Pathways linking census tract typologies with subjective neighborhood disorder and depressive symptoms in the Black Women's Experiences Living with Lupus (BeWELL) Study

Connor D Martz; Evelyn A Hunter; Michael R Kramer; Yijie Wang; Kara Chung; Michael Brown; Cristina Drenkard; S Sam Lim; David H Chae

doi:10.1016/j.healthplace.2021.102587

Pathways linking census tract typologies with subjective neighborhood disorder and depressive symptoms in the Black Women's Experiences Living with Lupus (BeWELL) Study

Health Place. 2021 Jul:70:102587. doi: 10.1016/j.healthplace.2021.102587. Epub 2021 Jun 9.

Authors

Connor D Martz¹, Evelyn A Hunter², Michael R Kramer³, Yijie Wang⁴, Kara Chung⁵, Michael Brown⁶, Cristina Drenkard⁷, S Sam Lim⁷, David H Chae⁵

Affiliations

¹ Department of Human Development and Family Science, Auburn University, 203 Spidle Hall, Auburn, AL, 36849, USA. Electronic address: connordmartz@auburn.edu.
² Department of Special Education, Rehabilitation, and Counseling, Auburn University, 2084 Haley Center, Auburn, AL, 36849, USA.
³ Department of Epidemiology, Emory University Rollins School of Public Health, 1518 Clifton Rd. NE, Atlanta, GA, 30322, USA.
⁴ Department of Human Development and Family Studies, Michigan State University, 552 W. Circle Dr, East Lansing, MI, 48824, USA.
⁵ Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, 1440 Canal St, New Orleans, LA, 70112, USA.
⁶ School of Kinesiology, Auburn University, 301 Wire Rd., Auburn, AL, 36849, USA.
⁷ Department of Epidemiology, Emory University Rollins School of Public Health, 1518 Clifton Rd. NE, Atlanta, GA, 30322, USA; Department of Medicine, Division of Rheumatology, Emory University School of Medicine, 1658 Clifton Rd. A, Atlanta, GA, 30322, USA.

Abstract

Depression is a common comorbidity among Black women with systemic lupus erythematosus (SLE), an understudied autoimmune disease characterized by major racial and gender inequities. Research is needed that examines how area-level factors influence risk of depression in this population. Latent profile analysis revealed four neighborhood typologies among metropolitan Atlanta, Georgia census tracts that participants (n=438) in the Black Women's Experiences Living with Lupus (BeWELL) Study were living in: Integrated/High-SES, Moderately Segregated/Mid-SES, Highly Segregated/Mid-SES, and Highly Segregated/Low-SES. Structural equation models indicated that highly segregated census tracts were associated with the greatest levels of depression via increased subjective assessments of neighborhood disorder. Policies that invest in segregated areas and address physical and social aspects of the environment that contribute to neighborhood disorder may promote mental health among Black women with SLE.

Keywords: Depression; Latent profile analysis; Neighborhood disorder; Racial residential segregation; Structural racism; Systemic lupus erythematosus.

Publication types

Research Support, N.I.H., Extramural

MeSH terms

Censuses
Depression / epidemiology
Female
Humans
Lupus Erythematosus, Systemic* / epidemiology
Residence Characteristics
Social Segregation*

Abstract

Publication types

MeSH terms

Grants and funding