The relationship between living in impoverished neighborhoods and poor health is well established, but impacts of neighborhood stigma on health are not well understood. Drawing on long-term research with Latino immigrants, we examine how neighborhood stigma and social bonding affect health in Phoenix, Arizona. During preliminary ethnographic analysis, we developed a novel neighborhood stigma scale. In survey research, we examined effects of neighborhood stigma and social bonding on self-reported physical and mental health. Regression models show that perceived neighborhood stigma and low social bonding are associated with poorer physical and mental health, controlling for other factors.
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http://dx.doi.org/10.1111/maq.12124 | DOI Listing |
Alcohol Res
December 2024
Health Sciences Library, University of Arizona, Tucson, Arizona.
Purpose: Most research on the structural determinants of substance use and mental health has centered around widely studied factors such as alcohol taxes, tobacco control policies, essential/precursor chemical regulations, neighborhood/city characteristics, and immigration policies. Other structural determinants exist, however, many of which are being identified in the emerging fields of structural stigma, structural racism, and structural sexism. This narrative review surveys the measures and designs used in substance use and mental health studies from these three fields.
View Article and Find Full Text PDFPLOS Glob Public Health
December 2024
Department of Health Promotion Sciences, The University of Arizona, Tucson, Arizona, United States of America.
Adherence to antiretroviral therapy (ART) is crucial for achieving and maintaining viral suppression in people living with HIV (PLWH). While individual factors affecting HIV viral suppression have been extensively studied, there is less attention on community-level factors, specifically perceived neighborhood disorder. This study aims to assess the relationship between perceived neighborhood disorder and achieving virologic suppression among people living with HIV.
View Article and Find Full Text PDFBMC Health Serv Res
December 2024
Department of Demography and Social Statistics, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.
Background: Ensuring uninterrupted access and utilisation of sexual and reproductive health (SRH) services remains crucial for preventing adverse SRH outcomes. However, the unprecedented emergence of the 2019 coronavirus disease (COVID-19) significantly disrupted most of these services in Africa. Thus, we systematically reviewed and examined barriers and facilitators to accessing and utilising SRH services during the COVID-19 pandemic in Africa.
View Article and Find Full Text PDFLow-income families often live in cramped and unsuitable conditions, and the housing qualities interplay significantly in processes of wellbeing, homing and belonging as housing can be an obstacle to the parents' transition to labour-market, lead to social exclusion and negatively affect children's schooling. The paper holds that housing quality includes important aspects of health, wellbeing and security, sociality, accessibility of services and facilities, space for leisure activities, central location, cultural heritage and aesthetics that support identity and place belonging. The study focuses on a new form of supported tenancy; tenancy with a referral agreement (tilvisingsavtale).
View Article and Find Full Text PDFPain Med
November 2024
Gillings School of Global Public Health, Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill.
Objective: Rapid opioid reduction or discontinuation among high-dose long-term opioid therapy patients (HD-LTOT) is associated with increased risk of heroin use, overdose, opioid use disorder, and mental health crises. We examined the association of residential segregation and healthcare access with rapid opioid reduction or discontinuation among HD-LTOT patients, and examined effect measure modification of individual-level characteristics.
Methods: Using 2006-2018 North Carolina private insurance claims data, we conducted a retrospective cohort study of 18-64 years old HD-LTOT patients (≥ 90 morphine milligram equivalents for 81/90 consecutive days), with one-year follow-up.
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