All three authors declare no conflicts of interest.
NEIGHBORHOOD CHARACTERISTICS AND DIFFERENTIAL RISK FOR DEPRESSIVE AND ANXIETY DISORDERS ACROSS RACIAL/ETHNIC GROUPS IN THE UNITED STATES
Article first published online: 7 OCT 2013
© 2013 Wiley Periodicals, Inc.
Depression and Anxiety
Focus on Prognosis and Risk Factors
Volume 31, Issue 1, pages 27–37, January 2014
How to Cite
Alegría, M., Molina, K. M. and Chen, C.-N. (2014), NEIGHBORHOOD CHARACTERISTICS AND DIFFERENTIAL RISK FOR DEPRESSIVE AND ANXIETY DISORDERS ACROSS RACIAL/ETHNIC GROUPS IN THE UNITED STATES. Depress. Anxiety, 31: 27–37. doi: 10.1002/da.22197
Contract grant sponsor: National Institute of Mental Health; contract grant number: #1R01MH098374-01; contract grant number: #P50 MH073469-05; contract grant sponsor: Advanced Center for Latino and Mental Health Systems Research; contract grant sponsor: National Institutes of Health's National Institute of Minority Health and Health Disparities; contract grant number: #P60 MD002261-02; contract grant sponsor: UPR-CHA Research Center of Excellence: Making a Difference for Latino Health; contract grant sponsor: National Heart, Lung, and Blood Institute, University of Miami; contract grant number: #T32HL007426 (K.M.M.).
- Issue published online: 2 JAN 2014
- Article first published online: 7 OCT 2013
- Manuscript Accepted: 8 SEP 2013
- Manuscript Revised: 31 AUG 2013
- Manuscript Received: 18 APR 2013
- National Institute of Mental Health. Grant Numbers: #1R01MH098374-01, #P50 MH073469-05
- Advanced Center for Latino and Mental Health Systems Research
- National Institutes of Health's National Institute of Minority Health and Health Disparities. Grant Number: #P60 MD002261-02
- UPR-CHA Research Center of Excellence: Making a Difference for Latino Health
- National Heart, Lung, and Blood Institute, University of Miami. Grant Number: #T32HL007426
- racial/ethnic minorities;
- nativity, subethnicity
The prevalence of psychiatric disorders varies depending on the person's neighborhood context, their racial/ethnic group, and the specific diagnoses being examined. Less is known about specific neighborhood features that represent differential risk for depressive and anxiety disorders (DAD) across racial/ethnic groups in the United States. This study examines whether neighborhood etiologic factors are associated with DAD, above and beyond individual-level characteristics, and whether these associations are moderated by race/ethnicity.
We utilized nationally representative data (N = 13,837) from the Collaborative Psychiatric Epidemiology Studies (CPES-Geocode file). Separate weighted multilevel logistic regression models were fitted for any past-year depressive and/or anxiety disorder, any depressive disorder only, and any anxiety disorder only.
After adjusting for individual-level characteristics, African Americans living in a neighborhood with greater affluence and Afro-Caribbeans residing in more residentially unstable neighborhoods were at increased risk for any past-year depressive disorder as compared to their non-Latino white counterparts. Further, Latinos residing in neighborhoods with greater levels of Latino/immigrant concentration were at increased risk of any past-year anxiety disorder. Lastly, Asians living in neighborhoods with higher levels of economic disadvantage were at decreased risk of any past-year depressive and/or anxiety disorders compared to non-Latino whites, independent of individual-level factors. Differences across subethnic groups are also evident.
Results suggest neighborhood characteristics operate differently on risk for DAD across racial/ethnic groups. Our findings have important implications for designing and targeting interventions to address DAD risk among racial/ethnic minorities.