Associations of perceived neighborhood environment on health status outcomes in persons with arthritis

Kathryn Remmes Martin, Jack Shreffler, Britta Schoster, Leigh F Callahan

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

OBJECTIVE: To examine the association between 4 aspects of perceived neighborhood environment (aesthetics, walkability, safety, and social cohesion) and health status outcomes in a cohort of North Carolinians with self-reported arthritis after adjustment for individual and neighborhood socioeconomic status covariates.

METHODS: In a telephone survey, 696 participants self-reported ≥1 types of arthritis or rheumatic conditions. Outcomes measured were physical and mental functioning (Short Form 12 health survey version 2 physical component and mental component summary [MCS]), functional disability (Health Assessment Questionnaire), and depressive symptomatology (Center for Epidemiologic Studies Depression Scale scores <16 versus ≥16). Multivariate regression and multivariate logistic regression analyses were conducted using Stata, version 11.

RESULTS: Results from separate adjusted models indicated that measures of associations for perceived neighborhood characteristics were statistically significant (P ≤ 0.001 to P = 0.017) for each health status outcome (except walkability and MCS) after adjusting for covariates. Final adjusted models included all 4 perceived neighborhood characteristics simultaneously. A 1-point increase in perceiving worse neighborhood aesthetics predicted lower mental health (B = -1.81, P = 0.034). Individuals had increased odds of depressive symptoms if they perceived lower neighborhood safety (odds ratio [OR] 1.36, 95% confidence interval [95% CI] 1.04-1.78; P = 0.023) and lower neighborhood social cohesion (OR 1.42, 95% CI 1.03-1.96; P = 0.030).

CONCLUSION: Study findings indicate that an individual's perception of neighborhood environment characteristics, especially aesthetics, safety, and social cohesion, is predictive of health outcomes among adults with self-reported arthritis, even after adjusting for key variables. Future studies interested in examining the role that community characteristics play on disability and mental health in individuals with arthritis might consider further examination of perceived neighborhood environment.

Original languageEnglish
Pages (from-to)1602-1611
Number of pages10
JournalArthritis Care & Research
Volume62
Issue number11
Early online date2 Jun 2010
DOIs
Publication statusPublished - Nov 2010

Fingerprint

Health Status
Arthritis
Esthetics
Safety
Mental Health
Odds Ratio
Confidence Intervals
Depression
Rheumatic Fever
Health
Health Surveys
Telephone
Social Class
Epidemiologic Studies
Logistic Models
Regression Analysis

Keywords

  • aged
  • arthritis, rheumatoid
  • cohort studies
  • female
  • follow-up studies
  • health status
  • humans
  • interviews as topic
  • male
  • middle aged
  • residence characteristics
  • social environment
  • social perception
  • treatment outcome

Cite this

Associations of perceived neighborhood environment on health status outcomes in persons with arthritis. / Martin, Kathryn Remmes; Shreffler, Jack; Schoster, Britta; Callahan, Leigh F.

In: Arthritis Care & Research, Vol. 62, No. 11, 11.2010, p. 1602-1611.

Research output: Contribution to journalArticle

Martin, Kathryn Remmes ; Shreffler, Jack ; Schoster, Britta ; Callahan, Leigh F. / Associations of perceived neighborhood environment on health status outcomes in persons with arthritis. In: Arthritis Care & Research. 2010 ; Vol. 62, No. 11. pp. 1602-1611.
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title = "Associations of perceived neighborhood environment on health status outcomes in persons with arthritis",
abstract = "OBJECTIVE: To examine the association between 4 aspects of perceived neighborhood environment (aesthetics, walkability, safety, and social cohesion) and health status outcomes in a cohort of North Carolinians with self-reported arthritis after adjustment for individual and neighborhood socioeconomic status covariates.METHODS: In a telephone survey, 696 participants self-reported ≥1 types of arthritis or rheumatic conditions. Outcomes measured were physical and mental functioning (Short Form 12 health survey version 2 physical component and mental component summary [MCS]), functional disability (Health Assessment Questionnaire), and depressive symptomatology (Center for Epidemiologic Studies Depression Scale scores <16 versus ≥16). Multivariate regression and multivariate logistic regression analyses were conducted using Stata, version 11.RESULTS: Results from separate adjusted models indicated that measures of associations for perceived neighborhood characteristics were statistically significant (P ≤ 0.001 to P = 0.017) for each health status outcome (except walkability and MCS) after adjusting for covariates. Final adjusted models included all 4 perceived neighborhood characteristics simultaneously. A 1-point increase in perceiving worse neighborhood aesthetics predicted lower mental health (B = -1.81, P = 0.034). Individuals had increased odds of depressive symptoms if they perceived lower neighborhood safety (odds ratio [OR] 1.36, 95{\%} confidence interval [95{\%} CI] 1.04-1.78; P = 0.023) and lower neighborhood social cohesion (OR 1.42, 95{\%} CI 1.03-1.96; P = 0.030).CONCLUSION: Study findings indicate that an individual's perception of neighborhood environment characteristics, especially aesthetics, safety, and social cohesion, is predictive of health outcomes among adults with self-reported arthritis, even after adjusting for key variables. Future studies interested in examining the role that community characteristics play on disability and mental health in individuals with arthritis might consider further examination of perceived neighborhood environment.",
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T1 - Associations of perceived neighborhood environment on health status outcomes in persons with arthritis

AU - Martin, Kathryn Remmes

AU - Shreffler, Jack

AU - Schoster, Britta

AU - Callahan, Leigh F

N1 - Copyright © 2010 by the American College of Rheumatology.

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N2 - OBJECTIVE: To examine the association between 4 aspects of perceived neighborhood environment (aesthetics, walkability, safety, and social cohesion) and health status outcomes in a cohort of North Carolinians with self-reported arthritis after adjustment for individual and neighborhood socioeconomic status covariates.METHODS: In a telephone survey, 696 participants self-reported ≥1 types of arthritis or rheumatic conditions. Outcomes measured were physical and mental functioning (Short Form 12 health survey version 2 physical component and mental component summary [MCS]), functional disability (Health Assessment Questionnaire), and depressive symptomatology (Center for Epidemiologic Studies Depression Scale scores <16 versus ≥16). Multivariate regression and multivariate logistic regression analyses were conducted using Stata, version 11.RESULTS: Results from separate adjusted models indicated that measures of associations for perceived neighborhood characteristics were statistically significant (P ≤ 0.001 to P = 0.017) for each health status outcome (except walkability and MCS) after adjusting for covariates. Final adjusted models included all 4 perceived neighborhood characteristics simultaneously. A 1-point increase in perceiving worse neighborhood aesthetics predicted lower mental health (B = -1.81, P = 0.034). Individuals had increased odds of depressive symptoms if they perceived lower neighborhood safety (odds ratio [OR] 1.36, 95% confidence interval [95% CI] 1.04-1.78; P = 0.023) and lower neighborhood social cohesion (OR 1.42, 95% CI 1.03-1.96; P = 0.030).CONCLUSION: Study findings indicate that an individual's perception of neighborhood environment characteristics, especially aesthetics, safety, and social cohesion, is predictive of health outcomes among adults with self-reported arthritis, even after adjusting for key variables. Future studies interested in examining the role that community characteristics play on disability and mental health in individuals with arthritis might consider further examination of perceived neighborhood environment.

AB - OBJECTIVE: To examine the association between 4 aspects of perceived neighborhood environment (aesthetics, walkability, safety, and social cohesion) and health status outcomes in a cohort of North Carolinians with self-reported arthritis after adjustment for individual and neighborhood socioeconomic status covariates.METHODS: In a telephone survey, 696 participants self-reported ≥1 types of arthritis or rheumatic conditions. Outcomes measured were physical and mental functioning (Short Form 12 health survey version 2 physical component and mental component summary [MCS]), functional disability (Health Assessment Questionnaire), and depressive symptomatology (Center for Epidemiologic Studies Depression Scale scores <16 versus ≥16). Multivariate regression and multivariate logistic regression analyses were conducted using Stata, version 11.RESULTS: Results from separate adjusted models indicated that measures of associations for perceived neighborhood characteristics were statistically significant (P ≤ 0.001 to P = 0.017) for each health status outcome (except walkability and MCS) after adjusting for covariates. Final adjusted models included all 4 perceived neighborhood characteristics simultaneously. A 1-point increase in perceiving worse neighborhood aesthetics predicted lower mental health (B = -1.81, P = 0.034). Individuals had increased odds of depressive symptoms if they perceived lower neighborhood safety (odds ratio [OR] 1.36, 95% confidence interval [95% CI] 1.04-1.78; P = 0.023) and lower neighborhood social cohesion (OR 1.42, 95% CI 1.03-1.96; P = 0.030).CONCLUSION: Study findings indicate that an individual's perception of neighborhood environment characteristics, especially aesthetics, safety, and social cohesion, is predictive of health outcomes among adults with self-reported arthritis, even after adjusting for key variables. Future studies interested in examining the role that community characteristics play on disability and mental health in individuals with arthritis might consider further examination of perceived neighborhood environment.

KW - aged

KW - arthritis, rheumatoid

KW - cohort studies

KW - female

KW - follow-up studies

KW - health status

KW - humans

KW - interviews as topic

KW - male

KW - middle aged

KW - residence characteristics

KW - social environment

KW - social perception

KW - treatment outcome

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DO - 10.1002/acr.20267

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C2 - 20521309

VL - 62

SP - 1602

EP - 1611

JO - Arthritis Care & Research

JF - Arthritis Care & Research

SN - 0893-7524

IS - 11

ER -