Where you live may make you old: the association between perceived poor neighborhood quality and leukocyte telomere length
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BACKGROUND: Strong evidence supports that living in disadvantaged neighborhoods has direct unfavorable impact on mental and physical health. However, whether it also has direct impact on cellular health is largely unknown. Thus we examined whether neighborhood quality was associated with leukocyte telomere length, an indicator of cellular aging. METHODS: In May 2014, we extracted and analyzed baseline data from the Netherlands Study of Depression and Anxiety (NESDA), a large epidemiological study of individuals age between 18-65 years (n=2902). Telomere length was determined using quantitative polymerase chain reaction. Neighborhood quality was assessed using modified measures of perceived neighborhood disorder, fear of crime, and noise. We used multivariable linear regression models to examine association between perceived neighborhood quality and telomere length with comprehensive adjustment for individual and community characteristics related to socioeconomic and demographic status, urbanization level, mental and physical health, and lifestyle. RESULTS: Compared to individuals who reported good neighborhood quality, the mean telomere length of those who reported moderate neighborhood quality was approximately 69 base pair shorter (β =-69.33, 95% CI: -119.49, -19.17, p= 0.007), and that of those who reported poor neighborhood quality were 174 base pair shorter (β =-173.80, 95% CI: -298.80, -49.01, p=0.006). For illustrative purposes, one could extrapolate these outcomes to 8.7 and 11.9 years in chronological age, respectively. CONCLUSION: We have established an association between perceived neighborhood quality and cellular aging over and above a range of individual attributes. Biological aging processes may be impacted by socioeconomic milieu.
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Subjective appraisals of neighborhood safety and disorder are associated with flatter daily diurnal cortisol slopes and accelerated cellular aging, even after adjusting for demographic and socioeconomic characteristics.
“Evidence to support this point include studies showing that subjective appraisals of neighborhood safety and disorder (e.g., vandalism, theft) are associated with flatter daily diurnal cortisol slopes (Do et al., 2011; Karb et al., 2012) and accelerated cellular aging, even after adjusting for demographic and socioeconomic characteristics (Park et al., 2015).”
From More than a feeling: A unified view of stress measurement for population science (2018) · cites this paper as Park et al., 2015
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- Authors
- Park, M., Verhoeven, J. E., Cuijpers, P., Reynolds III, C. F., & Penninx, B. W. J. H.
- Affiliations
- University of Pittsburgh (US)
- Amsterdam Public Health (NL)
- Corresponding author
- Park, Mijung
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2015-06-17
- Volume
- 10
- Issue
- 6
- Pages
- e0128460
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4471265
- OpenAlex
- W617908443
- Cited by
- 59
- References
- 62
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 3 · 2020: 8 · 2019: 13 · 2018: 8 · 2017: 8 · 2016: 2 · 2015: 1
- FWCI
- 7.87
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- VU Research Portal (publishedVersion, other-oa)
- D-Scholarship@Pitt (University of Pittsburgh) (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- John A. Hartford Foundation
- Hartford Foundation for Public Giving
- American Foundation for Suicide Prevention
- Bristol-Myers Squibb
- Eli Lilly and Company
- Pfizer
- Patient-Centered Outcomes Research Institute
- National Palliative Care Research Center
- Universiteit Leiden (10‐000‐1002)
- Vrije Universiteit Amsterdam
- Nederlandse Organisatie voor Wetenschappelijk Onderzoek (10-000-1002, 91811602)
- Leids Universitair Medisch Centrum
- Universitair Medisch Centrum Groningen
- National Institutes of Health (UL1TR000005, MH90333)
- National Institute on Aging (P30AG024827)
- National Institute of Mental Health (P30MH090333, P30 MH90333, MH90333)
- National Institute of Nursing Research (K01NR015101)
- National Center for Advancing Translational Sciences
- National Institute on Minority Health and Health Disparities
- Topics
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
- Social Sciences › Sociology and Political Science › Environmental Justice and Health Disparities
- Keywords
- neighborhood quality, leukocyte telomere length, cellular aging, perceived neighborhood disorder, fear of crime, noise exposure, socioeconomic deprivation, biological aging, urbanization, mental health, physical health
- MeSH terms
- Adolescent, Adult, Aged, Aging, Demography, Female, Health Status, Humans, Leukocytes, Life Style, Male, Mental Health, Middle Aged, Residence Characteristics, Social Class, Telomere, Cellular Senescence, Young Adult, Telomere Homeostasis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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