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Family functioning as a mediator between neighborhood conditions and children's health: Evidence from a national survey in the United States

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  • Fan, Yingling
  • Chen, Qian

Abstract

This study examines whether the associations between neighborhood conditions and children's health can be indirect and operate through aspects of family functioning. We use data from the 2007 National Survey of Children's Health in the United States with the interviewed parents/guardians as the only source of the data. Our study sample includes 53,023 children aged between 6 and 17 years. Using structural equation modeling, we test both direct and indirect relationships between a family functioning index, a general indicator of children's health status, and three neighborhood factors: neighborhood physical resources, environmental threats, and collective efficacy. Covariates in the analysis include gender, age, income, race, family structure, parental education, and health insurance coverage. All the three neighborhood factors show direct associations with children's general health status, as well as indirect associations mediated by aspects of family functioning. Among the three neighborhood factors, collective efficacy and environmental threats are found to have much stronger associations with children's general health than physical resources. When designing health-promoting neighborhoods for children and families, it may be more efficient for urban planners and health professionals to focus on community programs that reduce environmental stressors and foster neighborhood cohesion than programs that solely improve physical infrastructure. This study also verifies that aspects of family functioning mediate the associations between neighborhood conditions and children's health. It is recommended that both family and neighborhood are critical points for child health intervention.

Suggested Citation

  • Fan, Yingling & Chen, Qian, 2012. "Family functioning as a mediator between neighborhood conditions and children's health: Evidence from a national survey in the United States," Social Science & Medicine, Elsevier, vol. 74(12), pages 1939-1947.
    • Handle: RePEc:eee:socmed:v:74:y:2012:i:12:p:1939-1947
    DOI: 10.1016/j.socscimed.2012.01.039
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    1. Montgomery, L.E. & Kiely, J.L. & Pappas, G., 1996. "The effects of poverty, race, and family structure on US children's health: Data from the NHIS, 1978 through 1980 and 1989 through 1991," American Journal of Public Health, American Public Health Association, vol. 86(10), pages 1401-1405.
    2. Flores, G. & Bauchner, H. & Feinstein, A.R. & Nguyen, U.-S.D.T., 1999. "The impact of ethnicity, family income, and parental education on children's health and use of health services," American Journal of Public Health, American Public Health Association, vol. 89(7), pages 1066-1071.
    3. Fagg, James & Curtis, Sarah & Stansfeld, Stephen & Congdon, Peter, 2006. "Psychological distress among adolescents, and its relationship to individual, family and area characteristics in East London," Social Science & Medicine, Elsevier, vol. 63(3), pages 636-648, August.
    4. Curtis, Lori J. & Dooley, Martin D. & Phipps, Shelley A., 2004. "Child well-being and neighbourhood quality: evidence from the Canadian National Longitudinal Survey of Children and Youth," Social Science & Medicine, Elsevier, vol. 58(10), pages 1917-1927, May.
    5. Cattell, Vicky, 2001. "Poor people, poor places, and poor health: the mediating role of social networks and social capital," Social Science & Medicine, Elsevier, vol. 52(10), pages 1501-1516, May.
    6. Jane G. Fortson & Lisa Sanbonmatsu, 2010. "Child Health and Neighborhood Conditions: Results from a Randomized Housing Voucher Experiment," Journal of Human Resources, University of Wisconsin Press, vol. 45(4), pages 840-864.
    7. Caughy, Margaret O'Brien & O'Campo, Patricia J. & Muntaner, Carles, 2003. "When being alone might be better: neighborhood poverty, social capital, and child mental health," Social Science & Medicine, Elsevier, vol. 57(2), pages 227-237, July.
    8. Fagg, James & Curtis, Sarah & Stansfeld, Stephen A. & Cattell, Vicky & Tupuola, Ann-Marie & Arephin, Muna, 2008. "Area social fragmentation, social support for individuals and psychosocial health in young adults: Evidence from a national survey in England," Social Science & Medicine, Elsevier, vol. 66(2), pages 242-254, January.
    9. repec:mpr:mprres:7081 is not listed on IDEAS
    10. Lee, R.E. & Cubbin, C., 2002. "Neighborhood context and youth cardiovascular health behaviors," American Journal of Public Health, American Public Health Association, vol. 92(3), pages 428-436.
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    2. Du, Xi & Kim, Youn Kyoung, 2020. "Family functioning and adolescent behavior problems: A moderated mediation model of caregiver depression and neighborhood collective efficacy," Children and Youth Services Review, Elsevier, vol. 116(C).
    3. Andrew L. Whitehead, 2017. "Neighborhoods, Family Functioning, and Mothers’ Mental Health for Families with a Child with an Autism Spectrum Disorder," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 12(3), pages 633-651, September.
    4. Nooshin Razani & Saam Morshed & Michael A Kohn & Nancy M Wells & Doug Thompson & Maoya Alqassari & Amaka Agodi & George W Rutherford, 2018. "Effect of park prescriptions with and without group visits to parks on stress reduction in low-income parents: SHINE randomized trial," PLOS ONE, Public Library of Science, vol. 13(2), pages 1-17, February.
    5. Li, Mengying & Johnson, Sara B. & Musci, Rashelle J. & Riley, Anne W., 2017. "Perceived neighborhood quality, family processes, and trajectories of child and adolescent externalizing behaviors in the United States," Social Science & Medicine, Elsevier, vol. 192(C), pages 152-161.

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