Pathways between objective and perceived neighborhood factors among Black breast cancer survivors

BMC Public Health

Elisa V. Bandera¹  Bo Qin¹  Adana A. M. Llanos²  Jesse J. Plascak³  Yong Lin⁴  Chi-Chen Hong⁵  Kitaw Demissie⁶  Andrew G. Rundle⁷  Stephen J. Mooney⁸  Karen S. Pawlish⁹ 

[1] Cancer Prevention and Control Program, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA;Cancer Prevention and Control Program, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA;Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA;Comprehensive Cancer Center, The Ohio State University, Columbus, OH, USA;Division of Cancer Prevention and Control, Department of Internal Medicine, College of Medicine, The Ohio State University, 1590 North High Street, Suite 525, 43201, Columbus, OH, USA;Department of Biostatistics and Epidemiology, School of Public Health, Rutgers, The State University of New Jersey, Piscataway, NJ, USA;Department of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, New York, USA;Department of Epidemiology and Biostatistics, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA;Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA;Department of Epidemiology, School of Public Health, University of Washington, Seattle, Washington, USA;New Jersey State Cancer Registry, New Jersey Department of Health, Trenton, NJ, USA;

关键词: Objective neighborhood disorder;    Perceived neighborhood disorder;    Perceived neighborhood social cohesion;    Breast cancer survivors;   

DOI  :  10.1186/s12889-021-12057-0

来源: Springer

【 摘 要 】

BackgroundMounting evidence supports associations between objective neighborhood disorder, perceived neighborhood disorder, and health, yet alternative explanations involving socioeconomic and neighborhood social cohesion have been understudied. We tested pathways between objective and perceived neighborhood disorder, perceived neighborhood social cohesion, and socioeconomic factors within a longitudinal cohort.MethodsDemographic and socioeconomic information before diagnosis was obtained at interviews conducted approximately 10 months post-diagnosis from participants in the Women’s Circle of Health Follow-up Study – a cohort of breast cancer survivors self-identifying as African American or Black women (n = 310). Neighborhood perceptions were obtained during follow-up interviews conducted approximately 24 months after diagnosis. Objective neighborhood disorder was from 9 items audited across 23,276 locations using Google Street View and scored to estimate disorder values at each participant’s residential address at diagnosis. Census tract socioeconomic and demographic composition covariates were from the 2010 U.S. Census and American Community Survey. Pathways to perceived neighborhood disorder were built using structural equation modelling. Model fit was assessed from the comparative fit index and root mean square error approximation and associations were reported as standardized coefficients and 95% confidence intervals.ResultsHigher perceived neighborhood disorder was associated with higher objective neighborhood disorder (β = 0.20, 95% CI: 0.06, 0.33), lower neighborhood social cohesion, and lower individual-level socioeconomic factors (final model root mean square error approximation 0.043 (90% CI: 0.013, 0.068)). Perceived neighborhood social cohesion was associated with individual-level socioeconomic factors and objective neighborhood disorder (β = − 0.11, 95% CI: − 0.24, 0.02).ConclusionObjective neighborhood disorder might be related to perceived disorder directly and indirectly through perceptions of neighborhood social cohesion.

【 授权许可】

CC BY