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Journal of Racial and Ethnic Health Disparities

, Volume 6, Issue 6, pp 1068–1077 | Cite as

Neighborhood Environment and Health of Injured Urban Black Men

  • Aimee J. Palumbo
  • Douglas J. Wiebe
  • Nancy Kassam-Adams
  • Therese S. RichmondEmail author
Article

Abstract

Introduction

Urban black males are at disproportionately high risk of poor health outcomes; thus, we need to measure neighborhood environments appropriately in order to understand aspects of neighborhoods that influence their mental and physical health. We explored associations between physical and mental health of injured, urban black men with objectively measured and perceived neighborhood characteristics.

Methods

In 2017–2018, we analyzed data from 486 black, adult males in Philadelphia admitted to a trauma center with injury between January 2013 and February 2017. Area-level measures of social, economic, and built environments were obtained from multiple sources. At enrollment, participants answered questions about neighborhood environment and self-reported physical and mental health 30 days before injury. We conducted factor analysis to identify neighborhood characteristics, then estimated odds of poor physical or mental health, accounting for spatial correlation of participants.

Results

Poor physical and mental health was reported by 12% and 22% of participants, respectively. In participants’ neighborhoods, 29% of adults lived in poverty. Individually, 73% of men reported abandoned buildings, and 31% reported not feeling safe walking around their neighborhood. Physical health was associated with neighborhood poverty and disconnectedness. Mental health was associated with neighborhood economics and individual perceptions of social disorder and safety. Individual-level factors were not correlated with area-level factors.

Conclusions

We found both area-level and individual-level measures were associated with health, perhaps operating through different mechanisms, but individual experiences may not be easily extrapolated from area-level data. By identifying important components of neighborhood environments, we may better understand how neighborhoods contribute to health in vulnerable populations.

Keywords

Neighborhood environment Neighborhood perception Mental health Physical health Black men Injury 

Notes

Acknowledgments

The authors acknowledge Jessica Webster, Andrew Robinson, and Vicky Tam for their assistance in data collection and management.

Authors Contributions

Dr. Palumbo conceived of the study and led the analysis and write-up. Dr. Wiebe provided statistical analysis support; Dr. Kassam-Adams and Dr. Richmond provided subject matter expertise and guidance based on knowledge of study population. All authors provided substantial input into analysis and final write-up of results and have approved this manuscript.

Funding Information

Research reported in this publication was supported by the National Institute of Nursing Research of the National Institutes of Health under Award Number R01NR013503 (PI: Richmond). Dr. Palumbo was supported in part by the Penn Injury Science Center and the Centers for Disease Control (grant no. R49CE002474).

Compliance with Ethical Standards

The study was approved by the Institutional Review Board at the University of Pennsylvania (IRB Protocol #814745).

Conflict of Interest

The authors declare that they have no conflict of interest.

Disclaimer

The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health or the Centers for Disease Control.

Supplementary material

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Supplementary Table 2 (DOCX 19 kb)
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Supplementary Table 3 (DOCX 16 kb)
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Supplementary Table 4 (DOCX 15 kb)

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Copyright information

© W. Montague Cobb-NMA Health Institute 2019

Authors and Affiliations

  1. 1.Penn Injury Science CenterUniversity of PennsylvaniaPhiladelphiaUSA
  2. 2.College of Public HealthTemple UniversityPhiladelphiaUSA
  3. 3.Department of Biostatistics, Epidemiology and InformaticsUniversity of PennsylvaniaPhiladelphiaUSA
  4. 4.Center for Injury Research and PreventionChildren’s Hospital of PhiladelphiaPhiladelphiaUSA
  5. 5.Perelman School of MedicineUniversity of PennsylvaniaPhiladelphiaUSA
  6. 6.School of NursingUniversity of PennsylvaniaPhiladelphiaUSA

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