Abstract
Background and purpose
It is common in prior studies of the influence of neighbourhood characteristics on mental health to use participant-assessed neighbourhood exposures, which can lead to same-source bias since an individual’s mental health status may influence their judgement of their neighbourhood. To avoid this potential bias, we evaluated the use of individually assessed neighbourhood exposures to understand how they compare to collectively assessed measures (by aggregating multiple responses within the same neighbourhood). This would increase the validity of the measure by decoupling the neighbourhood measure from an individual’s mental health status.
Methods
We conducted a stratified-randomised survey of 2411 adults across 87 census tracts in Toronto, Canada (mean of 28 per census tract) to investigate how self-reported (individually assessed) social environmental neighbourhood measures compared to aggregated, collectively assessed, measures for neighbourhood problems/disorder, safety, service quality, and linking, bonding and bridging social capital. The outcome, experience of major depression in the past 12 months, was measured using the Composite International Diagnostic Studies Depression Scale Short Form.
Results
(1) Individually assessed neighbourhood problems, (2) low (individually assessed) neighbourhood safety, (3) low (individually assessed) neighbourhood service quality, and (4) low (individually assessed) linking social capital were independently associated with depression (all at least p < 0.05). However, when the individually assessed exposures were aggregated over residents in the same neighbourhood, none of them were significantly associated with depression.
Conclusions
Our study provides evidence for same-source bias in studies of social environmental determinants of depression that relies on individually assessed neighbourhood measures. We caution future studies from solely relying on individually assessed neighbourhood exposures especially in the study of social environmental influences on mental health outcomes.
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References
Ferrari AJ, Charlson FJ, Norman RE et al (2013) Burden of depressive disorders by country, sex, age, and year: findings from the global burden of disease study 2010. PLoS Med 10:e1001547
Kessler RC, Akiskal HS, Ames M et al (2006) Prevalence and effects of mood disorders on work performance in a nationally representative sample of US workers. Am J Psychiatry 163:1561–1568
Patten SB (2005) An analysis of data from two general health surveys found that increased incidence and duration contributed to elevated prevalence of major depression in persons with chronic medical conditions. J Clin Epidemiol 58:184–189
Kemp AH, Quintana DS, Gray MA et al (2010) Impact of depression and antidepressant treatment on heart rate variability: a review and meta-analysis. Biol Psychiatry 67:1067–1074
Kunik ME, Roundy K, Veazey C et al (2005) Surprisingly high prevalence of anxiety and depression in chronic breathing disorders. Chest 127:1205–1211
Bisschop MI, Kriegsman DMW, Deeg DJH et al (2004) The longitudinal relation between chronic diseases and depression in older persons in the community: the Longitudinal Aging Study Amsterdam. J Clin Epidemiol 57:187–194
Riso LP, Miyatake RK, Thase ME (2002) The search for determinants of chronic depression: a review of six factors. J Affect Disord 70:103–115
Lorant V, Deliège D, Eaton W et al (2003) Socioeconomic inequalities in depression: a meta-analysis. Am J Epidemiol 157:98–112
Blair A, Ross NA, Gariepy G, Schmitz N (2014) How do neighborhoods affect depression outcomes? A realist review and a call for the examination of causal pathways. Soc Psychiatry Psychiatr Epidemiol 49:873–887. https://doi.org/10.1007/s00127-013-0810-z
Latkin CA, Curry AD (2003) Stressful neighborhoods and depression: a prospective study of the impact of neighborhood disorder. J Heal Soc Behav 44:34–44
Matheson FI, Moineddin R, Dunn JR et al (2006) Urban neighborhoods, chronic stress, gender and depression. Soc Sci Med 63:2604–2616. https://doi.org/10.1016/j.socscimed.2006.07.001
Miles R, Coutts C, Mohamadi A (2012) Neighborhood urban form, social environment, and depression. J Urban Heal 89:1–18. https://doi.org/10.1007/s11524-011-9621-2
Vega WA, Ang A, Rodriguez MA, Finch BK (2011) Neighborhood protective effects on depression in Latinos. Am J Community Psychol 47:114–126. https://doi.org/10.1007/s10464-010-9370-5
Richardson R, Westley T, Gariépy G et al (2015) Neighborhood socioeconomic conditions and depression: a systematic review and meta-analysis. Soc Psychiatry Psychiatr Epidemiol 50:1641–1656. https://doi.org/10.1007/s00127-015-1092-4
Sampson RJ, Raudenbush SW (1999) Systematic social observation of public spaces: a new look at disorder in urban neighborhoods. Am J Sociol 105:603–651
Beck AT, Weissman A, Lester D, Trexler L (1974) The measurement of pessimism: the hopelessness scale. J Consult Clin Psychol 42:861–865
Blackburn IM, Eunson KM (1989) A content analysis of thoughts and emotions elicited from depressed patients during cognitive therapy. Br J Med Psychol 62(Pt 1):23–33
Crane MK, Bogner HR, Brown GK, Gallo JJ (2007) The link between depressive symptoms, negative cognitive bias and memory complaints in older adults. Aging Ment Health 11:708–715. https://doi.org/10.1080/13607860701368497
Mujahid MS, Diez Roux AV, Morenoff JD, Raghunathan T (2007) Assessing the measurement properties of neighborhood scales: from psychometrics to ecometrics. Am J Epidemiol 165:858–867
Diez Roux A-V (2007) Neighborhoods and health: where are we and were do we go from here? Rev Epidemiol Sante Publique 55:13–21
Stafford MAI, Mcmunn A, De Vogli R (2011) Neighbourhood social environment and depressive symptoms in mid-life and beyond. Ageing Soc 31:893–910
Ellaway A, Macintyre S, Kearns A (2001) Perceptions of place and health in socially contrasting neighbourhoods. Urban Stud 38:2299–2316
Kim J (2010) Neighborhood disadvantage and mental health: the role of neighborhood disorder and social relationships. Soc Sci Res 39:260–271
Phongsavan P, Chey T, Bauman A et al (2006) Social capital, socio-economic status and psychological distress among Australian adults. Soc Sci Med 63:2546–2561
Ahern J, Galea S (2011) Collective efficacy and major depression in urban neighborhoods. Am J Epidemiol 173:1453–1462. https://doi.org/10.1093/aje/kwr030
Curry A, Latkin C, Davey-Rothwell M (2008) Pathways to depression: the impact of neighborhood violent crime on inner-city residents in Baltimore, Maryland, USA. Soc Sci Med 67:23–30
Lofors J, Sundquist K (2007) Low-linking social capital as a predictor of mental disorders: a cohort study of 4.5 million Swedes. Soc Sci Med 64:21–34
Echeverría S, Diez-Roux AV, Shea S et al (2008) Associations of neighborhood problems and neighborhood social cohesion with mental health and health behaviors: the Multi-Ethnic Study of Atherosclerosis. Health Place 14:853–865
Wight RG, Cummings JR, Karlamangla AS, Aneshensel CS (2009) Urban neighborhood context and change in depressive symptoms in late life. J Gerontol Ser B 64:247–251
Harpham T, Grant E, Rodriguez C (2004) Mental health and social capital in Cali, Colombia. Soc Sci Med 58:2267–2277
Raudenbush SW, Sampson RJ (1999) Ecometrics: toward a science of assessing ecological settings, with application to the systematic social observation of neighborhoods. Sociol Methodol 29:1–41
Beyer KMM, Kaltenbach A, Szabo A et al (2014) Exposure to neighborhood green space and mental health: evidence from the survey of the health of Wisconsin. Int J Environ Res Public Heal 11:3453–3472. https://doi.org/10.3390/ijerph110303453
Cutrona CE, Wallace G, Wesner KA (2006) Neighborhood characteristics and depression: an examination of stress processes. Curr Dir Psychol Sci 15:188–192. https://doi.org/10.1111/j.1467-8721.2006.00433.x
Sallis JF, Saelens BE, Frank LD et al (2009) Neighborhood built environment and income: examining multiple health outcomes. Soc Sci Med 68:1285–1293. https://doi.org/10.1016/j.socscimed.2009.01.017
Galea S, Ahern J, Rudenstine S et al (2005) Urban built environment and depression: a multilevel analysis. J Epidemiol Community Heal 59:822–827. https://doi.org/10.1136/jech.2005.033084
Schootman M, Andresen EM, Wolinsky FD et al (2007) Neighbourhood environment and the incidence of depressive symptoms among middle-aged African Americans. J Epidemiol Community Heal 61:527–532
Araya R, Dunstan F, Playle R et al (2006) Perceptions of social capital and the built environment and mental health. Soc Sci Med 62:3072–3083
Statistics Canada (2011) 2011 Census, Census subdivision of Toronto. In: Focus Geogr. Ser. https://www12.statcan.gc.ca/census-recensement/2011/as-sa/fogs-spg/Facts-csd-eng.cfm?Lang=eng&GK=CSD&GC=3520005. Accessed 10 Mar 2019
O’Campo P, Wheaton B, Nisenbaum R et al (2015) The Neighbourhood Effects on Health and Well-being (NEHW) study. Health Place 31:65–74
Fisher L, Skaff MM, Mullan JT et al (2007) Clinical depression versus distress among patients with type 2 diabetes: not just a question of semantics. Diabetes Care 30:542–548. https://doi.org/10.2337/dc06-1614
Kessler RC, Andrews G, Mroczek D et al (1998) The world health organization composite international diagnostic interview short-form (cidi-sf). Int J Methods Psychiatr Res 7:171–185
Ross CE, Mirowsky J (1999) Disorder and decay: the concept and measurement of perceived neighborhood disorder. Urb Aff Rev 34:412–432. https://doi.org/10.1177/107808749903400304
Ross CE (2000) Neighborhood disadvantage and adult depression. J Health Soc Behav 41:177. https://doi.org/10.2307/2676304
Sampson RJ (2012) Great American city: Chicago and the enduring neighborhood effect. The University of Chicago Press, Chicago
Carver A, Timperio A, Crawford D (2008) Playing it safe: the influence of neighbourhood safety on children’s physical activity—a review. Health Place 14:217–227. https://doi.org/10.1016/j.healthplace.2007.06.004
Narayan-Parker D (1999) Bonds and bridges: Social capital and poverty. World Bank Publications
Szreter S, Woolcock M (2004) Health by association? Social capital, social theory, and the political economy of public health. Int J Epidemiol 33:650–667
Sampson RJ, Raudenbush SW, Earls F (1997) Neighborhoods and violent crime: a multilevel study of collective efficacy. Science (80-) 277:918–924. https://doi.org/10.1126/science.277.5328.918
O’Campo P, Wheaton B, Nisenbaum R et al (2015) The Neighbourhood Effects on Health and Well-being (NEHW) study. Heal Place 31:65–74. https://doi.org/10.1016/j.healthplace.2014.11.001
De Silva MJ, Huttly SR, Harpham T, Kenward MG (2007) Social capital and mental health: a comparative analysis of four low income countries. Soc Sci Med 64:5–20
Grootaert C (2003) Measuring social capital: an integrated questionnaire. World Bank, Washington, DC
Salk RH, Hyde JS, Abramson LY (2017) Gender differences in depression in representative national samples: meta-analyses of diagnoses and symptoms. Psychol Bull 143:783–822. https://doi.org/10.1037/bul0000102
Bulloch AGM, Williams JVA, Lavorato DH, Patten SB (2017) The depression and marital status relationship is modified by both age and gender. J Affect Disord 223:65–68. https://doi.org/10.1016/j.jad.2017.06.007
Inaba A, Thoits PA, Ueno K et al (2005) Depression in the United States and Japan: gender, marital status, and SES patterns. Soc Sci Med 61:2280–2292. https://doi.org/10.1016/j.socscimed.2005.07.014
Lohr S (1999) Sampling: design and analysis. Duxbury, Pacific Grove
Chum A, Farrell E, Vaivada T et al (2015) The effect of food environments on fruit and vegetable intake as modified by time spent at home: a cross-sectional study. BMJ Open 5:e006200
Chum A, Campo P, Matheson F (2015) The impact of urban land uses on sleep duration and sleep problems. Can Geogr/Le Géographe Can 59:404–418. https://doi.org/10.1111/cag.12202
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This study was funded by Canadian Institutes of Health Research Grant MOP-84439 and the Social Science and Humanities Research Council Grant 410-2007-1499.
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Supplementary material 1 (DOCX 19 kb) Funding: This study was funded by Canadian Institutes of Health Research Grant MOP-84439 and the Social Science and Humanities Research Council Grant 410-2007-1499.
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Chum, A., O’Campo, P., Lachaud, J. et al. Evaluating same-source bias in the association between neighbourhood characteristics and depression in a community sample from Toronto, Canada. Soc Psychiatry Psychiatr Epidemiol 54, 1177–1187 (2019). https://doi.org/10.1007/s00127-019-01718-6
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DOI: https://doi.org/10.1007/s00127-019-01718-6