Pathways linking census tract typologies with subjective neighborhood disorder and depressive symptoms in the Black Women's Experiences Living with Lupus (BeWELL) Study

• Type of Material: Article
• Authors: Connor D Martz, Auburn University; Evelyn A Hunter, Auburn University; Michael Kramer, Emory University; Yijie Wang, Michigan State University; Kara Chung, Tulane University; Michael Brown, Auburn University; Cristina Drenkard, Emory University; Sung Lim, Emory University; David H Chae, Tulane University
• Language: English
• Date: 2021-06-09
• Publisher: ELSEVIER SCI LTD
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2021 Elsevier Ltd. All rights reserved.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.healthplace.2021.102587
• Title of Journal or Parent Work: HEALTH & PLACE
• Volume: 70
• Start Page: 102587
• End Page: 102587
• Grant/Funding Information: This work was supported by the National Institute of Arthritis and Musculoskeletal and Skin Disease (F31AR076234, R01AR065493).
• Keywords: RACIAL COMPOSITION; ERYTHEMATOSUS; Life Sciences & Biomedicine; REPORTED DISEASE-ACTIVITY; INFORMATION-SYSTEM PROMIS(R); Neighborhood disorder; HOUSING VOUCHERS; COGNITIVE IMPAIRMENT; Science & Technology; PREVALENCE; Latent profile analysis; Depression; SOCIOECONOMIC-STATUS; Systemic lupus erythematosus; STRESS; Racial residential segregation; HEALTH; Structural racism; Public, Environmental & Occupational Health

Abstract

Depression is a common comorbidity among Black women with systemic lupus erythematosus (SLE), an understudied autoimmune disease characterized by major racial and gender inequities. Research is needed that examines how area-level factors influence risk of depression in this population. Latent profile analysis revealed four neighborhood typologies among metropolitan Atlanta, Georgia census tracts that participants (n=438) in the Black Women's Experiences Living with Lupus (BeWELL) Study were living in: Integrated/High-SES, Moderately Segregated/Mid-SES, Highly Segregated/Mid-SES, and Highly Segregated/Low-SES. Structural equation models indicated that highly segregated census tracts were associated with the greatest levels of depression via increased subjective assessments of neighborhood disorder. Policies that invest in segregated areas and address physical and social aspects of the environment that contribute to neighborhood disorder may promote mental health among Black women with SLE.