Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: an analysis of older adults in Cook County, Illinois.

Full Abstract

This article investigates the relationship among objectively assessed neighborhood socio-economic status (SES), subjective perceptions of neighborhood environment, individual SES and psychosocial factors, and self-rated health among middle-aged and older adults. Analysis of data from a representative sample of adults, aged 50-67 years in Cook County, Illinois, shows a significant association between objective neighborhood SES and self-rated health after controlling for age, gender, and race/ethnicity, but the effect is substantially explained by individual SES and neighborhood perceptions. By contrast, perceived neighborhood quality (i.e., subjective ratings of neighborhood physical, social, and service environments) exhibits a significant effect after controlling for individual socio-demographic factors as well as neighborhood SES. In turn, the effects of perceived neighborhood environment on health are partially explained by the psychosocial factors of loneliness, depression, hostility, and stress, but not by perceived social support or social networks. In sum, the research supports a model in which the effects of neighborhood SES on self-rated health act through sequential pathways of individual SES, perceptions of neighborhood quality, and psychosocial status.

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Author information

Author/s: Wen, Ming (M); Hawkley, Louise C (LC); Cacioppo, John T (JT);

Affiliation: Department of Sociology, University of Utah, Salt Lake City, UT 84112-0250, USA. ming.wen(-atsign-)soc.utah.edu

Grants: P01AG18911 (Agency:NIA NIH HHS)

Journal and publication information

Publication Type: Journal Article; Research Support, N.I.H., Extramural

Journal: Social science & medicine (1982) (Soc Sci Med), published in England. (Language: eng)

Reference: 2006-Nov; vol 63 (issue 10) : pp 2575-90

Dates: Created 2006/10/09; Completed 2007/01/09; Revised 2007/12/03;

PMID: 16905230, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Aged
Depression
Female
Health Status
Hostility
Humans
Illinois - epidemiology
Loneliness

Male
Mental Health - statistics & numerical data
Middle Aged
Perception
Residence Characteristics - statistics & numerical data
Social Support
Socioeconomic Factors
Stress, Psychological

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