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Scheuermann TS, Onge JMS, Ramaswamy M, et al. The Role of Neighborhood Experiences in Psychological Distress among African American and White Smokers. Race Soc Probl. 2020;12(2):133-144doi: 10.1007/s12552-020-09281-5.
Scheuermann, T. S., Onge, J. M. S., Ramaswamy, M., Cox, L. S., Ahluwalia, J. S., & Nollen, N. L. (2020). The Role of Neighborhood Experiences in Psychological Distress among African American and White Smokers. Race and social problems, 12(2), 133-144. https://doi.org/10.1007/s12552-020-09281-5
Scheuermann, Taneisha S, et al. "The Role of Neighborhood Experiences in Psychological Distress among African American and White Smokers." Race and social problems vol. 12,2 (2020): 133-144. doi: https://doi.org/10.1007/s12552-020-09281-5
Scheuermann TS, Onge JMS, Ramaswamy M, Cox LS, Ahluwalia JS, Nollen NL. The Role of Neighborhood Experiences in Psychological Distress among African American and White Smokers. Race Soc Probl. 2020 Jun;12(2):133-144. doi: 10.1007/s12552-020-09281-5. Epub 2020 Jan 11. PMID: 34084252; PMCID: PMC8172079.
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Race Soc Probl. 2020 Jun;12(2):133-144. doi: 10.1007/s12552-020-09281-5. Epub 2020 Jan 11.

The Role of Neighborhood Experiences in Psychological Distress among African American and White Smokers.

Race and social problems

Taneisha S Scheuermann, Jarron M Saint Onge, Megha Ramaswamy, Lisa Sanderson Cox, Jasjit S Ahluwalia, Nicole L Nollen

Affiliations

  1. Department of Population Health, University of Kansas School of Medicine, Kansas City, KS, USA.
  2. Department of Sociology, University of Kansas, Lawrence, USA.
  3. Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.

PMID: 34084252 PMCID: PMC8172079 DOI: 10.1007/s12552-020-09281-5

Abstract

Residential area characteristics and discrimination have been associated with psychological distress. Differences in these relationships across racial groups are not well understood. We examined the relative role of perceived discrimination, neighborhood problems and neighborhood cohesion/trust in explaining differences in psychological distress (indicated by anxiety and depressive symptoms) between 224 African American and 225 White smokers (income ≤ 400% federal poverty level) in a smoking cessation intervention study. Surveys were linked to US census-tract data. We conducted random intercept Poisson multi-level regression models and examined interactions between race and neighborhood experiences. African Americans had greater risk of anxiety and depressive symptoms and greater individual and neighborhood disadvantage than Whites. Controlling for objective neighborhood characteristics, when perceived discrimination and perceived neighborhood characteristics were added to the regression models the association between anxiety symptoms and race were no longer statistically significant; the association between depressive symptoms and race decreased but remained statistically significant. Lower neighborhood social cohesion/trust and greater neighborhood problems increased depressive symptoms for African Americans, but not for Whites. Perceived discrimination and neighborhood social cohesion/trust outweighed the importance of race in explaining anxiety symptoms. These findings underscore the need for multi-level interventions addressing social and environmental contexts.

Keywords: Anxiety symptoms; Depressive symptoms; Neighborhood social cohesion; Neighborhood-socioeconomic contexts; Race

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