ArticleChild and adolescent mental health2025
The protective role of community cohesion across rural and urban contexts: implications for youth mental health.
Article in Child and adolescent mental health, 2025. 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 withdrawal and hippocampal volume among adolescents at clinical high risk for psychosis and healthy comparisons: The moderating role of neighborhood residential stability.Schizophrenia research · 2026Article
- "Everyone knows everyone": a qualitative examination of influences of eating disorder risk among rural US adolescents.Journal of eating disorders · 2026Article
- Adolescent mental health help-seeking behaviours in rural Australia: cross-sectional analysis of a nationwide cohort study.Child and adolescent psychiatry and mental health · 2026Article
- Association between breakfast frequency, community space environment, and psychological symptoms: a cross-sectional study of Chinese adolescents.Frontiers in psychology · 2026Article
- When adult children migrate: Intergenerational solidarity, family functioning, and subjective wellbeing among older parents left behind in rural China.Journal of migration and health · 2026Article
- The mediating role of family intimacy: negative emotions and resilience in adolescents with depressive disorders.Frontiers in psychiatry · 2025Article
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Abstract
backgroundExposure to adversity (e.g., negative life events) and socioeconomic disadvantage can increase the risk for internalizing and externalizing symptoms, but many youth demonstrate resilience. Risk and protective factors may vary depending on geographic contexts (i.e., urban vs. rural areas). We hypothesized that community cohesion would mitigate the effects of adversity and disadvantage on youth mental health symptoms, especially among rural communities.
methodData were drawn from the Adolescent Brain Cognitive Development (ABCD) Study (n = 10,812), a longitudinal study in the United States. At baseline (9-10 years old), neighborhood socioeconomic disadvantage was measured with the Area Deprivation Index, and youth reported on the total number of negative life events they had experienced. At the 2-year follow-up, caregivers reported on cohesion within their community, and at the 3-year follow-up, they reported on their child's internalizing and externalizing symptomatology. A multiple-group path model was used to compare effects for youth living in urban versus rural areas.
resultsIn the urban subsample, results indicated a significant interaction between neighborhood disadvantage and community cohesion (β = -.03, p = .004), such that higher disadvantage was associated with higher externalizing (but not internalizing) symptomatology at low and medium, but not high, levels of cohesion. We identified similar patterns of results in the rural subsample, and the interaction neared conventional significance thresholds (β = -.09, p = .052). There was no significant interaction with adversity.
conclusionsCommunity cohesion may serve as a protective factor for youth experiencing neighborhood disadvantage by mitigating effects on externalizing symptoms.
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