The Importance of Social Context: Neighborhood Stressors, stress-Buffering Mechanisms, and Alcohol, Drug, and Mental Health Disorders  

Oleh:

Stockdale, Susan E. ; Wells, Kenneth B ; Tang, Lingqi ; Belin, Thomas R ; Zhang, Lily ; Sherbourne, Cathy D.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 65 no. 9 (Nov. 2007), page 1867-1881.
Topik: Neighborhood effects; Stress; Social support; Mental health; Substance abuse; USA

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.15 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This study examines the relationship among neighborhood stressors, stress-buffering mechanisms, and likelihood of alcohol, drug, and mental health (ADM) disorders in adults from 60 US communities (n=12,716). Research shows that larger support structures may interact with individual support factors to affect mental health, but few studies have explored buffering effects of these neighborhood characteristics. We test a conceptual model that explores effects of neighborhood stressors and stress-buffering mechanisms on ADM disorders. Using Health Care for Communities with census and other data, we found a lower likelihood of disorders in neighborhoods with a greater presence of stress-buffering mechanisms. Higher neighborhood average household occupancy and churches per capita were associated with a lower likelihood of disorders. Cross-level interactions revealed that violence-exposed individuals in high crime neighborhoods are vulnerable to depressive/anxiety disorders. Likewise, individuals with low social support in neighborhoods with high social isolation (i.e., low-average household occupancy) had a higher likelihood of disorders. If replicated by future studies using longitudinal data, our results have implications for policies and programs targeting neighborhoods to reduce ADM disorders.

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