A different look at the epidemiological paradox: self-rated health, perceived social cohesion, and neighborhood immigrant context.

We use data from Waves 1 and 2 of the Los Angeles Family and Neighborhood Survey to examine the effects of neighborhood immigrant concentration, race-ethnicity, nativity, and perceived cohesion on self-rated physical health. We limit our sample to adults whose addresses do not change between waves in order to explore neighborhood effects. Foreign-born Latinos were significantly less likely to report fair or poor health than African Americans and U.S.-born whites, but did not differ from U.S.-born Latinos. The main effect of immigrant concentration was not significant, but it interacted with nativity status to predict health: U.S.-born Latinos benefited more from neighborhood immigrant concentration than foreign-born Latinos. Perceived cohesion predicted health but immigrant concentration did not moderate the effect. Finally, U.S.-born Latinos differed from others in the way cohesion is associated with their health. Results are discussed within the framework of the epidemiological paradox.

Social cohesion and self-rated health: The moderating effect of neighborhood physical disorder.

Using data from the Los Angeles Family and Neighborhood Survey and its companion datasets, we examined how neighborhood disorder, perceived danger and both individually perceived and contextually measured neighborhood social cohesion are associated with self-rated health. Results indicate that neighborhood disorder is negatively associated with health and the relationship is explained by perceived cohesion and danger, which are both also significant predictors of health. Further, individually perceived cohesion emerges as a more important explanation of self-rated health than neighborhood-level social cohesion. Finally, neighborhood disorder and perceived cohesion interact to influence health, such that cohesion is especially beneficial when residents live in neighborhoods characterized by low to moderate disorder; once disorder is at high levels, cohesion no longer offers protection against poor health. We interpret our findings as they relate to prior research on neighborhoods, psychosocial processes, and health, and discuss their implications for intervention efforts that address disorder in urban communities.

An examination of the relationship between neighborhood income inequality, social resources, and obesity in Los Angeles county.

PURPOSE. This study examines whether local income inequality is associated with an increased likelihood of obesity among Los Angeles County residents and whether collective efficacy mediates the relationship. DESIGN. A cross-sectional study of 2875 adults in 65 neighborhoods that took part in wave 1 of the Los Angeles Family and Neighborhood Survey in 2000-2001. Neighborhood measures are taken from the Los Angeles Neighborhood Services and Characteristics Database and decennial census. MEASURES. Obesity is defined as a body mass index over 30. Income inequality is operationalized with the Gini coefficient. Collective efficacy is a neighborhood-level measure comprised of aggregated responses to items that capture trust, cohesion, and the willingness to intervene for the common good among residents. Controls are included at the individual level for demographics and health characteristics, and at the neighborhood level for median household income. ANALYSIS. Logistic regression models of individuals within neighborhoods. RESULTS. When neighborhood economic well-being is controlled, income inequality is associated with a significant reduction in the likelihood of obesity while also controlling for individual demographic and health-related characteristics. Collective efficacy exerts an independent and beneficial effect but does not mediate the relationship between inequality and obesity. CONCLUSION. Neighborhood social resources and economic heterogeneity are associated with a lower likelihood of obesity. It may be that economically heterogeneous neighborhoods, perhaps especially in Los Angeles County, contain characteristics that promote health.

The neighborhood context of relative position, trust, and self-rated health.

The relative position hypothesis proposes that an individual's relative position in a community or population influences their health because (1) unfavorable comparisons lead those with a lower position to experience negative emotions that cause stress and detrimentally impact health and well-being, and (2) individuals with different statuses are less likely to develop trust and cohesion with one another. These processes are important for individual health and also because their results may detract from community level social resources. Surprisingly little work has investigated this hypothesis within small units of analysis such as neighborhoods. In this research, logistic regression analyses were conducted on data from the Los Angeles Family and Neighborhood Survey to test the relative position hypothesis as it applies to distrust of neighbors and fair or poor self-rated health, and whether the relationship varies across neighborhood income inequality. Results indicate that relative position significantly predicts distrust, such that those with higher local position are more likely to distrust their comparatively lower income neighbors. Relative position was not significantly associated with self-rated health, but lack of trust of neighbors was significantly and positively associated with below average self-rated health. The effect of relative position did not vary across neighborhood income inequality for either outcome. Implications for theories of income inequality and health are discussed.

A tale of two cities: residential context and risky behavior among adolescents in Los Angeles and Chicago.

This article evaluates whether the at-risk behavior of adolescents is differentially influenced by community context across two metropolitan areas. Our focus is on Latino youth in particular. The data come from the Los Angeles Family and Neighborhood Survey (L.A.FANS) and the Project on Human Development in Chicago Neighborhoods (PHDCN). Multi-level models are employed to estimate the effects of community-level influences on adolescent risky behavior in Los Angeles and Chicago. Neighborhood-level influences on the at-risk behavior of youth are found to operate similarly across the two cities, such that native-born children of Latino immigrants are at greatest risk of problem behavior in co-ethnic highly segregated neighborhoods in both Los Angeles and Chicago. Similar patterns are observed for African-Americans, particularly in Chicago and Non-Latino Whites in both cities. We argue that the findings are best interpreted through a segregation framework. Members of each racial/ethnic group appear to exhibit negative health risk behaviors when they reside in areas that are disproportionately populated with their co-ethnic peers.

To live and die in L.A. County: neighborhood economic and social context and premature age-specific mortality rates among Latinos.

This ecological study compares the utility of neighborhood economic, social, and co-ethnic concentration characteristics in explaining mortality among Latinos aged 25-64 due to all causes and heart disease in Los Angeles County from 2000 to 2004. Results indicate that local economic well-being and social resources are beneficial for both outcomes to varying degrees. Economic well-being is the strongest predictor of all-cause mortality rates among Latinos aged 25-64 and was the only characteristic that significantly predicted heart disease mortality among those aged 45-64. Among social resources, results indicate collective efficacy is comparatively more important for mortality in younger adults. Social interaction was associated with lower mortality but the effect was not significant for any outcome. Co-ethnic concentration was consistently associated with increased mortality, but only achieved significance for all-cause mortality in younger adults. This effect was mediated by neighborhood income. Though social resources appear to be beneficial to a lesser extent, results suggest policy should first aim to address income disparities across local communities.

RACE AND ETHNIC REPRESENTATIONS OF LAWBREAKERS AND VICTIMS IN CRIME NEWS: A NATIONAL STUDY OF TELEVISION COVERAGE.

Research on racial-ethnic portrayals in television crime news is limited and questions remain about the sources of representations and how these vary for perpetrators versus victims. We draw from power structure, market share, normal crimes, racial threat, and racial privileging perspectives to further this research. The reported race or ethnicity of violent crime perpetrators and victims are modeled as functions of: (1) situational characteristics of crime stories; and (2) contextual characteristics of television market areas. The primary data are from a stratified random sample of television newscasts in 2002-2003 (Long et al. 2005). An important innovation of our work is the use of a national, more generalizeable, sample of local news stories than prior researchers who tended to focus on single market areas. Results indicate that both the context of the story itself and the social structural context within which news stories are reported are relevant to ethnic and racial portrayals in crime news. We find limited support for power structure, market share, normal crimes and racial threat explanations of patterns of reporting. Racial privileging arguments receive more extensive support.