Pathways linking census tract typologies with subjective neighborhood disorder and depressive symptoms in the Black Women's Experiences Living with Lupus (BeWELL) Study.
Pathways linking census tract typologies with subjective neighborhood disorder and depressive symptoms in the Black Women's Experiences Living with Lupus (BeWELL) Study.
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DOI：
10.1016/j.healthplace.2021.102587
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发表时间：
2021-07
期刊：
影响因子：
4.8
通讯作者：
Chae DH
中科院分区：
文献类型：
--
作者：
Martz CD;Hunter EA;Kramer MR;Wang Y;Chung K;Brown M;Drenkard C;Lim SS;Chae DH
抑郁症是黑人女性系统性红斑狼疮（SLE）的常见合并症，SLE是一种研究不足的自身免疫性疾病，其特征是主要的种族和性别不平等。需要研究地区因素如何影响这一人群患抑郁症的风险。潜在的配置文件分析显示，四个大都市亚特兰大，格鲁吉亚人口普查区，参与者（n=438）在黑人妇女的经验生活与狼疮（BeWELL）研究居住在：综合/高SES，中度隔离/中等SES，高度隔离/中等SES，高度隔离/低SES。结构方程模型表明，高度隔离的人口普查区与最大程度的抑郁症通过增加邻里障碍的主观评估。投资于隔离区域并解决导致邻里混乱的环境的物理和社会方面的政策可能会促进SLE黑人妇女的心理健康。
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.
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