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Neighborhood environment perceptions associate with depression levels and cardiovascular risk among middle-aged and older adults: Data from the Washington, DC cardiovascular health and needs assessment.

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Title: Neighborhood environment perceptions associate with depression levels and cardiovascular risk among middle-aged and older adults: Data from the Washington, DC cardiovascular health and needs assessment.
Authors: Andrews, Marcus R., Ceasar, Joniqua, Tamura, Kosuke, Langerman, Steven D., Mitchell, Valerie M., Collins, Billy S., Baumer, Yvonne, Gutierrez Huerta, Cristhian A., Dey, Amit K., Playford, Martin P., Mehta, Nehal N., Powell-Wiley, Tiffany M.
Source: Aging & Mental Health. Nov 2021, Vol. 25 Issue 11, p2078-2089. 12p. 1 Diagram, 5 Charts, 1 Graph.
Subjects: Cardiovascular diseases risk factors, Biomarkers, Well-being, Social support, Regression analysis, Cardiovascular diseases, Social context, Socioeconomic factors, Mental depression, Factor analysis, Descriptive statistics, Residential patterns, Needs assessment, Middle age, Old age
Geographic Terms: Washington (D.C.)
Abstract: Little is understood about associations between neighborhood characteristics and depression, a cardiovascular disease (CVD) risk factor, in diverse populations. We examined relationships between perceived/objective neighborhood characteristics, depression, and CVD markers within the Washington, DC CV Health/Needs Assessment, an evaluation among predominantly African-American (AA) adults in resource-limited DC communities. Factor analysis of overall neighborhood environment perception (NEP) identified three NEP sub-scores:1) violence; 2) physical/social environment; 3) social cohesion (higher score = more favorable perception). Objective neighborhood characteristics were measured by geospatially-derived scores of walkability, transportation, and crime. Depression was defined by the revised Center for Epidemiologic Studies Depression Scale (CESD-R). We used linear-regression modeling to examine neighborhood measures and CESD-R associations. To investigate a subsequent connection with CVD risk, we examined relationships between CESD-R and CVD-associated cytokines in a population subset. Participants (N = 99; mean age = 59.06; 99% AA) had a mean CESD-R score = 5.8(SD = 8.88). In adjusted models, CESD-R scores decreased by 0.20 units (p = 0.01) for every overall NEP unit-increase. Perceived physical/social environment (β = −0.34, p = 0.04) and social cohesion (β = −0.82, p = 0.01) were related to CESD-R while perceived violence was not (β = −0.28, p = 0.1). Of objective neighborhood environment measures (i.e. walk, transit, bike, personal crime, and property crime scores), only property crime score was associated with depression (β = 4.99, p < 0.03). In population subset (n = 42), higher CESD-R associated with higher IL-1β (β = 21.25, p < 0.01) and IL-18 (β = 0.006, p = 0.01). Favorable neighborhood perceptions are related to lower depressive symptoms in a predominantly AA cohort from Washington, DC resource-limited communities. Neighborhood perceptions appear to be strongly associated with depressive symptoms compared to objective characteristics. Increasing CESD-R scores were related to higher pro-inflammatory markers. Improving neighborhood perceptions may be beneficial to psychological well-being and CV health for urban minority residents. [ABSTRACT FROM AUTHOR]
Copyright of Aging & Mental Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Neighborhood environment perceptions associate with depression levels and cardiovascular risk among middle-aged and older adults: Data from the Washington, DC cardiovascular health and needs assessment.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Aging+%26+Mental+Health%22&quot;&gt;Aging &amp; Mental Health&lt;/searchLink&gt;. Nov 2021, Vol. 25 Issue 11, p2078-2089. 12p. 1 Diagram, 5 Charts, 1 Graph.
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  Data: Little is understood about associations between neighborhood characteristics and depression, a cardiovascular disease (CVD) risk factor, in diverse populations. We examined relationships between perceived/objective neighborhood characteristics, depression, and CVD markers within the Washington, DC CV Health/Needs Assessment, an evaluation among predominantly African-American (AA) adults in resource-limited DC communities. Factor analysis of overall neighborhood environment perception (NEP) identified three NEP sub-scores:1) violence; 2) physical/social environment; 3) social cohesion (higher score = more favorable perception). Objective neighborhood characteristics were measured by geospatially-derived scores of walkability, transportation, and crime. Depression was defined by the revised Center for Epidemiologic Studies Depression Scale (CESD-R). We used linear-regression modeling to examine neighborhood measures and CESD-R associations. To investigate a subsequent connection with CVD risk, we examined relationships between CESD-R and CVD-associated cytokines in a population subset. Participants (N = 99; mean age = 59.06; 99% AA) had a mean CESD-R score = 5.8(SD = 8.88). In adjusted models, CESD-R scores decreased by 0.20 units (p = 0.01) for every overall NEP unit-increase. Perceived physical/social environment (β = −0.34, p = 0.04) and social cohesion (β = −0.82, p = 0.01) were related to CESD-R while perceived violence was not (β = −0.28, p = 0.1). Of objective neighborhood environment measures (i.e. walk, transit, bike, personal crime, and property crime scores), only property crime score was associated with depression (β = 4.99, p &lt; 0.03). In population subset (n = 42), higher CESD-R associated with higher IL-1β (β = 21.25, p &lt; 0.01) and IL-18 (β = 0.006, p = 0.01). Favorable neighborhood perceptions are related to lower depressive symptoms in a predominantly AA cohort from Washington, DC resource-limited communities. Neighborhood perceptions appear to be strongly associated with depressive symptoms compared to objective characteristics. Increasing CESD-R scores were related to higher pro-inflammatory markers. Improving neighborhood perceptions may be beneficial to psychological well-being and CV health for urban minority residents. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Aging &amp; Mental Health is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1080/13607863.2020.1793898
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        Text: English
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        PageCount: 12
        StartPage: 2078
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      – SubjectFull: Cardiovascular diseases risk factors
        Type: general
      – SubjectFull: Biomarkers
        Type: general
      – SubjectFull: Well-being
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      – SubjectFull: Social support
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      – SubjectFull: Regression analysis
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      – SubjectFull: Cardiovascular diseases
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      – SubjectFull: Socioeconomic factors
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      – SubjectFull: Mental depression
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Residential patterns
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      – SubjectFull: Washington (D.C.)
        Type: general
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