The associations of neighborhood social and physical conditions and racial/ethnic composition with depressive symptoms
by Mair, Christina F., Ph.D., UNIVERSITY OF MICHIGAN, 2009, 146 pages; 3354323

Abstract:

In recent years, there has been a growing interest in understanding the effects of neighborhood conditions on psychological wellbeing. This dissertation used the Multi-Ethnic Study of Atherosclerosis (MESA) and the Chicago Community Adult Health Study (CCHAS) to examine (1) cross sectional and prospective associations of neighborhood social cohesion, violence, and aesthetic quality with depressive symptoms in MESA, (2) cross-sectional associations of neighborhood social support (residential stability, family structure, social cohesion, reciprocal exchange, social ties) and stressors (perceived violence, perceived disorder, physical decay, physical disorder, safety, population density) with depressive symptoms in the CCAHS, and (3) cross-sectional associations of the percent of people of the same racial/ethnic background in subjects' neighborhoods and depressive symptoms in MESA. The first study found that lower levels of social cohesion and aesthetic quality and higher levels of violence were cross-sectionally associated with higher mean CES-D scores in both men and women in MESA, while associations of neighborhood characteristics with incident depression were in the expected direction for women only (although not statistically significant). The second study found that greater neighborhood social support was associated with lower levels of depressive symptoms amongst women, while greater neighborhood stressors was associated with higher levels of depressive symptoms in men in the CCAHS. Adjusting simultaneously for stressors, social support, and neighborhood socioeconomic status did not alter associations. Study 3 concluded that living in a neighborhood with a higher percentage of residents of the same racial/ethnic background was associated with increased levels of depressive symptoms amongst African American men and decreased CES-D scores amongst Hispanic men and women and Chinese women. Adjusting for other neighborhood characteristics strengthened associations between depressive symptoms and neighborhood racial/ethnic concentration amongst Hispanics, but did not explain the association in African American men. These three studies all illustrate the role that neighborhood environments play in both increasing and decreasing depressive symptoms in residents. Policies and programs that work towards enhancing neighborhood social support and lessening neighborhood stressors, in addition to typical individual-based treatments and therapies, may help address the important public health problem of depression and depressive symptoms.

 
AdviserAna V. Diez-Roux
SchoolUNIVERSITY OF MICHIGAN
SourceDAI/B 70-04, p. , Jun 2009
Source TypeDissertation
SubjectsClinical psychology; Ethnic studies; Epidemiology
Publication Number3354323
Adobe PDF Access the complete dissertation:
 

» Find an electronic copy at your library.
  Use the link below to access a full citation record of this graduate work:
  http://gateway.proquest.com/openurl%3furl_ver=Z39.88-2004%26res_dat=xri:pqdiss%26rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation%26rft_dat=xri:pqdiss:3354323
  If your library subscribes to the ProQuest Dissertations & Theses (PQDT) database, you may be entitled to a free electronic version of this graduate work. If not, you will have the option to purchase one, and access a 24 page preview for free (if available).

About ProQuest Dissertations & Theses
With over 2.3 million records, the ProQuest Dissertations & Theses (PQDT) database is the most comprehensive collection of dissertations and theses in the world. It is the database of record for graduate research.

The database includes citations of graduate works ranging from the first U.S. dissertation, accepted in 1861, to those accepted as recently as last semester. Of the 2.3 million graduate works included in the database, ProQuest offers more than 1.9 million in full text formats. Of those, over 860,000 are available in PDF format. More than 60,000 dissertations and theses are added to the database each year.

If you have questions, please feel free to visit the ProQuest Web site - http://www.proquest.com - or call ProQuest Hotline Customer Support at 1-800-521-3042.