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Stress and physical health: the role of neighborhoods as mediating and moderating mechanisms

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  • Boardman, Jason D

Abstract

Using data from the 1995 Detroit Area Study (N=1106) in conjunction with tract-level data from the 1990 census, this paper evaluates the relationship between residential stability and physical health among black and white adults. Results suggest that neighborhood-level variation in health is primarily mediated by key sociodemographic characteristics of individuals (e.g., age, race, and socioeconomic status). However, a significant portion of health differentials across neighborhoods is due to disparate stress levels across neighborhoods. Further, high levels of neighborhood stability provide an important buffer to the otherwise deleterious effects of increased stress levels on adults' overall health.

Suggested Citation

  • Boardman, Jason D, 2004. "Stress and physical health: the role of neighborhoods as mediating and moderating mechanisms," Social Science & Medicine, Elsevier, vol. 58(12), pages 2473-2483, June.
    • Handle: RePEc:eee:socmed:v:58:y:2004:i:12:p:2473-2483
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    Cited by:

    1. Sundquist, Kristina & Theobald, Holger & Yang, Min & Li, Xinjun & Johansson, Sven-Erik & Sundquist, Jan, 2006. "Neighborhood violent crime and unemployment increase the risk of coronary heart disease: A multilevel study in an urban setting," Social Science & Medicine, Elsevier, vol. 62(8), pages 2061-2071, April.
    2. O'Connell, Heather A., 2015. "Where there's smoke: Cigarette use, social acceptability, and spatial approaches to multilevel modeling," Social Science & Medicine, Elsevier, vol. 140(C), pages 18-26.
    3. Shoff, Carla & Yang, Tse-Chuan, 2012. "Untangling the associations among distrust, race, and neighborhood social environment: A social disorganization perspective," Social Science & Medicine, Elsevier, vol. 74(9), pages 1342-1352.
    4. Arnold, Michael & Hsu, Ling & Pipkin, Sharon & McFarland, Willi & Rutherford, George W., 2009. "Race, place and AIDS: The role of socioeconomic context on racial disparities in treatment and survival in San Francisco," Social Science & Medicine, Elsevier, vol. 69(1), pages 121-128, July.
    5. Matheson, Flora I. & Moineddin, Rahim & Dunn, James R. & Creatore, Maria Isabella & Gozdyra, Piotr & Glazier, Richard H., 2006. "Urban neighborhoods, chronic stress, gender and depression," Social Science & Medicine, Elsevier, vol. 63(10), pages 2604-2616, November.
    6. Joseph Gibbons & Tse-Chuan Yang & Elizabeth Brault & Michael Barton, 2020. "Evaluating Residential Segregation’s Relation to the Clustering of Poor Health across American Cities," IJERPH, MDPI, vol. 17(11), pages 1-18, June.
    7. Che Wan Jasimah Wan Mohamed Radzi & Hashem Salarzadeh Jenatabadi & Ayed R. A. Alanzi & Mohd Istajib Mokhtar & Mohd Zufri Mamat & Nor Aishah Abdullah, 2019. "Analysis of Obesity among Malaysian University Students: A Combination Study with the Application of Bayesian Structural Equation Modelling and Pearson Correlation," IJERPH, MDPI, vol. 16(3), pages 1-17, February.
    8. Brown, Denise & Leyland, Alastair H., 2010. "Scottish mortality rates 2000-2002 by deprivation and small area population mobility," Social Science & Medicine, Elsevier, vol. 71(11), pages 1951-1957, December.
    9. Ma, Chenyi & Smith, Tony E., 2017. "Increased alcohol use after Hurricane Ike: The roles of perceived social cohesion and social control," Social Science & Medicine, Elsevier, vol. 190(C), pages 29-37.
    10. Hashem Salarzadeh Jenatabadi & Che Wan Jasimah Bt Wan Mohamed Radzi & Nadia Samsudin, 2020. "Associations of Body Mass Index with Demographics, Lifestyle, Food Intake, and Mental Health among Postpartum Women: A Structural Equation Approach," IJERPH, MDPI, vol. 17(14), pages 1-24, July.
    11. Schempf, Ashley & Strobino, Donna & O'Campo, Patricia, 2009. "Neighborhood effects on birthweight: An exploration of psychosocial and behavioral pathways in Baltimore, 1995-1996," Social Science & Medicine, Elsevier, vol. 68(1), pages 100-110, January.
    12. Man-Kit Lei & Ronald L. Simons, 2021. "The Association between Neighborhood Disorder and Health: Exploring the Moderating Role of Genotype and Marriage," IJERPH, MDPI, vol. 18(3), pages 1-23, January.
    13. Shoff, Carla & Yang, Tse-Chuan, 2013. "Understanding maternal smoking during pregnancy: Does residential context matter?," Social Science & Medicine, Elsevier, vol. 78(C), pages 50-60.
    14. Sundquist, Jan & Johansson, Sven-Erik & Yang, Min & Sundquist, Kristina, 2006. "Low linking social capital as a predictor of coronary heart disease in Sweden: A cohort study of 2.8 million people," Social Science & Medicine, Elsevier, vol. 62(4), pages 954-963, February.
    15. Lucy Prior, 2021. "Allostatic Load and Exposure Histories of Disadvantage," IJERPH, MDPI, vol. 18(14), pages 1-17, July.
    16. Sharp, Gregory & Denney, Justin T. & Kimbro, Rachel T., 2015. "Multiple contexts of exposure: Activity spaces, residential neighborhoods, and self-rated health," Social Science & Medicine, Elsevier, vol. 146(C), pages 204-213.
    17. Berg, Mark T. & Rogers, Ethan M. & Riley, Kendall & Lei, Man-Kit & Simons, Ronald L., 2022. "Incarceration exposure and epigenetic aging in neighborhood context," Social Science & Medicine, Elsevier, vol. 310(C).
    18. Frohlich, Katherine L. & Ross, Nancy & Richmond, Chantelle, 2006. "Health disparities in Canada today: Some evidence and a theoretical framework," Health Policy, Elsevier, vol. 79(2-3), pages 132-143, December.
    19. Jackson, Dylan B. & Johnson, Kecia R. & Vaughn, Michael G. & Hinton, Marissa E., 2019. "The role of neighborhoods in household food insufficiency: Considering interactions between physical disorder, low social capital, violence, and perceptions of danger," Social Science & Medicine, Elsevier, vol. 221(C), pages 58-67.

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    Keywords

    Neighborhoods Stress Health USA;

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