Neighborhood perceptions and allostatic load: Evidence from Denmark.

An influential argument explaining why living in certain neighborhoods can become harmful to one's health maintains that individuals can perceive certain characteristics of the neighborhood as threatening and the prolonged exposure to a threatening environment could induce chronic stress. Following this line of argumentation, in the present study we test whether subjective perceptions of neighborhood characteristics relate to an objective measure of stress-related physiological functioning, namely allostatic load (AL). We use a large dataset of 5280 respondents living in different regions of Denmark and we account for two alternative mechanisms, i.e., the objective characteristics of the living environment and the socio-economic status of individuals. Our results support the chronic stress mechanisms linking neighborhood quality to health. Heightened perceptions of disorder and pollution were found related to AL and this relationship was particularly robust for women.

[1]  T. Seeman,et al.  Neighborhoods and cumulative biological risk profiles by race/ethnicity in a national sample of U.S. adults: NHANES III. , 2009, Annals of epidemiology.

[2]  F. Baum,et al.  Do perceived neighbourhood cohesion and safety contribute to neighbourhood differences in health? , 2009, Health & place.

[3]  S A Stansfeld,et al.  Low job control and risk of coronary heart disease in whitehall ii (prospective cohort) study , 1997, BMJ.

[4]  D. Carroll,et al.  Limitations of adjustment for reporting tendency in observational studies of stress and self reported coronary heart disease , 2002, Journal of epidemiology and community health.

[5]  Teresa Seeman,et al.  Neighbourhood socioeconomic status and biological ‘wear and tear’ in a nationally representative sample of US adults , 2009, Journal of Epidemiology & Community Health.

[6]  A. Schulz,et al.  Do observed or perceived characteristics of the neighborhood environment mediate associations between neighborhood poverty and cumulative biological risk? , 2013, Health & place.

[7]  N. H. Rod,et al.  Social Gradient in Allostatic Load Among Danish Men and Women in Late Midlife , 2014, Journal of aging and health.

[8]  T. Seeman,et al.  Protective and Damaging Effects of Mediators of Stress: Elaborating and Testing the Concepts of Allostasis and Allostatic Load , 1999, Annals of the New York Academy of Sciences.

[9]  Beth M. Huebner,et al.  Fear of crime and criminal victimization: Gender-based contrasts , 2006 .

[10]  Theresa M Beckie,et al.  A Systematic Review of Allostatic Load, Health, and Health Disparities , 2012, Biological research for nursing.

[11]  Anne Ellaway,et al.  Perceptions of Place and Health in Socially Contrasting Neighbourhoods , 2001 .

[12]  K. Tucker,et al.  Neighborhood socioeconomic context and change in allostatic load among older Puerto Ricans: The Boston Puerto Rican health study. , 2015, Health & place.

[13]  A. Hammarström,et al.  Socioeconomic status over the life course and allostatic load in adulthood: results from the Northern Swedish Cohort , 2010, Journal of Epidemiology & Community Health.

[14]  S. Folkman,et al.  Dynamics of a stressful encounter: cognitive appraisal, coping, and encounter outcomes. , 1986, Journal of personality and social psychology.

[15]  J. Culhane,et al.  Perceptions of Neighborhood Disorder: The Role of Individual and Neighborhood Characteristics. , 2009, Social science quarterly.

[16]  S. Robert SOCIOECONOMIC POSITION AND HEALTH: The Independent Contribution of Community Socioeconomic Context1 , 1999 .

[17]  N. H. Rod,et al.  Early life adversity potentiates the effects of later life stress on cumulative physiological dysregulation , 2015, Anxiety, stress, and coping.

[18]  J W Rowe,et al.  Allostatic load as a marker of cumulative biological risk: MacArthur studies of successful aging , 2001, Proceedings of the National Academy of Sciences of the United States of America.

[19]  R. Kessler,et al.  Measuring stress: A guide for health and social scientists. , 1995 .

[20]  P. Thoits,et al.  Stress and Health: Major Findings and Policy Implications , 2010, Journal of health and social behavior.

[21]  C. Ross,et al.  Neighborhood disadvantage, disorder, and health. , 2001, Journal of health and social behavior.

[22]  K. Stronks,et al.  The association of neighbourhood psychosocial stressors and self-rated health in Amsterdam, The Netherlands , 2007, Journal of Epidemiology & Community Health.

[23]  P. Schnohr,et al.  Perceived Stress and Risk of Ischemic Heart Disease: Causation or Bias? , 2006, Epidemiology.

[24]  Catherine E. Ross,et al.  Neighborhood disadvantage and adult depression , 2000 .

[25]  J. Sundquist,et al.  Cardiovascular risk factors and the neighbourhood environment: a multilevel analysis. , 1999, International journal of epidemiology.

[26]  S. Robert,et al.  Subjective and objective neighborhood characteristics and adult health. , 2008, Social science & medicine.

[27]  M. Wen,et al.  Poverty, affluence, and income inequality: neighborhood economic structure and its implications for health. , 2003, Social science & medicine.

[28]  P. Bech,et al.  The internal and external validity of the Major Depression Inventory in measuring severity of depressive states , 2003, Psychological Medicine.

[29]  Patricia O'Campo,et al.  Pathways connecting neighborhood influences and mental well-being: socioeconomic position and gender differences. , 2009, Social science & medicine.

[30]  J. Brug,et al.  Why do poor people perceive poor neighbourhoods? The role of objective neighbourhood features and psychosocial factors. , 2010, Health & place.

[31]  M. Marmot,et al.  Gender differences in the associations between health and neighbourhood environment. , 2005, Social science & medicine.

[32]  P. Bech,et al.  Prevalence of major depression and stress indicators in the Danish general population , 2004, Acta psychiatrica Scandinavica.

[33]  E. Shirtcliff,et al.  Cumulative neighborhood risk of psychosocial stress and allostatic load in adolescents. , 2012, American journal of epidemiology.

[34]  B. Gower,et al.  Do neighbourhoods matter? Neighbourhood disorder and long-term trends in serum cortisol levels , 2010, Journal of Epidemiology & Community Health.

[35]  David R. Williams,et al.  Stress, Life Events, and Socioeconomic Disparities in Health: Results from the Americans' Changing Lives Study∗ , 2005, Journal of health and social behavior.

[36]  B. McEwen,et al.  Allostatic load biomarkers of chronic stress and impact on health and cognition , 2010, Neuroscience & Biobehavioral Reviews.

[37]  R. Lund,et al.  Addressing Social Inequality in Aging by the Danish Occupational Social Class Measurement , 2014, Journal of aging and health.

[38]  A. Beck THINKING AND DEPRESSION. I. IDIOSYNCRATIC CONTENT AND COGNITIVE DISTORTIONS. , 1963, Archives of general psychiatry.

[39]  Burton H Singer,et al.  Reduction in Allostatic Load in Older Adults Is Associated With Lower All-Cause Mortality Risk: MacArthur Studies of Successful Aging , 2006, Psychosomatic medicine.

[40]  Terrence D. Hill,et al.  Neighborhood Disorder, Psychophysiological Distress, and Health∗ , 2005, Journal of health and social behavior.

[41]  B. McEwen,et al.  Stress and the individual. Mechanisms leading to disease. , 1993, Archives of internal medicine.

[42]  S. Jenkins,et al.  Regression Analysis of Country Effects Using Multilevel Data: A Cautionary Tale , 2013, SSRN Electronic Journal.

[43]  B. McEwen,et al.  Interacting mediators of allostasis and allostatic load: towards an understanding of resilience in aging. , 2003, Metabolism: clinical and experimental.

[44]  R. McCrae Controlling neuroticism in the measurement of stress , 1990 .

[45]  E. L. Mortensen,et al.  Copenhagen Aging and Midlife Biobank (CAMB) , 2014, Journal of aging and health.

[46]  S. Johansson,et al.  Neighbourhood deprivation and incidence of coronary heart disease: a multilevel study of 2.6 million women and men in Sweden , 2003, Journal of epidemiology and community health.

[47]  A. Hammarström,et al.  Life-course accumulation of neighborhood disadvantage and allostatic load: empirical integration of three social determinants of health frameworks. , 2014, American journal of public health.

[48]  E. L. Mortensen,et al.  Cohort Profile: The Copenhagen Aging and Midlife Biobank (CAMB). , 2015, International journal of epidemiology.

[49]  Bruce Mcewen,et al.  Stress, Adaptation, and Disease: Allostasis and Allostatic Load , 1998, Annals of the New York Academy of Sciences.

[50]  Louise Potvin,et al.  Health inequalities and place: a theoretical conception of neighbourhood. , 2007, Social science & medicine.

[51]  E. Epel,et al.  Socio‐economic differentials in peripheral biology: Cumulative allostatic load , 2010, Annals of the New York Academy of Sciences.

[52]  O. Dalgard,et al.  Urban environment and mental health , 1997, British Journal of Psychiatry.

[53]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[54]  B. McEwen Mood disorders and allostatic load , 2003, Biological Psychiatry.

[55]  Teresa Seeman,et al.  Modeling multisystem biological risk in young adults: The Coronary Artery Risk Development in Young Adults Study , 2009, American journal of human biology : the official journal of the Human Biology Council.

[56]  W. R. Smith,et al.  GENDER DIFFERENCES IN RISK PERCEPTION AND NEUTRALIZING FEAR OF CRIME : Toward Resolving the Paradoxes , 1997 .

[57]  R. Sampson,et al.  ASSESSING "NEIGHBORHOOD EFFECTS": Social Processes and New Directions in Research , 2002 .

[58]  B. Israel,et al.  Associations between socioeconomic status and allostatic load: effects of neighborhood poverty and tests of mediating pathways. , 2012, American journal of public health.

[59]  K. Cagney,et al.  Neighborhood structural disadvantage, collective efficacy, and self-rated physical health in an urban setting. , 2002, Journal of health and social behavior.

[60]  Terrence D. Hill,et al.  An examination of processes linking perceived neighborhood disorder and obesity. , 2008, Social science & medicine.

[61]  C. Ross,et al.  Social Structure and Psychological Functioning , 2006 .