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In the eyes of the beholder: Race, place and health

Racial and ethnic health disparities are fundamentally connected to neighborhood quality. For example, as a result of historical systemic inequities, racial and ethnic minorities are more likely to live in neighborhoods with signs of physical disorder (e.g., graffiti, vandalism), and physically diso...

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Autores principales: Velasquez, Alfredo J., Douglas, Jason A., Guo, Fangqi, Robinette, Jennifer W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9412158/
https://www.ncbi.nlm.nih.gov/pubmed/36033798
http://dx.doi.org/10.3389/fpubh.2022.920637
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author Velasquez, Alfredo J.
Douglas, Jason A.
Guo, Fangqi
Robinette, Jennifer W.
author_facet Velasquez, Alfredo J.
Douglas, Jason A.
Guo, Fangqi
Robinette, Jennifer W.
author_sort Velasquez, Alfredo J.
collection PubMed
description Racial and ethnic health disparities are fundamentally connected to neighborhood quality. For example, as a result of historical systemic inequities, racial and ethnic minorities are more likely to live in neighborhoods with signs of physical disorder (e.g., graffiti, vandalism), and physically disordered environments have been noted to associate with increased risk for chronic illness. Degree of exposure to neighborhood disorder may alter peoples' perception of their neighborhoods, however, with those most exposed (e.g., historically marginalized racial/ethnic groups) perhaps perceiving less threat from signs of neighborhood disorder. The purpose of the present study was to examine the complex interrelationships between people and place by investigating whether exposure to neighborhood physical disorder relates to residents' (1) perceptions of neighborhood safety and (2) perceptions of their health, and (3) examining whether these links vary by race/ethnicity. Using 2016–2018 Health and Retirement Study (HRS) data, a representative sample of US adults aged 51 years and older (n = 9,080, mean age 68 years), we conducted a series of weighted linear regressions to examine the role of neighborhood disorder in relation to both perceived neighborhood safety and self-rated health. Results indicated that greater neighborhood physical disorder was statistically significantly related to feeling less safe among non-Hispanic Whites and Hispanics, but not non-Hispanic Blacks. Regarding self-rated health, neighborhood physical disorder was statistically significantly related to poorer health among all racial/ethnic groups. These findings suggest that, despite differential interpretation of neighborhood disorder as a threat to safety, this modifiable aspect of peoples' environment is related to poor health regardless of one's race/ethnicity.
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spelling pubmed-94121582022-08-27 In the eyes of the beholder: Race, place and health Velasquez, Alfredo J. Douglas, Jason A. Guo, Fangqi Robinette, Jennifer W. Front Public Health Public Health Racial and ethnic health disparities are fundamentally connected to neighborhood quality. For example, as a result of historical systemic inequities, racial and ethnic minorities are more likely to live in neighborhoods with signs of physical disorder (e.g., graffiti, vandalism), and physically disordered environments have been noted to associate with increased risk for chronic illness. Degree of exposure to neighborhood disorder may alter peoples' perception of their neighborhoods, however, with those most exposed (e.g., historically marginalized racial/ethnic groups) perhaps perceiving less threat from signs of neighborhood disorder. The purpose of the present study was to examine the complex interrelationships between people and place by investigating whether exposure to neighborhood physical disorder relates to residents' (1) perceptions of neighborhood safety and (2) perceptions of their health, and (3) examining whether these links vary by race/ethnicity. Using 2016–2018 Health and Retirement Study (HRS) data, a representative sample of US adults aged 51 years and older (n = 9,080, mean age 68 years), we conducted a series of weighted linear regressions to examine the role of neighborhood disorder in relation to both perceived neighborhood safety and self-rated health. Results indicated that greater neighborhood physical disorder was statistically significantly related to feeling less safe among non-Hispanic Whites and Hispanics, but not non-Hispanic Blacks. Regarding self-rated health, neighborhood physical disorder was statistically significantly related to poorer health among all racial/ethnic groups. These findings suggest that, despite differential interpretation of neighborhood disorder as a threat to safety, this modifiable aspect of peoples' environment is related to poor health regardless of one's race/ethnicity. Frontiers Media S.A. 2022-08-12 /pmc/articles/PMC9412158/ /pubmed/36033798 http://dx.doi.org/10.3389/fpubh.2022.920637 Text en Copyright © 2022 Velasquez, Douglas, Guo and Robinette. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Velasquez, Alfredo J.
Douglas, Jason A.
Guo, Fangqi
Robinette, Jennifer W.
In the eyes of the beholder: Race, place and health
title In the eyes of the beholder: Race, place and health
title_full In the eyes of the beholder: Race, place and health
title_fullStr In the eyes of the beholder: Race, place and health
title_full_unstemmed In the eyes of the beholder: Race, place and health
title_short In the eyes of the beholder: Race, place and health
title_sort in the eyes of the beholder: race, place and health
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9412158/
https://www.ncbi.nlm.nih.gov/pubmed/36033798
http://dx.doi.org/10.3389/fpubh.2022.920637
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