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Details

Research article
Authors

Palumbo AJ, Wiebe DJ, Kassam-Adams N, Richmond TS

Journal

Journal of Racial and Ethnic Health Disparities

Summary
This research article analysed the contribution of area-level characteristics and individual-level perceptions of neighborhood environment to the mental and physical health of recently injured, urban black males as an important step towards understanding factors that contribute to health in this vulnerable population. The authors analyzed data from 486 black, adult males in Philadelphia admitted to a trauma center with injury between January 2013 and February 2017. The authors conducted factor analysis to identify neighborhood characteristics, then estimated odds of poor physical or mental health, accounting for spatial correlation of participants. The authors 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.
Population

Injured black adult males

Health Outcomes

  • Physical trauma, mental health

Health Outcome List:

  • Not available

Environmental Agents

List of Environmental Agents:

  • Not available

Source of Environmental Agents:

  • Neighborhood environments

Economic Evaluation / Methods and Source

Type:

  • Cost-utility analysis (CUA)

Cost Measures:

  • Socioeconomic factors, neighborhood poverty, area-level spending, income

Potential Cost Measures:

  • Not available

Benefits Measures:

  • Physical health and mental health

Potential Benefits Measures:

  • Not available

Location:

  • Philadelphia, Pennsylvannia

Models Used:

  • MPlus version 7 statistical analysis
  • logistic regression modelling
  • area-level neighborhood predictors model
  • individual-level neighborhood predictors model
  • all neighborhood variables model
  • all neighborhood variables + confounders model
  • selected neighborhood variables + confounders model.

Models References:

  • Not available

Methods Used:

  • The authors — 1) analyzed data from 486 black, adult males in Philadelphia admitted to a trauma center with injury between January 2013 and February 2017; and 2) conducted factor analysis to identify neighborhood characteristics, then estimated odds of poor physical or mental health, accounting for spatial correlation of participants. 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.

Sources Used:

  • 2010 Census (U.S. Census Bureau, 2015); the American Community Survey (ACS 5-year estimates) (ACS, 2010); Health spending, Insurance spending, Prescription spending, Medicare spending, Housing spending Additional sources cited in the publication (ESRI, 2013); Additional sources cited in the publication.

Economic Citation / Fundings

Citation:

  • Palumbo AJ, Wiebe DJ, Kassam-Adams N, Richmond TS. Neighborhood Environment and Health of Injured Urban Black Men. Journal of Racial and Ethnic Health Disparities. 2019. 6; 6.
  • Pubmed
  • DOI

NIEHS Funding:

  • R49CE002474, P30ES013508

Other Funding:

  • R01NR013503