Biological embedding of neighborhood disadvantage and collective efficacy: Influences on chronic illness via accelerated cardiometabolic age

Lei, Man-Kit; Beach, Steven R. H.; Simons, Ronald L.

doi:10.1017/s0954579418000937

Cited by 44Health disparities and outcomesUrban, Neighborhood, and Segregation StudiesEnvironmental Justice and Health Disparities

Biological embedding of neighborhood disadvantage and collective efficacy: Influences on chronic illness via accelerated cardiometabolic age

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Lei, Man-Kit, Beach, Steven R. H., Simons, Ronald L.·2018·Development and Psychopathology

DOI 10.1017/s0954579418000937PMC PMC6383366

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Abstract

The present study extends prior research on the link between neighborhood disadvantage and chronic illness by testing an integrated model in which neighborhood characteristics exert effects on health conditions through accelerated cardiometabolic aging. Hypotheses were tested using a sample of 408 African Americans from the Family and Community Health Study. Using four waves of data spanning young adulthood (ages 18-29), we first found durable effects of neighborhood disadvantage on accelerated cardiometabolic aging and chronic illness. Then, we used marginal structural modeling to adjust for potential neighborhood selection effects. As expected, accelerated cardiometabolic aging was the biopsychosocial mechanism that mediated much of the association between neighborhood disadvantage and chronic illness. This finding provides additional support for the view that neighborhood disadvantage can influence morbidity and mortality by creating social contexts that becomes biologically embedded. Perceived neighborhood collective efficacy served to buffer the relationship between neighborhood disadvantage and biological aging, identifying neighborhood-level resilience factor. Overall, our results indicate that neighborhood context serves as a fundamental cause of weathering and accelerated biological aging. Residing in a disadvantaged neighborhood increases biological wear and tear that ultimately leads to onset of chronic illness, but access to perceived collective efficacy buffers the impact of these neighborhood effects. From an intervention standpoint, identifying such an integrated model may help inform future health-promoting interventions.

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Neighborhood disadvantage creates social context which may become biologically embedded.
“Neighborhood disadvantage creates social context which may become biologically embedded [222].”
From Food Addiction and Psychosocial Adversity: Biological Embedding, Contextual Factors, and Public Health Implications (2020) · cites this paper as [222]
This concept has been described as a "biological embedding" of the environment and of one's lived experiences.
“This concept has been described as a “biological embedding” of the environment and of one's lived experiences (214, 215).”
From A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and Gastrointestinal Health (2019) · cites this paper as [214]

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Authors: Lei, M.-K., Beach, S. R. H., & Simons, R. L.
Affiliations: University of Georgia (US)
Corresponding author: Lei, Man-Kit
ORCID: Lei, Man-Kit
Beach, Steven R. H.
Simons, Ronald L.
Venue: Development and Psychopathology
Publisher: Cambridge University Press (CUP)
Published: 2018-08-14
Volume: 30
Issue: 5
Pages: 1797-1815
ISSN: 0954-5794 (ISSN-L)
1469-2198
DOI: 10.1017/s0954579418000937
PMC: PMC6383366
OpenAlex: W2885791564
Cited by: 44
References: 117
Citations by year: 2026: 2 · 2025: 1 · 2024: 5 · 2023: 10 · 2022: 9 · 2021: 6 · 2020: 7 · 2019: 3 · 2018: 1
FWCI: 4.55
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Development and Psychopathology (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Aging (R01AG055393)
National Heart, Lung, and Blood Institute (R01HL118045)
National Institute on Drug Abuse (P30DA027827)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD080749)
Topics: Social Sciences › Health › Health disparities and outcomes
Social Sciences › Sociology and Political Science › Urban, Neighborhood, and Segregation Studies
Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
Keywords: neighborhood disadvantage, collective efficacy, accelerated biological aging, chronic disease, biological embedding, weathering, African Americans, neighborhood selection, biopsychosocial model, early adulthood
MeSH terms: Adolescent, Adult, Aging, Black or African American, Chronic Disease, Female, Heart Diseases, Humans, Longitudinal Studies, Male, Metabolic Diseases, Residence Characteristics, Social Control, Informal, Young Adult

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Biological embedding of neighborhood disadvantage and collective efficacy: Influences on chronic illness via accelerated cardiometabolic age

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