ArticleAmerican journal of preventive medicine2017
Built Environment and Depression in Low-Income African Americans and Whites.
Article in American journal of preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 82 citations in OpenAlex.
- Adverse childhood experiences and adult stress eating: A secondary analysis of the Southern Community Cohort Study.Research square · 2026Article
- Mobility, mental well-being and Neighborhood walkability among older adults in Nigeria: an urban perspective.Archives of public health = Archives belges de sante publique · 2025Article
- Adverse childhood experiences and adult stress eating.Research square · 2025Article
- The Association between Multiple Environmental Exposures and Symptoms of Generalized Anxiety Disorder in a Prospective, US-Based Cohort Study.Environmental health perspectives · 2025Article
- Exploring the relationship between neighborhood walkability and mental health: A study of urban areas in Texas.Heliyon · 2025Article
- Residential air pollution, greenspace, and adverse mental health outcomes in the U.S. Gulf Long-term Follow-up Study.The Science of the total environment · 2024Article
- Precision public health in the era of genomics and big data.Nature medicine · 2024Review
- Assessing the significance of first place and online third places in supporting Malaysian seniors' well-being during the pandemic.Humanities & social sciences communications · 2023Article
- Telepresence robots as facilitators of physical exercise during COVID-19: a feasibility and acceptance study.Frontiers in public health · 2023Article
- Differences in parent and youth perceived neighborhood threat on nucleus accumbens-frontoparietal network resting state connectivity and alcohol sipping in children enrolled in the ABCD study.Frontiers in psychiatry · 2023Article
- The association between street connectivity and depression among older Japanese adults: the JAGES longitudinal study.Scientific reports · 2022Article
- Perceived Environmental Attributes: Their Impact on Older Adults' Mental Health in Malaysia.International journal of environmental research and public health · 2022Article
- The impact of built environment on physical activity and subjective well-being of urban residents: A study of core cities in the Yangtze River Delta survey.Frontiers in psychology · 2022Article
- Association Between Natural/Built Campus Environment and Depression Among Chinese Undergraduates: Multiscale Evidence for the Moderating Role of Socioeconomic Factors After Controlling for Residential Self-Selection.Frontiers in public health · 2022Article
- Biological, Psychological, and Social Determinants of Depression: A Review of Recent Literature.Brain sciences · 2021Review
- Prevalence and Associated Factors of the Severity of Depression, Anxiety and Stress Among Low-Income Community-Dwelling Adults in Kuala Lumpur, Malaysia.Community mental health journal · 2021Article
- Neighborhood environment perceptions associate with depression levels and cardiovascular risk among middle-aged and older adults: Data from the Washington, DC cardiovascular health and needs assessment.Aging & mental health · 2021Article
- Association of the Neighborhood Built Environment With Incident and Prevalent Depression in the Rural South.Preventing chronic disease · 2021Article
- Association between neighbourhood characteristics and antidepressant use at older ages: a register-based study of urban areas in three European countries.Journal of epidemiology and community health · 2021Article
- Association between housing environment and depressive symptoms among older people: a multidimensional assessment.BMC geriatrics · 2021Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
introductionUrban environments are associated with a higher risk of adverse mental health outcomes; however, it is unclear which specific components of the urban environment drive these associations.
methodsUsing data collected in 2002-2009 from 73,225 low-income, racially diverse individuals across the Southeastern U.S., analyses evaluated the cross-sectional relationship between a walkability index and depression. Walkability was calculated from population density, street connectivity, and destination count in the 1,200-meter area around participants' homes, and depression was measured using the Center for Epidemiologic Studies Depression Scale for depression symptomatology and questionnaire responses regarding doctor-diagnosed depression and antidepressant use. Data were analyzed in 2015.
resultsParticipants living in neighborhoods with the highest walkability index had 6% higher odds of moderate or greater depression symptoms (score ≥15, 95% CI=0.99, 1.14), 28% higher odds of doctor-diagnosed depression (95% CI=1.20, 1.36), and 16% higher odds of current antidepressant use (95% CI=1.08, 1.25), compared with those in the lowest walkability index. Higher walkability was associated with higher odds of depression symptoms in the most deprived neighborhoods only, whereas walkability was associated with lower odds of depression symptoms in the least deprived neighborhoods.
conclusionsLiving in a more walkable neighborhood was associated with modestly higher levels of doctor-diagnosed depression and antidepressant use, and walkability was associated with greater depression symptoms in neighborhoods with higher deprivation. Although dense urban environments may provide opportunities for physical activity, they may also increase exposure to noise, air pollution, and social stressors that could increase levels of depression.
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