa Seeman, Karol E. Watson

Research output: Contribution to journalArticle

66 Citations (Scopus)

Abstract

The racial/ethnic composition of a neighborhood may be related to residents' depressive symptoms through differential levels of neighborhood social support and/or stressors. We used the Multi-Ethnic Study of Atherosclerosis to investigate cross-sectional associations of neighborhood racial/ethnic composition with the Center for Epidemiologic Studies-Depression (CES-D) scale in adults aged 45-84. The key exposure was a census-derived measure of the percentage of residents of the same racial/ethnic background in each participant's census tract. Two-level multilevel models were used to estimate associations of neighborhood racial/ethnic composition with CES-D scores after controlling for age, income, marital status, education and nativity. We found that living in a neighborhood with a higher percentage of residents of the same race/ethnicity was associated with increased CES-D scores in African American men (p < 0.05), and decreased CES-D scores in Hispanic men and women and Chinese women, although these differences were not statistically significant. Models were further adjusted for neighborhood-level covariates (social cohesion, safety, problems, aesthetic quality and socioeconomic factors) derived from survey responses and census data. Adjusting for other neighborhood characteristics strengthened protective associations amongst Hispanics, but did not change the significant associations in African American men. These results demonstrate heterogeneity in the associations of race/ethnic composition with mental health and the need for further exploration of which aspects of neighborhood environments may contribute to these associations.

Original languageEnglish (US)
Pages (from-to)541-550
Number of pages10
JournalSocial Science and Medicine
Volume71
Issue number3
DOIs
StatePublished - Aug 1 2010

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Atherosclerosis
Depression
Epidemiologic Studies
Censuses
census
resident
Hispanic Americans
African Americans
Ethnic Studies
Multiethnic
Depressive Symptoms
socioeconomic factors
Marital Status
social cohesion
marital status
Esthetics
Social Support
social support
Mental Health
aesthetics

Keywords

  • Depressive symptoms
  • Ethnic density effect
  • Mental health
  • Neighborhoods
  • Race/ethnicity
  • USA

Cite this

Is neighborhood racial/ethnic composition associated with depressive symptoms? The multi-ethnic study of atherosclerosis. / Mair, Christina; Diez Roux, Ana V.; Osypuk, Theresa L.; Rapp, Stephen R.; Seeman, Teresa; Watson, Karol E.

In: Social Science and Medicine, Vol. 71, No. 3, 01.08.2010, p. 541-550.

Research output: Contribution to journalArticle

Mair, Christina ; Diez Roux, Ana V. ; Osypuk, Theresa L. ; Rapp, Stephen R. ; Seeman, Teresa ; Watson, Karol E. / Is neighborhood racial/ethnic composition associated with depressive symptoms? The multi-ethnic study of atherosclerosis. In: Social Science and Medicine. 2010 ; Vol. 71, No. 3. pp. 541-550.
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