Stressful neighborhoods and depression: A prospective study of the impact of neighborhood disorder

Stressful neighborhoods and depression: A prospective study of the impact of neighborhood disorder
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DOI:
10.2307/1519814
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发表时间:
2003-03-01
影响因子:
5
通讯作者:
Curry, AD
Curry, AD
中科院分区:
医学2区
文献类型:
--
作者:
Latkin, CA;Curry, AD

文献摘要

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定量和定性研究表明,城市不利环境可能对其居民造成高度压力。社会混乱可能对身心健康都有害。一个社区的看法,社会支持和社会融合的措施,以及随后的抑郁症状的水平之间的关系进行了检查与社区样本的818个人筛选的艾滋病预防干预,其中大多数是当前或以前的吸毒者。调整后的基线水平的抑郁症状,邻里特征的看法(故意破坏,垃圾或垃圾,空置的住房,青少年挂出,入室盗窃,贩毒,抢劫)预测抑郁症状在9个月的随访采访,社会支持和社会融合的措施,进入与邻里观念的相互作用,并没有缓冲邻里观念的影响。然而,在后续的CES-D得分频繁的教会参加者较低的数据支持社会解体和社会压力的理论,并建议需要结构性干预。
Quantitative and qualitative research suggests that urban disadvantaged environments may be highly stressful to their inhabitants. Social disorganization may be deleterious to both physical and mental health. The relationships among perceptions of one neighborhood, Measures of social support and social integration, and level of subsequent depressive symptoms was examined with a community sample of 818 individuals screened for an HIV prevention intervention, most of whom were current or former drug users. After adjusting for baseline levels of depressive symptoms, perceptions of neighborhood characteristics (vandalism, litter or trash, vacant housing, teenagers hanging out, burglary, drug selling, and robbery) predicted depressive symptoms at a 9-month follow-up interview, Measures of social support and social integration, entered as interactions with neighborhood perceptions, did not buffer the effect of neighborhood perceptions. However, CES-D scores at follow-up for frequent church attendees were lower The data support theories of social disorganization and social stress and suggest the need for structural intervention.