The association of African Americans’ perceptions of neighborhood crime and drugs with mental illness
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Many African Americans are socioeconomically disadvantaged and live in neighborhoods containing chronic sources of stress. Although environmental stressors can contribute to the development of mental illness, there is a paucity of national studies examining the association of neighborhood crime and drug problems with psychiatric disorders. This study aims to determine if higher levels of perceived neighborhood problems are associated with greater prevalence of 12-month and lifetime psychiatric disorders among African Americans.
To do so, we used cross-sectional data from the National Survey of American Life, which interviewed a nationally representative sample of 3,570 African Americans.
Of these African Americans, nearly 20 and 40% reported that crime and drug use are problems in their neighborhoods, respectively. Respondents reporting high levels of perceived neighborhood crime or drug problems are 1.5–2.9 times more likely to have a 12-month psychiatric disorder and 1.4–2.1 times more likely to have a lifetime psychiatric disorder compared to the other respondents. After accounting for sociodemographics and chronic disease, neighborhood crime remains associated with 12-month mood, 12-month substance use, and lifetime substance use disorders, whereas neighborhood drug problems remain significantly associated with 12-month and lifetime anxiety and substance use disorders.
Among African Americans perceived neighborhood problems are widespread and positively associated with psychiatric disorders. Consideration of neighborhood context is important to more comprehensively understand mental illness and its treatment in this population.
KeywordsCommunity health Disparities Epidemiology Psychiatric disorders
- 7.Kawachi I, Berkman LF (2003) Neighborhoods and health. Oxford University Press, Inc, New YorkGoogle Scholar
- 9.US Department of Health and Human Services (2001) Mental health: culture, race, and ethnicity. A supplement to mental health: a report of the Surgeon General. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, RockvilleGoogle Scholar
- 10.US Census Bureau (2010) Historical poverty tables. US Census Bureau, Washington DC. http://www.census.gov/hhes/www/poverty/data/historical/people.html. Accessed 17 Dec 2010
- 19.Alegria M, Jackson JS, Kessler RC, Takeuchi D (2010) Collaborative psychiatric epidemiology surveys (CPES), 2001–2003. Institute for Social Research, Survey Research Center and Inter-University Consortium for Political and Social Research, Ann Arbor. http://www.icpsr.umich.edu/CPES/. Accessed 7 April 2010
- 22.Centers for Disease Control and Prevention (2009) Continuous NHANES web tutorial. Centers for Disease Control and Prevention, Department of Health and Human Services, Atlanta. http://www.cdc.gov/nchs/tutorials/nhanes/index_current.htm. Accessed 11 April 2010
- 24.Brown RE, Ojeda VD, Wyn R, Levan R (2000) Racial and ethnic disparities in access to health insurance and health care. UCLA Center for Health Policy and Research and The Henry J Kaiser Family Foundation, Los AngelesGoogle Scholar
- 31.Hudson DL, Neighbors HW, Geronimus AT, Jackson JS (2011) The relationship between socioeconomic position and depression among a US nationally representative sample of African Americans. Soc Psychiatry Psychiatr Epidemiol. http://www.springerlink.com/content/vr8n04727166j514/. Accessed 17 May 2011
- 41.Haro JM, Arbabzadeh-Bouchez S, Brugha TS, de Girolamo G, Guyer ME, Jin R, Lepine JP, Mazzi F, Reneses B, Vilagut G, Sampson NA, Kessler RC (2006) Concordance of the Composite International Diagnostic Interview version 3.0 (CIDI 3.0) with standardized clinical assessments in the WHO World Mental Health surveys. Int J Methods Psychiatr Res 15:167–180PubMedCrossRefGoogle Scholar