MPC Member Publications

This database contains a listing of population studies publications written by MPC Members. Anyone can add a publication by an MPC student, faculty, or staff member to this database; new citations will be reviewed and approved by MPC administrators.

Full Citation

Title: The impact of neighborhood quality, perceived stress, and social support on depressive symptoms during pregnancy in African American women

Citation Type: Journal Article

Publication Year: 2015

ISSN: 18735347

DOI: 10.1016/j.socscimed.2015.02.006

PMID: 25703670

Abstract: Living in a lower-quality neighborhood is associated with higher levels of depressive symptoms in the general population as well as among pregnant and postpartum women. However, little is known of the important pathways by which this association occurs. We proposed a model in which perceived stress and social support mediated the effects of neighborhood quality on depressive symptoms during pregnancy (measured by the 20-item Center for Epidemiologic Studies-Depression, CES-D, scale) in a sample of 1383 African American women from the Detroit metropolitan area interviewed during their delivery hospitalization. Using structural equation modeling (SEM), we built a latent variable of neighborhood quality using 4 measures (neighborhood disorder, neighborhood safety/danger, walking environment, overall rating). We then tested two SEM mediation models. We found that lower neighborhood quality was associated with higher prevalence of depressive symptoms during pregnancy (standardized total effect. = .16, p. = .011). We found that perceived stress partially mediated the neighborhood quality association with depressive symptoms. Although the association of social support with depressive symptoms was negligible, social support mediated associations of neighborhood quality with perceived stress [standardized path coefficient. = .38 (.02), p. = .009]. Our results point to the need for public health, health care, as well as non-health related interventions (e.g. crime prevention programs) to decrease overall exposure to stressors, as well as stress levels of women living in poor quality neighborhoods. Interventions that increase the levels of social support of women during pregnancy are also needed for their potential to decrease stress and ultimately improve mental health at this important time in the life course.

Url: https://pubmed.ncbi.nlm.nih.gov/25703670/

User Submitted?: No

Authors: Giurgescu, Carmen; Misra, Dawn P.; Sealy-Jefferson, Shawnita; Caldwell, Cleopatra Howard; Templin, Thomas N; Slaughter-Acey, Jaime C.; Osypuk, Theresa L

Periodical (Full): Social Science and Medicine

Issue:

Volume: 130

Pages: 172-180

Countries:

IPUMS NHGIS NAPP IHIS ATUS Terrapop