ArticleSocial science & medicine (1982)2015
The impact of neighborhood quality, perceived stress, and social support on depressive symptoms during pregnancy in African American women.
Article in Social science & medicine (1982), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.
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Who cites it
68 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Built environment (BE) and cancer: a systematic review of the BE's impact during the treatment journey and patient outcomes.Cancer causes & control : CCC · 2026Pooled it
- "Clear action requires clear thinking": A systematic review of gentrification and health research in the United States.Health & place · 2019Pooled it
- Sociocultural and Structural Determinants of Black Maternal Mental Health: A Scoping Review.Birth (Berkeley, Calif.) · 2026Article
- Validating the stress and adversity inventory for adults (Adult STRAIN) among urban middle-aged and older African Americans.Journal of health psychology · 2026Article
- Neighborhood Stress in Relation to Mental Health Symptoms and the Moderating Role of Perceived Stress in US Young Adults.Journal of racial and ethnic health disparities · 2026Article
- Community-based stress, social support, and depressive symptoms among black adults: A mediation analysis.SSM. Mental health · 2025Article
- Perceptions of blame among black women during prenatal care: A mixed methods study.Patient education and counseling · 2025Article
- Examining the role of socioeconomic adversity on depressive symptoms during pregnancy among non-Hispanic Black women.SSM. Mental health · 2025Article
- Psychological needs fulfillment and perinatal well-being among low-SES individuals: a mixed methods investigation.Journal of psychosomatic obstetrics and gynaecology · 2024Article
- Predicting Prenatal Depression and Assessing Model Bias Using Machine Learning Models.Biological psychiatry global open science · 2024Article
- Neighborhood Socioeconomic Disadvantage Across the Life Course and Premature Mortality.JAMA network open · 2024Article
- Associations between maternal stress and infant resting brain activity among families residing in poverty in the U.S.Biological psychology · 2023Article
- Article
- Associations between neighborhood stress and maternal sex steroid hormones in pregnancy.BMC pregnancy and childbirth · 2023Article
- Perceived Neighborhood Racial Composition and Depressive Symptoms Among Black Americans Across Adulthood: Evaluating the Role of Psychosocial Risks and Resources.Journal of aging and health · 2023Article
- Black Mothers in Racially Segregated Neighborhoods Embodying Structural Violence: PTSD and Depressive Symptoms on the South Side of Chicago.Journal of racial and ethnic health disparities · 2023Article
- Epigenetic Implications of Neighborhood Disorder and Psychological Distress among Pregnant Black Women.Western journal of nursing research · 2023Article
- Beyond the treatment: The role of race, sex, and education in health trajectories between cancer survivors and noncancer older adults.Journal of geriatric oncology · 2023Article
- A Multi-Cohort Examination of the Independent Contributions of Maternal Childhood Adversity and Pregnancy Stressors to the Prediction of Children's Anxiety and Depression.Research on child and adolescent psychopathology · 2023Article
- The importance of high-quality partner support for reducing stress during pregnancy and postpartum bonding impairments.Archives of women's mental health · 2023Article
8 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors.
Funding
Abstract
Living in a lower-quality neighborhood is associated with higher levels of depressive symptoms in the general population as well as among pregnant and postpartum women. However, little is known of the important pathways by which this association occurs. We proposed a model in which perceived stress and social support mediated the effects of neighborhood quality on depressive symptoms during pregnancy (measured by the 20-item Center for Epidemiologic Studies-Depression, CES-D, scale) in a sample of 1383 African American women from the Detroit metropolitan area interviewed during their delivery hospitalization. Using structural equation modeling (SEM), we built a latent variable of neighborhood quality using 4 measures (neighborhood disorder, neighborhood safety/danger, walking environment, overall rating). We then tested two SEM mediation models. We found that lower neighborhood quality was associated with higher prevalence of depressive symptoms during pregnancy (standardized total effect = .16, p = .011). We found that perceived stress partially mediated the neighborhood quality association with depressive symptoms. Although the association of social support with depressive symptoms was negligible, social support mediated associations of neighborhood quality with perceived stress [standardized path coefficient = .38 (.02), p = .009]. Our results point to the need for public health, health care, as well as non-health related interventions (e.g. crime prevention programs) to decrease overall exposure to stressors, as well as stress levels of women living in poor quality neighborhoods. Interventions that increase the levels of social support of women during pregnancy are also needed for their potential to decrease stress and ultimately improve mental health at this important time in the life course.
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