ArticlePreventing chronic disease2021
Association of the Neighborhood Built Environment With Incident and Prevalent Depression in the Rural South.
Article in Preventing chronic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Social infrastructure and health among mid-life and older adults in rural America: An environmental scan of existing data.Aging and health research · 2024Article
- Residential segregation and prenatal depression in a non-Hispanic Black and Hispanic cohort in North Carolina.Annals of epidemiology · 2023Article
- Association of Perceived Neighborhood Health With Hypertension Self-care.JAMA network open · 2023Article
- Cross-Sectional Associations between Living and Built Environments and Depression Symptoms among Chinese Older Adults.International journal of environmental research and public health · 2022Article
- Rat Infestation in Gauteng Province: Lived Experiences of Kathlehong Township Residents.International journal of environmental research and public health · 2021Article
- PCD 2021 Student Research Collection: Building Public Health Research Capacity in Real-World Settings and the 2022 Call for Papers.Preventing chronic disease · 2021Article
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Authors and funding
5 authors.
Funding
Abstract
introductionA neighborhood's built environment is associated with physical activity among its residents, and physical activity is associated with depression. Our study aimed to determine whether the built environment was associated with depression among residents of the rural South and whether observed associations were mediated by physical activity.
methodsWe selected 2,000 participants from the Bogalusa Heart Study who had a valid residential address, self-reported physical activity (minutes/week), and a complete Center for Epidemiologic Study-Depression (CES-D) scale assessment from 1 or more study visits between 1998 and 2013. We assessed the built environment with the Rural Active Living Assessment street segment audit tool and developed built environment scores. The association between built environment scores and depression (CES-D ≥16) in geographic buffers of various radii were evaluated by using modified Poisson regression, and mediation by physical activity was evaluated with mixed-effects models.
resultsDepression was observed in 37% of study participants at the first study visit. One-point higher physical security and aesthetic scores for the street segment of residence were associated with 1.07 times higher (95% CI, 1.02-1.11) and 0.96 times lower (95% CI, 0.92-1.00) baseline depression prevalence. One-point higher destination scores (ie, more commercial and civic facilities) in radius buffers of 0.25 miles or more were associated with 1.06 times (95% CI, 1.00-1.13) the risk of depression during follow-up. Neighborhood poverty (defined as percentage of residents with incomes below the federal poverty level and dichotomized at 28.3%) modified cross-sectional and longitudinal associations. Associations were not mediated by physical activity.
conclusionThe built environment was associated with prevalence and risk of depression, and associations were stronger in high-poverty neighborhoods. Built environment improvements to promote physical activity should take neighborhood context into consideration to minimize negative side effects on mental health in high-poverty communities.
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