Social and Environmental Neighborhood Typologies and Lung Function in a Low-Income, Urban Population

Jamie L. Humphrey, Megan Lindstrom, Kelsey E. Barton, Prateek Man Shrestha, Elizabeth J. Carlton, John L. Adgate, Shelly L. Miller and Elisabeth Dowling Root
Additional contact information
Jamie L. Humphrey: Department of Mechanical Engineering, University of Colorado Boulder, 427 UCB, Boulder, CO 80309 USA
Megan Lindstrom: Department of Geography and Division of Epidemiology, The Ohio State University, 1036 Derby Hall, 154 North Oval Mall, Columbus, OH 43210, USA
Kelsey E. Barton: Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, 13001 E 17th Place, Campus Box B119, Aurora, CO 80045, USA
Prateek Man Shrestha: Department of Mechanical Engineering, University of Colorado Boulder, 427 UCB, Boulder, CO 80309 USA
Elizabeth J. Carlton: Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, 13001 E 17th Place, Campus Box B119, Aurora, CO 80045, USA
John L. Adgate: Department of Environmental and Occupational Health, Colorado School of Public Health, University of Colorado, Anschutz Medical Campus, 13001 E 17th Place, Campus Box B119, Aurora, CO 80045, USA
Shelly L. Miller: Department of Mechanical Engineering, University of Colorado Boulder, 427 UCB, Boulder, CO 80309 USA
Elisabeth Dowling Root: Department of Geography and Division of Epidemiology, The Ohio State University, 1036 Derby Hall, 154 North Oval Mall, Columbus, OH 43210, USA

IJERPH, 2019, vol. 16, issue 7, 1-14

Abstract: Consensus is growing on the need to investigate the joint impact of neighborhood-level social factors and environmental hazards on respiratory health. This study used latent profile analysis (LPA) to empirically identify distinct neighborhood subtypes according to a clustering of social factors and environmental hazards, and to examine whether those subtypes are associated with lung function. The study included 182 low-income participants who were enrolled in the Colorado Home Energy Efficiency and Respiratory Health (CHEER) study during the years 2015–2017. Distinct neighborhood typologies were identified based on analyses of 632 census tracts in the Denver-Metro and Front Range area of Colorado; neighborhood characteristics used to identify typologies included green space, traffic-related air pollution, violent and property crime, racial/ethnic composition, and socioeconomic status (SES). Generalized estimating equations were used to examine the association between neighborhood typology and lung function. We found four distinct neighborhood typologies and provide evidence that these social and environmental aspects of neighborhoods cluster along lines of advantage/disadvantage. We provide suggestive evidence of a double jeopardy situation where low-income populations living in disadvantaged neighborhoods may have decreased lung function. Using LPA with social and environmental characteristics may help to identify meaningful neighborhood subtypes and inform research on the mechanisms by which neighborhoods influence health.

Keywords: social and environmental determinants of health; neighborhoods and health; latent profile analysis (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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