Details:

Alternative Title:
Health Place
Publisher's site:
http://dx.doi.org/10.1016/j.healthplace.2019.102278
Personal Author:
Kowitt, Sarah D. ; Aiello, Allison E. ; Callahan, Leigh F. ; Fisher, Edwin B. ; Gottfredson, Nisha C. ; ... More +
Kowitt, Sarah D. ; Aiello, Allison E. ; Callahan, Leigh F. ; Fisher, Edwin B. ; Gottfredson, Nisha C. ; Jordan, Joanne M. ; Muessig, Kathryn E. Less -
Description:
Few studies have documented the pathways through which individual level variables mediate the effects of neighborhoods on health. This study used structural equation modeling to examine if neighborhood characteristics are associated with depressive symptoms, and if so, what factors mediated these relationships. Cross-sectional data came from a sample of mostly rural, older adults in North Carolina (n = 1,558). Mediation analysis indicated that associations among neighborhood characteristics and depressive symptoms were mediated by loneliness (standardized indirect effect = -0.19, p < 0.001), physical activity (standardized indirect effect = -0.01, p = 0.003), and perceived individual control (standardized indirect effect = -0.07, p = 0.02) with loneliness emerging as the strongest mediator. Monitoring such individual mediators in formative and process evaluations may increase the precision of neighborhood-based interventions and policies.
Subject:
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Aged Article Cross-Sectional Studies Depression Exercise Female Humans Loneliness Male Mediation Models, Statistical Neighborhoods North Carolina Older Adults Poverty Residence Characteristics Rural Population Loneliness
Source:
Health Place. 62:102278
Pubmed ID:
32479356
Pubmed Central ID:
PMC9540601
Document Type:
Journal Article
Funding:
P60 AR049465/AR/NIAMS NIH HHSUnited States/ ; U01 DP006266/DP/NCCDPHP CDC HHSUnited States/ ; P60 AR030701/AR/NIAMS NIH HHSUnited States/ ; U01DP006266/ACL/ACL HHSUnited States/ ; P60 AR064166/AR/NIAMS NIH HHSUnited States/ ; ... More +
P60 AR049465/AR/NIAMS NIH HHSUnited States/ ; U01 DP006266/DP/NCCDPHP CDC HHSUnited States/ ; P60 AR030701/AR/NIAMS NIH HHSUnited States/ ; U01DP006266/ACL/ACL HHSUnited States/ ; P60 AR064166/AR/NIAMS NIH HHSUnited States/ ; U01 DP003206/DP/NCCDPHP CDC HHSUnited States/ ; R01 AR053898/AR/NIAMS NIH HHSUnited States/ Less -
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:a991416f68bb8fe2e84cc0ebe421107d0c5a94234e7c837c6e61484f9c1d41de
Download URL:
https://stacks.cdc.gov/view/cdc/121734/cdc_121734_DS1.pdf
File Type:

Supporting Files

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  	NIHMS1838100-supplement-Supplementary_Material.docx	docx

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