Hispanic Ethnic Density May Be Protective for Older Black/African American and Non-Hispanic White Populations for Some Health Conditions: An Exploration of Support and Neighborhood Mechanisms.

摘要: BACKGROUND AND PURPOSE Hispanic ethnic density (HED) is associated with salubrious health outcomes for Hispanics, yet recent research suggests it may also be protective other groups. The purpose of this study was to test whether HED racial-ethnic We tested social support or neighborhood integration mediated the association between high and depressive symptoms (CES-D) physical morbidity 5 years later. Lastly, we race-ethnicity moderated both main indirect effects. METHODS used Waves 1 (2005-2006), 2 (2010-2011) from National Social Life, Health, Aging Project, a national older U.S. adults. Our sample restricted Wave adults who returned at 2, did not move their residence waves, self-identified as Hispanic, non-Hispanic White (NHW), Black (NHB; n = 1,635). geo-coded respondents' addresses census-tract overlaid population data. Moderated-mediation models using multiple imputation (to handle missingness) bootstrapping were estimate effects all categories. RESULTS Depressive lower amongst minorities in ethnically (Hispanic) dense neighborhoods; effect stronger Hispanics. morbidity. Sensitivity analyses revealed that cardiovascular events groups, but arthritis, respiratory disease. mediators outcomes, nor by race-ethnicity. CONCLUSIONS This offers some evidence conditions adults; however, phenomena underlying these remains question future work.