Differences by Sexual Orientation in Perceptions of Neighborhood Cohesion: Implications for Health
Tóm tắt
A large body of research documents the relationship between health and place, including the positive association between neighborhood cohesion and health. However, very little research has examined neighborhood cohesion by sexual orientation. This paper addresses that gap by examining differences in perceived neighborhood cohesion by sexual orientation. We use data from the 2016 National Health Interview Survey (n = 28,164 respondents aged 18 years and older) to examine bivariate differences by sexual orientation in four measures of neighborhood cohesion. We then use ordered logistic regression models to assess the relationship between sexual orientation and a scaled measure of neighborhood cohesion, adjusting for socio-demographic characteristics, living arrangements, health status, region, and neighborhood tenure. We find that lesbian, gay, and bisexual (LGB) adults are less likely to say that they live in a close-knit neighborhood (54.6 vs. 65.6%, p < 0.001), they can count on their neighbors (74.7 vs. 83.1%, p < 0.001), they trust their neighbors (75.5 vs. 83.7%, p < 0.001), or people in their neighborhood help each other out (72.9 vs. 83.1%, p < 0.001), compared to heterosexual adults. Even after controlling for socio-demographic factors, neighborhood cohesion scores are lower for LGB adults compared to heterosexual adults (odds ratio of better perceived neighborhood cohesion for sexual minorities: 0.70, p < 0.001). Overall, LGB adults report worse neighborhood cohesion across multiple measures, even after adjusting for individual characteristics and neighborhood tenure. Because living in a cohesive neighborhood is associated with better health outcomes, future research, community-level initiatives, and public policy efforts should focus on creating welcoming neighborhood environments for sexual minorities.
Tài liệu tham khảo
Diez Roux, A. V. (2001). Investigating neighborhood and area effects on health. American Journal of Public Health, 91(11), 1783–1789.
Elliot, J., Gale, C. R., Parsons, S., & Kuh, D. & HALCyon Study Team. (2014). Neighbourhood cohesion and mental wellbeing among older adults: A mixed methods approach. Social Science & Medicine, 107, 44–51. https://doi.org/10.1016/J.SOCSCIMED.2014.02.027.
Kim, E. S., Park, N., & Peterson, C. (2013). Perceived neighborhood social cohesion and stroke. Social Science & Medicine, 97, 49–55. https://doi.org/10.1016/j.socscimed.2013.08.001.
Echeverría, S., Diez-Roux, A. V., Shea, S., Borrell, L. N., & Jackson, S. (2008). Associations of neighborhood problems and neighborhood social cohesion with mental health and health behaviors: The Multi-Ethnic Study of Atherosclerosis. Health & Place, 14(4), 853–865. https://doi.org/10.1016/j.healthplace.2008.01.004.
Hong, S., Zhang, W., & Walton, E. (2014). Neighborhoods and mental health: Exploring ethnic density, poverty, and social cohesion among Asian Americans and Latinos. Social Science & Medicine, 111, 117–124. https://doi.org/10.1016/j.socscimed.2014.04.014.
Steptoe, A., & Feldman, P. J. (2001). Neighborhood problems as sources of chronic stress: Development of a measure of neighborhood problems, and associations with socioeconomic status and health. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 23(3), 177–185.
Moreno, G., Morales, L. S., Nuñez de Jaimes, F., Tseng, C.-H., Isiordia, M., Noguera, C., & Mangione, C. M. (2014). Neighborhood perceptions and health-related outcomes among Latinos with diabetes from a Rural agricultural community. Journal of Community Health, 39(6), 1077–1084. https://doi.org/10.1007/s10900-014-9854-6.
Robinette, J. W., Charles, S. T., & Gruenewald, T. L. (2017). Neighborhood socioeconomic status and health: A longitudinal analysis. Journal of Community Health, 42(5), 865–871. https://doi.org/10.1007/s10900-017-0327-6.
Kawachi, I., & Berkman, L. F. (2014). Social capital, social cohesion, and health. In L. Berkman, I. Kawachi & M. M. Glymour (Eds.), Social epidemiology (2nd edn., pp. 174–190). Oxford: Oxford University Press. https://doi.org/10.1093/med/9780195377903.003.0008.
Ross, C. E., & Mirowsky, J. (2001). Neighborhood disadvantage, disorder, and health. Journal of Health and Social Behavior, 42(3), 258–276.
Jargowsky, P. A. (2016). Neighborhoods and Segregation. In S. M. Wachter & L. Ding (Eds.), Shared prosperity in America’s communities (pp. 20–40). Philadelphia: University of Pennsylvania Press. Retrieved from https://books.google.com/books?hl=en&lr=&id=YGWjCwAAQBAJ&oi=fnd&pg=PA20&dq=neighborhoods+and+segregation&ots=Bm7iLjs1pX&sig=oBsw7wc6OTqgPs_zFr9BGz4UHEY#v=onepage&q=neighborhoodsandsegregation&f=false.
Bischoff, K., & Reardon, S. F. (2013). Residential Segregation by Income, 1970–2009. Retrieved from https://s4.ad.brown.edu/Projects/Diversity/data/report/report10162013.pdf.
Hall, M. (2013). Residential Integration on the new frontier: Immigrant segregation in established and new destinations. Demography, 50(5), 1873–1896. https://doi.org/10.1007/s13524-012-0177-x.
Osypuk, T. L., & Acevedo-Garcia, D. (2010). Beyond individual neighborhoods: A geography of opportunity perspective for understanding racial/ethnic health disparities. Health & Place, 16(6), 1113–1123. https://doi.org/10.1016/j.healthplace.2010.07.002.
Abada, T., Hou, F., & Ram, B. (2007). Racially mixed neighborhoods, perceived neighborhood social cohesion, and adolescent health in Canada. Social Science & Medicine, 65(10), 2004–2017. https://doi.org/10.1016/j.socscimed.2007.06.030.
Sturgis, P., Brunton-Smith, I., Kuha, J., & Jackson, J. (2014). Ethnic diversity, segregation and the social cohesion of neighbourhoods in London. Ethnic and Racial Studies, 37(8), 1286–1309. https://doi.org/10.1080/01419870.2013.831932.
Bradford, J. B., Putney, J. M., Shepard, B. L., Sass, S. E., Rudicel, S., Ladd, H., & Cahill, S. (2016). Healthy aging in community for older Lesbians. LGBT Health, 3(2), 109–115. https://doi.org/10.1089/lgbt.2015.0019.
Brown, M. (2014). Gender and sexuality II: There goes the gayborhood? Progress in Human Geography, 38(3), 457–465. https://doi.org/10.1177/0309132513484215.
Hubbard, P. (2012). Cities and sexualities. New York: Routledge. Retrieved from https://www.routledge.com/Cities-and-Sexualities/Hubbard/p/book/9780415566476.
Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135(5), 707–730.
Andersen, J. P., Zou, C., & Blosnich, J. (2015). Multiple early victimization experiences as a pathway to explain physical health disparities among sexual minority and heterosexual individuals. Social Science & Medicine, 133, 111–119. https://doi.org/10.1016/J.SOCSCIMED.2015.03.043.
Lick, D. J., Durso, L. E., & Johnson, K. L. (2013). Minority stress and physical health among sexual minorities. Perspectives on Psychological Science, 8(5), 521–548. https://doi.org/10.1177/1745691613497965.
Frost, D. M., Lehavot, K., & Meyer, I. H. (2013). Minority stress and physical health among sexual minority individuals. Journal of Behavioral Medicine. https://doi.org/10.1007/s10865-013-9523-8.
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129(5), 674–697. https://doi.org/10.1037/0033-2909.129.5.674.
Eliason, M. J., & Fogel, S. C. (2015). An ecological framework for sexual minority women’s health: Factors associated with greater body mass. Journal of Homosexuality, 62(7), 845–882. https://doi.org/10.1080/00918369.2014.1003007.
Gonzales, G., & Henning-Smith, C. (2014). Disparities in health and disability among older adults in same-sex cohabiting relationships. Journal of Aging and Health. https://doi.org/10.1177/0898264314551332.
Gonzales, G., Przedworski, J., & Henning-Smith, C. (2016). Comparison of health and health risk factors between lesbian, gay, and bisexual adults and heterosexual adults in the United States. JAMA Internal Medicine, 176(9), 1344. https://doi.org/10.1001/jamainternmed.2016.3432.
Gonzales, G., & Henning-Smith, C. (2017). Health disparities by sexual orientation: Results and implications from the behavioral risk factor surveillance system. Journal of Community Health. https://doi.org/10.1007/s10900-017-0366-z.
Simoni, J. M., Smith, L., Oost, K. M., Lehavot, K., & Fredriksen-Goldsen, K. (2017). Disparities in physical health conditions among lesbian and bisexual women: A systematic review of population-based studies. Journal of Homosexuality, 64(1), 32–44. https://doi.org/10.1080/00918369.2016.1174021.
Cochran, S. D., Björkenstam, C., & Mays, V. M. (2016). Sexual orientation and all-cause mortality among US adults aged 18 to 59 years, 2001–2011. American Journal of Public Health, 106(5), 918–920. https://doi.org/10.2105/AJPH.2016.303052.
Medicine, I. (2011). The health of lesbian, gay, bisexual, and transgender people: Building a foundation for better understanding. Washington, DC: National Academies Press. Retrieved from http://www.iom.edu/Reports/2011/The-Health-of-Lesbian-Gay-Bisexual-and-Transgender-People.aspx.
Lunn, M. R., Cui, W., Zack, M. M., Thompson, W. W., Blank, M. B., & Yehia, B. R. (2017). Sociodemographic characteristics and health outcomes among lesbian, gay, and bisexual U.S. Adults Using Healthy People 2020 leading health indicators. LGBT Health, 4(4), 283–294. https://doi.org/10.1089/lgbt.2016.0087.
Collins, T. W., Grineski, S. E., & Morales, D. X. (2017). Environmental injustice and sexual minority health disparities: A national study of inequitable health risks from air pollution among same-sex partners. Social Science & Medicine, 191, 38–47. https://doi.org/10.1016/j.socscimed.2017.08.040.
Collins, T. W., Grineski, S. E., & Morales, D. X. (2017). Sexual orientation, gender, and environmental injustice: Unequal carcinogenic air pollution risks in greater Houston. Annals of the American Association of Geographers, 107(1), 72–92. https://doi.org/10.1080/24694452.2016.1218270.
Cain, D. N., Mirzayi, C., Rendina, H. J., Ventuneac, A., Grov, C., & Parsons, J. T. (2017). Mediating effects of social support and internalized homonegativity on the association between population density and mental health among gay and bisexual men. LGBT Health, 4(5), 352–359. https://doi.org/10.1089/lgbt.2017.0002.
Blewett, L. A., Drew, J. A. R., Griffin, R., King, M. L., & Williams, K. (2016). IPUMS Health Surveys: National Health Interview Survey: Version 6.2. Minneapolis, MN: University of Minnesota. Retrieved from https://doi.org/10.18128/D070.V6.2.
Murillo, R., Echeverria, S., & Vasquez, E. (2016). Differences in neighborhood social cohesion and aerobic physical activity by Latino subgroup. SSM Population Health, 2, 536–541. https://doi.org/10.1016/j.ssmph.2016.08.003.
Yi, S. S., Trinh-Shevrin, C., Yen, I. H., & Kwon, S. C. (2016). Racial/ethnic differences in associations between neighborhood social cohesion and meeting physical activity guidelines, United States, 2013–2014. Preventing Chronic Disease, 13, 160261. https://doi.org/10.5888/pcd13.160261.
Henning-Smith, C. (2014). Quality of life and psychological distress among older adults: The role of living arrangements. Journal of Applied Gerontology: The Official Journal of the Southern Gerontological Society, 35(1), 39–61
Hatzenbuehler, M. L., Flores, A. R., & Gates, G. J. (2017). Social attitudes regarding same-sex marriage and LGBT health disparities: Results from a National probability sample. Journal of Social Issues, 73(3), 508–528. https://doi.org/10.1111/josi.12229.