Urban Neighborhood Context and Change in Depressive Symptoms in Late Life

Richard G. Wight · Janet R. Cummings · Arun S. Karlamangla · Carol S. Aneshensel

79 citations0/0 files storedThe Journals of Gerontology Series B

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Health disparities and outcomes Urban, Neighborhood, and Segregation Studies Aging, Health, and Disability

Abstract

OBJECTIVES: This study examines associations between urban neighborhood sociodemographic characteristics and change over time in late-life depressive symptoms. METHODS: Survey data are from three waves (1993, 1995, and 1998) of the Study of Assets and Health Dynamics Among the Oldest Old, a U.S. national probability sample of noninstitutionalized persons aged 70 years or older in 1993. Neighborhoods are 1990 U.S. Census tracts. Hierarchical linear regression is used to estimate multilevel models. RESULTS: The average change over time in depressive symptoms varies significantly across urban neighborhoods. Change in depressive symptoms is significantly associated with neighborhood-level socioeconomic disadvantage and ethnic composition in unadjusted models but not in models that control for individual-level characteristics. CONCLUSIONS: Findings indicate that apparent neighborhood-level effects on change in depressive symptoms over time among urban-dwelling older adults reflect, for the most part, differences in characteristics of the neighborhood residents.

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1977The CES-D Scale 1999A Revised CES-D Measure of Depressive Symptoms and a DSM-Based Measure of Major Depressive Episodes in the Elderly 2005Neighborhood Contextual Influences on Depressive Symptoms in the Elderly 2003Neighbourhood composition and depressive symptoms among older Mexican Americans 2005Racial Disparities in Self-Rated Health at Older Ages: What Difference Does the Neighborhood Make?2007Urban Neighborhoods and Depressive Symptoms Among Older Adults

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2010Neighborhood Disadvantage and Self-Assessed Health, Disability, and Depressive Symptoms: Longitudinal Results From the Health and Retirement Study 2016Associations between Neighborhood Characteristics, Well-Being and Health Vary over the Life Course 2012Socioeconomic disadvantage increases risk of prevalent and persistent depression in later life 2010Sociodemographic characteristics of the neighborhood and depressive symptoms 2013Depression, neighborhood deprivation and risk of type 2 diabetes 2017Population Aging and Health Trajectories at Older Ages 2015

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