ABSTRACT

Religious and social participation and neighborhood factors have been associated with health outcomes. Because depression and physical health problems are common among mothers, we sought to understand whether participation would be associated with more favorable health outcomes when accounting for neighborhood factors: disorder, social cohesion, and informal social control. Using Fragile Families and Wellbeing Study data (N = 2,926) we ran logistic regression models to estimate the relationships between depression, physical health, community participation, and perceived neighborhood factors. Neither religious nor social participation was significant in the models. However, the odds of meeting the criteria for depression were 1.20 times (95% CI [1.05, 20 1.37]) higher among mothers’ reporting higher neighborhood disorder. Neighborhood social cohesion was inversely associated with depression; higher neighborhood disorder was associated with decreased favorable health. Findings provide further evidence that interpersonal factors may be insufficient to overcome the detrimental effects of community-level factors. 

摘要

宗教和社会参与以及邻里因素与健康结果有关。由于抑郁和身体健康问题在母亲中很常见，我们试图了解在考虑邻里因素时参与是否会与更有利的健康结果相关联：混乱、社会凝聚力和非正式的社会控制。我们使用脆弱家庭和幸福感研究数据 (N = 2,926) 运行逻辑回归模型来估计抑郁症、身体健康、社区参与和感知邻里因素之间的关系。在这些模型中，宗教和社会参与都不重要。然而，在报告较高邻里紊乱的母亲中，满足抑郁症标准的几率高 1.20 倍（95% CI [1.05, 20 1.37]）。邻里社会凝聚力与抑郁呈负相关；较高的邻里混乱与良好的健康状况下降有关。研究结果进一步证明，人际因素可能不足以克服社区层面因素的不利影响。