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Research has begun to document the impact of COVID-19, and corresponding restrictions associated with the pandemic, to several unintended consequences including increased rates of family violence. Given these findings, there have been calls for research to understand predictors of family violence, and how such predictors may shift during differing periods of the pandemic. Rooted in the family stress model and social disorganization theory, this study used call for service data from two police departments located in the Midwest of the United States, to examine whether the relationship between sociostructural indices on the number of family violence incidents varied in the times before, during, and after COVID-19 Safer-at-Home orders. Based on a series of negative binomial regression models, results show that the association between neighborhood (i.e., Census block group) concentrated poverty, the percentage of the population between 15 and 24 years of age, and the percentage of the population that identify as male on family violence was amplified during and/or after the adoption of the Safer-at-Home order. Results also indicated that the Safer-at-Home order eradicated the once significant effect of residential mobility and family violence incidents. Lastly, although neighborhoods located within the more populous and metropolitan city experienced fewer family violence incidents, compared to the mixed rural-suburban city, the gap in the number of incidents per neighborhood decreased in the times following the enactment of the Safer-at-Home order. Based on these findings, proactive and reactive policies regarding resource dissemination and increasing neighboring activities are discussed. [ABSTRACT FROM AUTHOR]

This study identified risk, promotive, and protective factors for handgun carriage among 265 primarily African American adolescents (M age = 14.3) living in low-income urban areas. Community-based violent victimization and witnessing violence and in-person and cyber forms of peer victimization increased the probability of handgun carriage. Community collective efficacy, including caregiver-reported social connectedness and informal social control, and community developmental strengths/supports, including youth-reported community recognition for prosocial involvement and community developmental assets, moderated relations between both violent victimization and witnessing violence and handgun carriage. School developmental strengths/supports, including school developmental assets and family prosocial involvement in school, moderated relations between in-person and cyber victimization and handgun carriage. Family developmental strengths/supports, including family developmental assets and family recognition and opportunities for prosocial involvement, were associated with lower odds of handgun carriage. Study findings revealed distinct protective factors related to community violence exposure or peer victimization that can inform youth violence prevention efforts. [ABSTRACT FROM AUTHOR]

Abstract Background Neighborhood factors of social isolation have been understudied, hindering efforts to reduce social isolation at the neighborhood level. This study aims to investigate the longitudinal effects of neighborhood social cohesion and physical disorder on social isolation in community-dwelling older adults, as well as to examine whether race/ethnicity moderates the neighborhood-isolation relationship. Methods We used 11-year data from the National Health and Aging Trend Study, a longitudinal national study of Medicare beneficiaries aged 65 and older. Social isolation was measured through a summary score across four domains: marital/partner status, family and friend contact, religious attendance, and club participation. A series of weighted mixed-effects logistic regression models were performed to test the study aims. Sample sizes ranged from 7,303 to 7,291 across individual domains of social isolation. Results Approximately 20% of participants reported social isolation. Findings indicated a negative association between neighborhood social cohesion and social isolation. Higher levels of neighborhood social cohesion were longitudinally associated with lower odds of social isolation (odds ratio [OR] = 0.52, 95% CI: 0.47–0.58). Yet, the presence of neighborhood physical disorder was associated with an increased risk of overall social isolation ([OR] = 1.2, 95% CI: 1.00, 1.44). Race/ethnicity significantly moderated the effects of neighborhood social cohesion and physical disorder on social isolation. The odds of no in-person visits associated with neighborhood social cohesion are smaller among Black adults compared to White adults. Black adults had constantly lower odds of isolation from religious attendance compared to White adults regardless of the level of neighborhood social cohesion. Hispanic adults had decreased odds of having no friends associated with signs of physical disorder, while no associations were found among older White adults. White adults had higher odds of isolation from in-person visits when living in neighborhoods with signs of physical disorder, whereas no association was observed among older Black and Hispanic adults. Conclusions This study elucidates the role of neighborhood characteristics in shaping social isolation dynamics among older adults. Furthermore, the observed moderation effects of race/ethnicity suggest the need for culturally sensitive interventions tailored to address social isolation within specific neighborhood and racial contexts.

Abstract Introduction Quality of life (QoL) is a subjective measure reflecting individuals’ evaluations based on their personal goals and values. While global research shows the role of neighborhood factors like ethnic diversity and socio-cultural dynamics on QoL, these are unexplored in the Nepali context. Therefore, this study examined the relationship between neighborhood environment and QoL among Nepali older adults in eastern Nepal. Methods This cross-sectional study involved 847 non-institutionalized older adults (aged ≥ 60 years) from two districts in eastern Nepal. QoL was evaluated using the 13-item brief Older People’s Quality of Life questionnaire, where a mean score of

Background: Neighborhood factors of social isolation have been understudied, hindering efforts to reduce social isolation at the neighborhood level. This study aims to investigate the longitudinal effects of neighborhood social cohesion and physical disorder on social isolation in community-dwelling older adults, as well as to examine whether race/ethnicity moderates the neighborhood-isolation relationship. Methods: We used 11-year data from the National Health and Aging Trend Study, a longitudinal national study of Medicare beneficiaries aged 65 and older. Social isolation was measured through a summary score across four domains: marital/partner status, family and friend contact, religious attendance, and club participation. A series of weighted mixed-effects logistic regression models were performed to test the study aims. Sample sizes ranged from 7,303 to 7,291 across individual domains of social isolation. Results: Approximately 20% of participants reported social isolation. Findings indicated a negative association between neighborhood social cohesion and social isolation. Higher levels of neighborhood social cohesion were longitudinally associated with lower odds of social isolation (odds ratio [OR] = 0.52, 95% CI: 0.47–0.58). Yet, the presence of neighborhood physical disorder was associated with an increased risk of overall social isolation ([OR] = 1.2, 95% CI: 1.00, 1.44). Race/ethnicity significantly moderated the effects of neighborhood social cohesion and physical disorder on social isolation. The odds of no in-person visits associated with neighborhood social cohesion are smaller among Black adults compared to White adults. Black adults had constantly lower odds of isolation from religious attendance compared to White adults regardless of the level of neighborhood social cohesion. Hispanic adults had decreased odds of having no friends associated with signs of physical disorder, while no associations were found among older White adults. White adults had higher odds of isolation from in-person visits when living in neighborhoods with signs of physical disorder, whereas no association was observed among older Black and Hispanic adults. Conclusions: This study elucidates the role of neighborhood characteristics in shaping social isolation dynamics among older adults. Furthermore, the observed moderation effects of race/ethnicity suggest the need for culturally sensitive interventions tailored to address social isolation within specific neighborhood and racial contexts. [ABSTRACT FROM AUTHOR]

Introduction: Quality of life (QoL) is a subjective measure reflecting individuals' evaluations based on their personal goals and values. While global research shows the role of neighborhood factors like ethnic diversity and socio-cultural dynamics on QoL, these are unexplored in the Nepali context. Therefore, this study examined the relationship between neighborhood environment and QoL among Nepali older adults in eastern Nepal. Methods: This cross-sectional study involved 847 non-institutionalized older adults (aged ≥ 60 years) from two districts in eastern Nepal. QoL was evaluated using the 13-item brief Older People's Quality of Life questionnaire, where a mean score of < 3 indicated low/poor QoL. The neighborhood environment, conceptualized across three domains (demographic, socio-cultural, and built environment), included ethnic diversity, connections with family, friends, and neighbors, cultural ties, residential stability, and rurality. Their association with QoL was examined using multivariable logistic regression. Results: Around 20% of older adults reported poor QoL. Higher ethnic diversity (adjusted Odds Ratio [aOR] = 0.12, 95% confidence interval [CI]: 0.04–0.36), moderate contact with family and relatives (aOR = 0.26, CI: 0.11–0.61), and high contact with neighbors (aOR = 0.09, CI: 0.03–0.21) were associated with lower odds of poor QoL. Conversely, high contact with friends (aOR = 2.29, CI: 1.30–4.04) and unstable residence (OR = 6.25, CI: 2.03–19.23) increased the odds of poor QoL. Additionally, among the covariates, chronic disease, tobacco use, unemployment, and lack of education were also significantly associated with poor QoL. Conclusion: Overall, the demographic environment, socio-cultural factors, and the built environment of the neighborhood influence QoL. Therefore, diversifying the neighborhood's ethnic composition, promoting social connections such as frequent contact with family, relatives, and neighbors, and ensuring residential stability can enhance the QoL of older adults. [ABSTRACT FROM AUTHOR]

Individual characteristics of neighborhood context, like concentrated socioeconomic disadvantage, are associated with children's cognitive development, including their academic skill development and executive functions. However, questions remain regarding how neighborhood structural, process, and physical features uniquely predict children's cognitive skills when measuring neighborhoods more holistically. Exploiting within-child changes in neighborhood conditions over time in a nationally representative sample of children followed from kindergarten through fifth grade (N ≈ 13,550), this study examined unique associations between structural (i.e., concentrated disadvantage), process (i.e., violent crime, learning resources, and aspects of school quality), and physical (i.e., green space and pollution) characteristics of neighborhoods and children's achievement skills and executive functions. Fixed-effects models demonstrated that increases in neighborhood violent crime and pollution predicted decreases in children's reading and math skills, while increases in neighborhood school quality, learning resources, and green space predicted increases in reading and math. Children's executive functions were better when neighborhood pollution was lower and when school quality was better. Our results suggest that improving neighborhood structure, processes, and physical conditions may foster children's cognitive skill development, especially academic achievement. Educational Impact and Implications Statement: This study documented how neighborhood structural, process, and physical characteristics related to change in children's academic and executive function skills from kindergarten through fifth grade. Specifically, utilizing a representative sample of U.S. elementary school students and rigorous analytic methods that reduce selection bias, we found that increased pollution and violent crime related to declines in academic skills while more learning resources, green space, and higher school-level average achievement related to better academic skills. Executive functions were less mutable by neighborhood conditions; only pollution and school quality predicted children's executive functions (negatively and positively, respectively). [ABSTRACT FROM AUTHOR]

INTRODUCTION: Neighborhood socioeconomic status (SES) has been linked to dementia, but the distribution of SES within a neighborhood may also matter. METHODS: Data from 460 (47% Black, 46% White) older adults from the Michigan Cognitive Aging Project were linked to census tract–level data from the National Neighborhood Data Archive (NaNDA). Neighborhood SES included two composites reflecting disadvantage and affluence. Neighborhood racial income inequality was the ratio of median incomes for White versus Black residents. Generalized estimating equations examined associations between neighborhood factors and cognitive domains. RESULTS: Neighborhood racial income inequality was uniquely associated with worse cognitive health, and these associations did not differ by participant race. Neighborhood disadvantage was only associated with worse cognitive health among Black participants. DISCUSSION: Both the level and racial distribution of SES within a neighborhood may be relevant for dementia risk. Racial differences in the level and impact of neighborhood SES contribute to dementia inequalities. Highlights: Black participants lived in neighborhoods with lower socioeconomic status (SES) than White participants, on average.Neighborhood SES and racial income inequality were associated with worse cognition.Effects of neighborhood racial income inequality did not differ across racial groups.Effects of neighborhood SES were only evident among Black participants. [ABSTRACT FROM AUTHOR]

Background: Youth experiencing socioeconomic deprivation may be exposed to disadvantage in multiple contexts (e.g., neighborhood, family, and school). To date, however, we know little about the underlying structure of socioeconomic disadvantage, including whether the 'active ingredients' driving its robust effects are specific to one context (e.g., neighborhood) or whether the various contexts increment one another as predictors of youth outcomes. Methods: The present study addressed this gap by examining the underlying structure of socioeconomic disadvantage across neighborhoods, families, and schools, as well as whether the various forms of disadvantage jointly predicted youth psychopathology and cognitive performance. Participants were 1,030 school-aged twin pairs from a subsample of the Michigan State University Twin Registry enriched for neighborhood disadvantage. Results: Two correlated factors underlay the indicators of disadvantage. Proximal disadvantage comprised familial indicators, whereas contextual disadvantage represented deprivation in the broader school and neighborhood contexts. Results from exhaustive modeling analyses indicated that proximal and contextual disadvantage incremented one another as predictors of childhood externalizing problems, disordered eating, and reading difficulties, but not internalizing symptoms. Conclusions: Disadvantage within the family and disadvantage in the broader context, respectively, appear to represent distinct constructs with additive influence, carrying unique implications for multiple behavioral outcomes during middle childhood. [ABSTRACT FROM AUTHOR]

This study explored the economic, social, and spatial correlates of treatment prevalence, retention, and service utilization for substance use disorder (SUD) in South Sardinia. Data from 1,667 patients with an ICD-10 diagnosis of SUD were extracted from the medical records of individuals assisted by three public addiction services in 2019. We used a spatial autoregressive model, a parametric proportional hazard model, and Poisson regression to examine the associations of spatial factors and residents' socioeconomic status with the prevalence of treatment at the census block level, treatment retention, and SUD service utilization at the individual level. The prevalence was higher among residents of areas closer to competent treatment centers, with the worst building conservation status, a lower percentage of high school and university graduates, and a higher percentage of unemployed, divorced, separated, or widowed residents. Men who were older at the time of their first treatment access; primary users of cocaine, cannabis, and alcohol; had higher education level; and who lived far from competent treatment centers and closer to drug trafficking centers interrupted their treatment earlier. Primary heroin users experienced more SUD treatment encounters. Living in economically and socially disadvantaged areas and near treatment facilities was associated with a higher prevalence, whereas living near drug-dealing centers and far from competent treatment centers was associated with a decrease in treatment retention. [ABSTRACT FROM AUTHOR]

Focusing on older African Americans, this study aims to (1) identify 9-year trajectories of depressive symptoms, (2) examine the association between baseline neighborhood characteristics (i.e., social cohesion and physical disadvantage) and trajectories of depressive symptoms, and (3) test whether the effects of neighborhood characteristics on depressive symptoms trajectories differ by gender. Data came from the National Health and Aging Trend Study. Older African Americans at baseline were selected (N = 1662) and followed up for eight rounds. Depressive symptom trajectories were estimated using group-based trajectory modeling. Weighted multinomial logistic regressions were conducted. Three trajectories of depressive symptoms were identified: "persistently low," "moderate and increasing," and "high and decreasing" (Objective 1). Objective 2 and 3 were partially supported. Specifically, high perceived neighborhood social cohesion was associated with a lower relative risk of being on the "moderate and increasing" versus the "persistently low" trajectory (RRR = 0.64, p < 0.01). The association between neighborhood physical disadvantage and depressive symptom trajectories was stronger among older African American men compared to women. High levels of neighborhood social cohesion may protect against increasing depressive symptoms in older African Americans. Compared to women, older African American men may be more vulnerable to negative mental health effects of neighborhood physical disadvantage. [ABSTRACT FROM AUTHOR]

Violence is a major public health concern that particularly impacts Black young adults living in under-resourced, urban communities. There is limited research on promotive and protective factors that mitigate the impact of violence exposure on aggressive behavior. This study aims to address this gap by exploring positive factors across the ecological model in a sample of 141 predominantly Black young adults ages 18 to 22 years living in low-income communities. Regression analyses indicated that generally factors at the individual/peer and family level were more likely to be promotive. Additionally, nine significant interactions found in the moderation analyses highlighted a complex relation between ecological protective factors and aggressive behaviors for these young adults. Implications for future empirical work are discussed. [ABSTRACT FROM AUTHOR]

The study examines if African American adolescents' academic self-esteem moderates relations between negative youth experiences and academic achievement. Grounded in a PVEST perspective, the study collected responses from 364 Black adolescents (69% girls) in a southern, urban city. The primary finding in the study confirmed the hypothesis that students who report more negative youth experiences would also report lesser achievement and that negative relations would be buffered by the presence of Academic Self-Esteem. The study also outlines sex differences as Black males appear to be more vulnerable to negative youth experiences. Despite reporting more encounters with neighborhood-based discrimination, Black males appear to benefit academically when negative experiences are coupled with high academic self-esteem. The highest achievement in our sample was reported by students with high academic self-esteem who also reported higher instances of negative youth experiences. Intervention efforts and suggestions for future directions are discussed. [ABSTRACT FROM AUTHOR]

Syrian nationals are not only the largest refugee group in Germany but also the third largest group of foreigners living in Germany. The naturalization trend among this group has been very pronounced in the last two years and is expected to increase sharply in the coming years. However, little is known about their political interest in German politics.1 Given the importance of “political interest” as an indicator of social integration and future active citizenship, this paper examines the extent to which Syrian refugees are interested in German politics and how local conditions at the time of arrival influence refugees' interest in German politics. We focus on three dimensions of the neighborhood context theory (social networks, economic situation, and political environment) in combination with traditional political participation theory. The empirical strategy relies on the exogenous allocation of refugees across federal states, which can be used to identify the effect of local characteristics on refugees' political interest. We use in our analysis a nationally representative sample in Germany (IAB-BAMF-SOEP-Refugee-Sample). Our findings suggest that ethnic social networks play a significant role in boosting newly arrived refugees' interest in German politics. Moreover, a higher unemployment rate among the foreign population is associated with an increase in political interest among Syrian refugees. We also confirm that a high political interest among the native population in Germany leads to a higher political interest among Syrian refugees. These results show that more attention needs to be paid to the integration of Syrian refugees and underline the need to reassess the efficiency of the distribution policy for Syrian refugees.

Exposure to community adversities and violence can be associated with a cascade of neurocognitive, mental health, and behavioral challenges among urban adolescents. Influenced by the bio-ecological framework, this study examines if problems with executive functioning (EF) exacerbate the relation between exposure to community adversity and violence and internalizing symptoms (e.g., depression, anxiety, and somatic symptoms) and externalizing behaviors (e.g., hyperactivity and attention problems) for males and females. Participants included 300 primarily African American and Latine adolescents (M age = 15.42, SD = 1.21; 51% female) who reside in 30 census tracts from urban neighborhoods historically and systematically divested from, located on the West and South sides of Chicago. Pending the radical reconfiguration of power, systems, and community to fundamentally challenge the systemic policies and processes that contribute to these adverse experiences, findings from this study provide important implications for clinical practice and school-based interventions that could support adolescents' psychological, behavioral, and emotional needs. [ABSTRACT FROM AUTHOR]

This article examines neighborhood-level factors to help explain why adolescent birth rate trajectories differ in certain communities in California, with rates in some areas remaining elevated or increasing while rates in other areas with similar demographic characteristics declined. Researchers conducted in-depth interviews with 94 community stakeholders and 22 focus groups with 186 adolescents from five “promising” communities (with declining adolescent birth rates) and five “struggling” communities (persistently elevated or increasing rates). Promising communities had more employment prospects, better neighbor interactions, and greater educational opportunities for youth. Parent–child communication around sex and youth knowledge of clinics were also more common. In contrast, struggling communities tended to have higher perceived levels of crime and poverty and more negative attitudes toward youth. These findings illustrate the complexity of factors that influence adolescents’ lives and decision-making. Synergistic community-based approaches to adolescent health and development are critical to promote positive health outcomes.

Objectives: This study investigated the role of patients' neighborhood socioeconomic status (SES) on the relationship between home health agency (HHA) care quality and health outcomes among home health care patients., Design: Retrospective cohort study., Setting and Participants: We mainly used 2019 Outcome and Assessment Information Set data, Area Deprivation Index, and Quality of Patient Care Star Rating. We included Medicare beneficiaries (aged ≥ 65 years) who received home health care., Methods: We used linear probability regression models to examine whether patients' neighborhood SES moderates the association between care quality of HHAs and health outcomes for 1,657,133 home health care patients., Results: Our findings show that patients in neighborhoods with lower SES were more likely to use low-quality HHAs (lease disadvantaged neighborhoods: 11%, most disadvantaged neighborhoods: 15.2%). Our main model, adjusted by patient- and HHA-level characteristics, reveals patients living in socioeconomically disadvantaged neighborhoods (less disadvantaged: coefficient: -0.017, P < .001; more disadvantaged: coefficient: -0.035, P < .001; most disadvantaged: coefficient: -0.06, P < .001) and receiving care from low-quality HHAs (average-quality HHAs: coefficient: 0.037, P < .001; high-quality HHAs: coefficient: 0.062, P < .001) were less likely to remain in the community during their home health care. Furthermore, our study highlights that patients in the most disadvantaged neighborhoods encounter additional challenges in remaining at their homes and communities when they use low-quality HHAs., Conclusions and Implications: These findings highlight the need for targeted interventions and policy initiatives aimed at addressing disparities in care quality based on neighborhood SES. Efforts directed at enhancing the quality of care provided by HHAs and access to high-quality HHAs in socioeconomically disadvantaged neighborhoods could substantially impact health equity and outcomes for individuals in these settings., Competing Interests: Disclosure The authors declare no conflicts of interest., (Copyright © 2024 Post-Acute and Long-Term Care Medical Association. Published by Elsevier Inc. All rights reserved.)

Objective: Previous empirical research on pubertal development among Black boys is limited. The present study examined the ethnic-racial composition of neighborhoods as a moderator in the relation between pubertal indicators and depressive symptoms among a nationally representative sample of African American and Caribbean Black boys. Method: The present study utilized the male sample (N = 559) from the National Survey of American Life Adolescent sample (Jackson et al., 2004). The sample consists of 395 African American and 164 Caribbean Black boys ages 13-17 years who completed measures of relative pubertal timing, voice changes, pubic hair growth, and depressive symptoms. Results: The results indicate that Black boys with early developing hair growth who lived in neighborhoods with higher percentages of Black residents had higher depressive symptoms compared to their early developing counterparts in neighborhoods with fewer Black residents. African American males with early developing hair growth had higher depressive symptoms compared to Caribbean Black males with early developing hair growth regardless of neighborhood context. Conclusion: Early pubertal timing is a risk for African American boys' mental health regardless of neighborhood context. [ABSTRACT FROM AUTHOR]

Although interpersonal communication is a defining feature of committed relationships, the quality of couple communication has not proven to be a straightforward cause of relationship quality. At the same time, emerging models argue that external circumstances likely combine with communication to generate changes in relationship quality. We integrate these 2 ideas by proposing that communication does exert effects on changes in relationship quality, but primarily when couples encounter challenging situations that require an adaptive response. In the present study we examine residential moves to different neighborhoods as one such adaptive challenge. We conducted a longitudinal study of 414 newlywed couples to examine whether observed communication moderates the effect of moving to higher- or lower-income neighborhoods on changes in relationship quality. Results indicate that communication exerts no main effects on relationship quality. Consistent with the proposed model, however, wives who displayed less positive, less effective, and more negative behaviors experienced greater decreases in relationship quality, but only when couples moved to substantially higher-income neighborhoods. Because communication may not affect relationship quality until couples encounter qualitatively new demands, strengthening relationships may pivot less on improving communication skills and more on ensuring that couples' circumstances do not overwhelm the skills that they already possess. (PsycINFO Database Record

Purpose: In the United States, Black females are burdened by more aggressive subtypes and increased mortality from breast cancer compared to non-Hispanic (NH) White females. Institutional racism may contribute to these inequities. We aimed to characterize the association between home mortgage discrimination, a novel measure of institutional racism, and incidence of Luminal A and triple-negative breast cancer (TNBC) subtypes among NH Black and NH White females in California metropolitan areas. Methods: We merged data from the California Cancer Registry on females aged 20 + diagnosed with primary invasive breast cancer between 2006 and 2015 with a census tract-level index of home mortgage lending bias measuring the odds of mortgage loan denial for Black versus White applicants, generated from the 2007–2013 Home Mortgage Disclosure Act database. Poisson regression estimated cross-sectional associations of census tract-level racial bias in mortgage lending with race/ethnicity- and Luminal A and TNBC-specific incidence rate ratios, adjusting for neighborhood confounders. Results: We identified n = 102,853 cases of Luminal A and n = 15,528 cases of TNBC over the study period. Compared to NH Whites, NH Black females had higher rates of TNBC, lower rates of Luminal A breast cancer, and lived in census tracts with less racial bias in home mortgage lending. There was no evidence of association between neighborhood racial bias in mortgage lending at the time of diagnosis and either subtype among either racial/ethnic group. Conclusion: Future research should incorporate residential history data with measures of institutional racism to improve estimation and inform policy interventions. [ABSTRACT FROM AUTHOR]

Asian Americans are the fastest growing and fastest aging U.S. population, and occupy both extremes of socioeconomic and health indices. Using the 2016 NYCgov dataset, multilevel logistic regression analyses were conducted to examine the relationship of poverty, acculturation and neighborhood-level variables with disability for different ethnic groups of Asian older adults (Chinese, South Asian, Filipino, Japanese, Korean and Vietnamese) in New York City. Findings indicated that South Asian older adults had higher odds for disability compared to other ethnic groups. Living in a neighborhood with higher percentages of persons of the same ethnicity was protective for Chinese older adults only. There is an important opportunity for interprofessional collaborations through education, awareness, screening and intervening to enhance systems of care for Asian older adults. Social workers can play a pivotal role in providing key linkages to form interprofessional solutions and shared efforts to address the needs of this understudied and under-resourced population. Future research is needed to better understand how ethnic enclaves are defined, and how they can benefit different ethnic groups of vulnerable Asian older adults. [ABSTRACT FROM AUTHOR]

Introduction: Neighborhood socioeconomic status (SES) has been linked to dementia, but the distribution of SES within a neighborhood may also matter., Methods: Data from 460 (47% Black, 46% White) older adults from the Michigan Cognitive Aging Project were linked to census tract-level data from the National Neighborhood Data Archive (NaNDA). Neighborhood SES included two composites reflecting disadvantage and affluence. Neighborhood racial income inequality was the ratio of median incomes for White versus Black residents. Generalized estimating equations examined associations between neighborhood factors and cognitive domains., Results: Neighborhood racial income inequality was uniquely associated with worse cognitive health, and these associations did not differ by participant race. Neighborhood disadvantage was only associated with worse cognitive health among Black participants., Discussion: Both the level and racial distribution of SES within a neighborhood may be relevant for dementia risk. Racial differences in the level and impact of neighborhood SES contribute to dementia inequalities., Highlights: Black participants lived in neighborhoods with lower socioeconomic status (SES) than White participants, on average. Neighborhood SES and racial income inequality were associated with worse cognition. Effects of neighborhood racial income inequality did not differ across racial groups. Effects of neighborhood SES were only evident among Black participants., (© 2024 The Author(s). Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association.)

"Safe Passage" is an after‐school intervention program for disadvantaged youth in a medium‐sized city in southern California. Led by local law enforcement, as well as the city's recreation and park department, the program's goal is to combine community policing with after‐school care and tutoring to support children living in a large apartment complex with the highest rates of gang membership and crime in the city. This is an exploratory study that examines the perspectives of various stakeholders in the intervention program, including the community members, the local police, and Safe Passage staff members. Survey data from the community residents, program staff and law enforcement were collected. Findings indicate that there was some consensus across the various subpopulations on the challenges that have had the largest negative influence on youth in the community. The local police and the community members surveyed were also in agreement that police/community relations were largely positive. All stakeholders surveyed felt generally positive about the intervention program, but the community members were more skeptical of the program's ability to deter their children from trouble. Implications of our findings for the program and for future studies are discussed. [ABSTRACT FROM AUTHOR]

Adolescent health has a significant influence as individuals transition to adulthood and can have lifelong effects on well-being. In addition to well-established structural determinants of health such as racism and poverty, proximal determinants of adolescent health illuminate on the health effects of the daily circumstances of adolescents. Guided by the proximal determinants of adolescent health theory, we examined the association between adolescents' self-rated health and multiple domains of proximal determinants, including family relations, peer relationships, school environment, and neighborhood environment. Using data from the Fragile Families and Child Wellbeing Study, we analyzed 3,444 adolescents who were 14 to 15 years old. Results of ordered logistic regression analyses revealed significant associations between proximal determinants and adolescents' self-rated health even when taking into account all the domains simultaneously. This study highlights the importance of unraveling factors of multiple systems on adolescents' health and suggests implications for their subsequent transition to adulthood. [ABSTRACT FROM AUTHOR]

Despite their colossal size and importance in policing, China's auxiliary police forces have garnered very little research attention. This study attempts to fill our knowledge gap by first describing key features that distinguish the auxiliary police from the regular police in China and their counterparts in Western societies, followed by an empirical investigation of public attitudes toward the auxiliary police in China. Based on survey data collected from a coastal city in China, we reported the general patterns of people's evaluations of auxiliary officers and assessed whether variables representing institutional trust, media exposure, and neighborhood context are predictive of Chinese attitudes toward the auxiliary police. We found that Chinese citizens rated their local auxiliary officers very positively. Trust in the government and police and known negative reports about the auxiliary police are linked to Chinese' global satisfaction with the auxiliary police. Trust in the police, exposure to and belief in negative media reports about the auxiliary police, and perception of neighborhood collective efficacy are associated with people's specific attitudes toward auxiliary officers. Implications for future research and policy are discussed. [ABSTRACT FROM AUTHOR]

Late-stage breast cancer diagnosis is common for women of color even though cancer screening rates in this group have increased over time. Perceived medical discrimination from health care providers is a key culprit of this inconsistency, discouraging women of color from seeking out timely preventative care. Non-white neighborhoods offer social support structures that mitigate discrimination. However, it is not clear whether this mitigation applies to the chance women of color get timely mammograms. This study addresses that question, applying Hierarchical Linear Modeling methods onto the Public Health Management Corporation's 2006 and 2008 survey, as well as the 2005–2009 American Community Survey. Findings indicate that while neighborhood racial/ethnic composition does not directly reduce medical discrimination's association to screening, factors closely connected to place, like health care access, do have a mitigating influence on this association. Also, neighborhood racial/ethnic composition and social support have a positive direct relation with screening. [ABSTRACT FROM AUTHOR]

Although the Family Stress Model (FSM) has been widely tested, expanded conceptualizations of stressors, intervening mechanisms, and developmental outcomes from this perspective is becoming increasingly common in order to better explain the adolescent adjustment. Additionally, though extant research analyzes the utility of the FSM in African American and European–American samples, little is known about the representativeness of the FSM in Latino/a samples, and cross‐ethnoracial comparisons are scarce. The present study addresses these gaps by conducting cross‐ethnic comparisons in a modified FSM between African American, European–American, and U.S. Latino/a ethnoracial adolescents. Findings revealed that perceived neighborhood safety was indirectly associated with youth prosocial behavior through parent mental health symptoms and family conflict for African Americans, U.S. Latino/as, and European–Americans. Objective neighborhood risk predicted parent mental health symptoms but was not indirectly associated with youths' prosocial behavior. Results generally suggest that the FSM may adequately represent family processes across ethnoracial groups. The usefulness and practical implications of the FSM are discussed. [ABSTRACT FROM AUTHOR]

The effects of neighborhood context on sexual risk behavior are understudied, particularly for Black heterosexual men who do not inject drugs or report heavy drug use. Evidence of a generalized HIV epidemic (>1 %) among Black heterosexuals in low-income urban U.S. communities underscores the importance of examining the effects of neighborhood context on Black heterosexual men's sexual risk, however. We used structural equation modeling to test the pathways between neighborhood context (neighborhood disorder, personal violence, neighborhood threats), depression, substance use, and sexual risk behavior. Participants were 526 self-identified Black heterosexual men, ages 18-45, recruited via randomized venue-based probability sampling in Philadelphia, PA. Analyses of model fit statistics from Mplus indicated statistically significant direct pathways between neighborhood context, depression, substance use, and sexual risk behavior. The total indirect effect of neighborhood context on sexual risk behavior through substance use was also significant. The study's results highlight a need for more research on neighborhood context and sexual HIV risk, and for multilevel interventions to address the effects of negative neighborhood context on Black heterosexual men's sexual HIV risk.

Although research advocates for comprehensive cross-sector youth violence prevention efforts, mobilizing across sectors to translate scientific recommendations into practice has proven challenging. A unifying framework may provide a foundational step toward building a shared understanding of the risk and protective factors that impact youth violence. We conducted two empirical tests of the nurturing environment framework on youth violence across ethnic and geographically diverse rural and urban adolescent samples. Results show that overall the characteristics of nurturing environments are associated with lower levels of aggression and violence. In addition, minimizing exposure to socially toxic conditions had the strongest associations with lower aggression and violence. Findings were supported across both samples, suggesting that this framework may apply in urban and rural, economically disadvantaged contexts. [ABSTRACT FROM AUTHOR]

We consider the broad developments that have occurred over the past decade regarding our knowledge of how neighborhood context impacts intimate partner violence (IPV). Research has broadened the concept of "context" beyond structural features such as economic disadvantage, and extended into relationships among residents, collective "action" behaviors among residents, cultural and gender norms. Additionally, scholars have considered how the built environment might foster (or regulate) IPV. We now know more about the direct, indirect, and moderating ways that communities impact IPV. We encourage additional focus on the policy implications of the research findings. [ABSTRACT FROM AUTHOR]

Studies have begun to recognize the multilevel and complex nature of intimate partner violence. Yet, only a small number of studies have looked at the interactive relationship between proximal and community risk factors, including how childhood factors and neighborhood characteristics interact to shape partner violence outcomes. Through an ecological framework, the current study examines the direct and interactive effects of various types of childhood maltreatment and neighborhood context on intimate partner violence. Using data from the National Longitudinal Study of Adolescent to Adult Health, this research analyzes whether the effects of childhood victimization on partner violence vary across neighborhood context while considering the role of gender and examining differences in victimization and perpetration. Results from multilevel logistic regressions find that for women, higher levels of residential instability and racial/ethnic heterogeneity increase the effect of maltreatment on intimate partner violence. These effects vary across types of maltreatment and partner violence outcomes. The findings highlight the importance of considering community context in revictimization experiences. [ABSTRACT FROM AUTHOR]

We tackle the problem of estimating dense semantic correspondence between two images depicting different instances of the same category. In this paper, we consider semantic context and correspondence information from the neighborhood in order to overcome the drawback of previous works that estimate the correspondence of each pixel or patch independently. To this end, a novel network, called SANet, with a trainable spatial aggregation module is proposed, which is trained in an end-to-end manner and outputs semantic flow. We train this SANet by adopting two complementary loss terms: landmark loss, focusing on keypoints with ground truth, and consistency loss, applicable to all pixels without ground truth. Qualitative and quantitative experimental results demonstrate the improved network achieves a better balance between accuracy and smoothness comparing with the baseline and warps images with better visual quality. [ABSTRACT FROM AUTHOR]

We examined both main effects and cross-level effects of prior criminal justice contact on delinquency and violence. Using multilevel longitudinal data from the Project on Human Development on Chicago Neighborhoods (PHDCN, 1994–2001), this paper addresses a lack of clarity on the effect of police contact on delinquency and violence. We found that police contacts (three types) were associated with increases in delinquency and violence. These effects remained robust after controlling for individual‐level covariates such as low self‐control. Importantly, the effect of jail contact on the number of delinquent acts a youth engages in was stronger in neighborhoods with high levels of legal cynicism. Paradoxically, however, youths with prior police contacts were more delinquent when they lived in neighborhoods that had higher levels of satisfaction with police. Our study provides a more nuanced understanding of the correlation between police contact and future offending and offers insights into how neighborhood characteristics may worsen the effect of police contact, as well as the importance of dissecting types of contact with the justice system. The study offers policy implications for law enforcement. [ABSTRACT FROM AUTHOR]

In recent decades there has been an increasing interest in understanding the role of social and physical contexts in influencing health behaviors and outcomes. This is especially true for weight, which is considered to be highly dependent on environmental factors. The evidence linking neighborhood characteristics to weight in the United States, however, is mixed. Many studies in this area are hampered by cross sectional designs and a limited scope, insofar as they investigate only one dimension of neighborhood context. It is also unclear to what extent neighborhood characteristics account for racial/ethnic disparities in weight. Using longitudinal data from the Los Angeles Family and Neighborhood Survey (L.A. FANS), we compare patterns of weight change between Hispanics and other racial and ethnic groups in order to evaluate whether we observe a pattern of unhealthy assimilation in weight among Hispanic immigrants and to identify differences in the rate at which different groups gain weight over time. We also explore the extent to which patterns of weight change are related to a wider range of community characteristics. We find that weight increases across all groups between the two study waves of L.A. FANS and that the increases are significant except for Asians/Pacific Islanders. With respect to differences in the pace of weight change, second and higher generation Hispanic women and black men gain weight more rapidly than their first generation Hispanic counterparts. Although the evidence presented indicates that first generation Hispanics gain weight, we do not find evidence for convergence in weight since the U.S.-born gain weight at a more rapid rate. The inclusion of community-level variables does not alter the relationships between the race, ethnicity, and immigrant generation categories and weight change. Of the six types of community characteristics considered, only collective efficacy is consistently and significantly associated with weight change, although the protective effect of neighborhood collective efficacy is seen only among women.

Objectives Family members and friends who live nearby may be especially well-positioned to provide social support and companionship for community-residing older adults, but prior research has not examined the distribution and characteristics of local ties in older adults' networks. We hypothesize that local ties are newer, more frequently accessed, and more embedded in the network, and that social disadvantage and neighborhood conditions structure older adults' access to local ties. Methods We use egocentric network data from 15,137 alters named by 3,735 older adults in Wave 3 of the National Social Life, Health, and Aging Project (NSHAP). We conduct dyadic analysis to compare characteristics of local and nonlocal ties. Logistic regression models estimate how personal and neighborhood characteristics are associated with naming local kin and local non-kin ties. Results Nearly half of the older adults named at least one local network tie, and about 60% of these local ties are non-kin. Local ties are newer, frequently accessed, and highly embedded in older adults' networks. Local kin ties are most common among socially disadvantaged older adults. Local non-kin ties are most common among white older adults and those who live in areas with high levels of collective efficacy, although local non-kin ties are also associated with residence in high-poverty neighborhoods. Discussion Local ties may bring unique benefits for community-residing older adults, but their availability is likely structured by residential mobility, neighborhood context, disparities in resources, and support needs. Future research should consider their implications for health and well-being. [ABSTRACT FROM AUTHOR]

Parental choice of primary school is analyzed using the example of local education systems in two districts of Saint Petersburg. The empirical basis of the research is provided by the results of a survey of parents conducted in 34 schools (1,055 respondents). The following data is described and compared successively: whether parents make educational choices at all, whether they consider alternative options, what school characteristics they believe to be important, what sources of information they use, and what actions they take. The study explores how characteristics of choice are related to parental education and socioeconomic status as well as to the fact of selecting a school of a specific status. Insight is provided not only into how the desire of parents to analyze all possible school options and sources of information correlates with their educational and socioeconomic backgrounds in general but also how parental choice is affected by neighborhood structural characteristics (school diversity, proportion of higher-status schools). Districts with broader structural opportunities and a larger middle class demographic feature a variety of choice strategies, which is not observed in districts with limited structural opportunities even if they are socioeconomically heterogeneous.

When extralegal factors correlate with differences in bond amount and pretrial detention, justice may be compromised. Prior research has identified disparity related to defendant characteristics, such as income and race. This article offers insight into a less explored source of disparity, neighborhood context, and a particularly disadvantaged population, defendants, or pretrial detainees, unable to afford their bail in court and booked into a county jail. Considering the desire for community safety, the difficulty of predicting dangerousness and court attendance, and the impact of ecological factors on other court outcomes, it is hypothesized that neighborhood context heightens disparity in the pretrial process. Findings support this argument. Offense elements best predict bond amount; however, there exists disparity based on neighborhood characteristics. When assessing the same factors in relation to detention length, bond amount is not significant, but rather individual- and neighborhood-level characteristics. Implications are discussed in light of current bail reform efforts. [ABSTRACT FROM AUTHOR]

Objective: Individuals with serious mental illnesses are at risk of receiving inadequate outpatient mental health services, increasing the likelihood of medication nonadherence, readmission, and self-harm. The purpose of this study was to identify individual- and neighborhood-level factors associated with outpatient mental health visits.Methods: This study included 418 participants from two randomized trials of patients with comorbid medical conditions and serious mental illnesses across two study sites between 2011 and 2017. On the basis of individual addresses, data were collected about participants' distance to the nearest mental health facility and 13 neighborhood characteristics from the American Community Survey. Three neighborhood-level factors were derived from factor analysis. Poisson regression was used to assess associations between individual- and neighborhood-level characteristics and the number of visits to mental health providers. Known individual-level risk factors for outpatient follow-up were mutually adjusted in a model with neighborhood covariates added.Results: Male gender, older age, unemployment, and lower education level were associated with less outpatient mental health service utilization. Neighborhood-level residential mobility, defined as the combination of percentage of residents living in a different house in the past year and percentage of non-owner-occupied housing, was significantly associated with fewer mental health service visits even after controlling for other neighborhood- and individual-level factors.Conclusions: Among individuals with comorbid medical conditions and serious mental illnesses, living in neighborhoods with higher residential mobility was associated with fewer visits to outpatient mental health providers. This finding suggests the importance of recognizing social conditions that may shape clinical interactions. [ABSTRACT FROM AUTHOR]

While randomized controlled trials of trauma‐focused cognitive behavioral therapy (TF‐CBT) have demonstrated efficacy for youth with posttraumatic stress disorder, TF‐CBT effectiveness trials typically show attenuated outcomes. This decrease in effectiveness may be due to the differences in sociodemographic characteristics of youth in these trials; youth in efficacy trials are more often white and middle‐income, whereas youth in effectiveness trials are more often racial/ethnic minorities, of low socioeconomic status (SES) and live in high crime neighborhoods. In this study—drawn from an effectiveness trial of TF‐CBT in community mental health clinics across Philadelphia—we describe the sociodemographic characteristics of enrolled youth. We measured neighborhood SES by matching participants' addresses to American Community Survey data from their Census tracts, housing stability using the National Outcomes Measurement System, and neighborhood violence using police department crime statistics. Our results suggest that the majority of youth presenting for TF‐CBT in mental health clinics in the City of Philadelphia live in poor and high‐crime neighborhoods, experience substantial housing instability, and are predominantly ethnic and racial minorities. Thus, youth presenting for treatment experience significant racial and socioeconomic adversity. We also explored the association between these characteristics and youth symptom severity upon presenting for treatment. These factors were not associated with youth symptom severity or overall mental health functioning in our sample (with small effect sizes and p >.05 for all). Implications for future research, such as the need for efficacy and effectiveness trials to more fully characterize their samples and the need for pragmatic trials are discussed. [ABSTRACT FROM AUTHOR]

This study examined associations of neighborhood structural factors (census-based measures, socioeconomic disadvantage, and residential stability); self-reported measures of general and substance use-specific risk factors across neighborhood, school, peer, and family domains; and sociodemographic factors with substance use among 9th grade students. Data drawn from the Seattle Social Development Project, a theory-driven longitudinal study originating in Seattle, WA, were used to estimate associations between risk factors and past month cigarette smoking, binge drinking, marijuana use, and polysubstance use among students (N = 766). Results of logistic regression models adjusting for neighborhood clustering and including all domains of risk factors simultaneously indicated that neighborhood socioeconomic disadvantage was associated with a significantly higher likelihood of cigarette smoking, binge drinking, and polysubstance use, but not marijuana use. In fully controlled models, substance use-specific risk factors across neighborhood, school, peer, and family domains were also associated with increased likelihood of substance use and results differed by the outcome considered. Results highlight substance-specific risk factors as an intervention target for reducing youth substance use and suggest that further research is needed examining mechanisms linking neighborhood socioeconomic disadvantage and youth substance use. [ABSTRACT FROM AUTHOR]

Objectives Frailty, an aggregate expression of risk resulting from age- or disease-associated physiologic accumulation, is responsible for large economic and societal costs. Little is known about how the context in which older adult ' s live may contribute to differences in frailty. This study clarifies the role of neighborhood structural characteristics and social processes for understanding declines in health status. Method Data from two waves of the National Social Life, Health and Aging Project were linked to tract-level information from the 2000 Census (n = 1,925). Frailty was measured with in-home assessments and self-report. Ordered logistic regressions were employed to estimate the role of tract-level structural and social process indicators at baseline on frailty at follow-up. Results Living in a neighborhood characterized with a higher density of African Americans and with more residential instability was associated with higher odds of frailty. Adults in neighborhoods with increasing levels of physical disorder had higher odds of frailty (adjusted odds ratio [AOR]: 1.20, 95% confidence interval [CI]: 1.03, 1.39), while those exposed to more social cohesion had lower odds (AOR: 0.87, CI: 0.78, 0.97). Discussion For older adults, both neighborhood structural and social process characteristics appear to be independently associated with frailty. [ABSTRACT FROM AUTHOR]

Objectives: Our study questions the common assumption of random DK responses in criminology survey data and emphasizes the importance of understanding and handling DK for gaining substantive criminological knowledge. It examines the individual-level and neighborhood-level correlates of the propensity to give the DK response to questions on individual perception of neighborhood crime in Chongqing, China. Methods: We designed and conducted an original survey of 4839 residents from 100 urban neighborhoods in Chongqing, China in 2016. Random intercept hierarchical linear models were used to examine the effects of individual-level variables on uncertainty towards neighborhood crime and the effects of neighborhood social process variables, controlling for neighborhood composition. Results: At least in some instances, DK appears to be the most valid response, reflecting actual uncertainty and lack of knowledge about neighborhood crime. DK responses have substantive correlates at both the individual and neighborhood level. Of particular interest, neighborhood social cohesion is negatively associated with individual uncertainty about neighborhood crime, controlling for neighborhood composition. There is a significant interaction between neighborhood semi-public social control and neighborhood poverty in predicting DK. Conclusions: Understanding the meanings behind DK has important implications for whether to include the DK option in survey designs and how to handle DK responses in data analysis when they occur. When DK is a valid answer for many respondents, not including the DK option in the survey instrument forces respondents to choose a nonexistent answer, which can result in misleading interpretations. [ABSTRACT FROM AUTHOR]

The effects of place on human health and development have been extensively studied in recent years in the adult and adolescent populations, but minimal research has addressed neighborhood effects in early childhood. This analysis of the National Survey of Children's Health 2011/2012 cross-sectional survey examined relationships between risk for developmental disability in early childhood and neighborhood characteristics in a nationally-representative sample of children ages 0–5 years. Parents reported on their child's development using a well-validated parent report screening tool for developmental problems (the Parent's Evaluation of Developmental Status tool), and neighborhood and family characteristics. Multinomial logistic regression analyses were conducted for each of three neighborhood variables: physical disorder, safety, and isolation. After controlling for parental and child characteristics, the three neighborhood variables were each significantly associated with moderate (but not severe) risk versus low to no risk for developmental disabilities. When all neighborhood characteristics were included simultaneously in the same model, only physical disorder remained statistically significant [OR 1.44 (95% CI 1.09–1.91)], though modestly attenuated. These results suggest that neighborhoods may have effects on early childhood development, after controlling for individual child, parental, and family characteristics. [ABSTRACT FROM AUTHOR]

Prior research has examined the effects of neighborhood context on intimate partner violence (IPV) with mixed results. While most studies find that neighborhood disadvantage is positively associated with risk of IPV, the effects are less consistent for characteristics such as social ties and informal social control. One possible explanation for these mixed findings draws from theoretical and empirical literature arguing that a high level of collective efficacy can aid in the control of criminal behavior, but it can also deter residents from acting against crime committed by neighbors. This suggests the possibility of a nonlinear effect of collective efficacy where the risk of IPV may be high in areas with very low levels of collective efficacy because of the inability of neighborhoods to collectively control residents, but it may also be high in areas with very high levels of collective efficacy where residents are less willing to report on the criminal behavior of fellow residents. We test this possibility using survey data for female victims of IPV in Chicago merged with neighborhood characteristics. Findings suggest that the risk of repeat victimization is highest in areas with either very high or very low levels of informal social control. [ABSTRACT FROM AUTHOR]

Over the last decade, cyberbullying has emerged as a public health concern among young people. Cyberbullying refers to intentional harmful behaviors and communication carried out repeatedly using electronic media. Considerable research has demonstrated the detrimental and long-lasting effects of cyberbullying involvement. This article draws on a social–ecological perspective to identify protective health assets from across the multiple environmental domains of the adolescent that may mitigate against experiencing cyberbullying. Data were collected from 5,335 students aged 11, 13, and 15 years who participated in the 2014 World Health Organization Health Behaviour in School-aged Children Study for England. Protective health assets were identified at the family (family communication), school (school sense of belonging and teacher support), and neighborhood (neighborhood sense of belonging) levels. In particular, the findings draw attention to the protective role fathers can play in supporting young people. [ABSTRACT FROM AUTHOR]