302285
‘Healthography' of Latina in Western Washington State: Neighborhood and Perceived Health
Introduction.
We examine association of neighborhood with perceived health in Latinas.
Methods.
Data from Fortaleza Latina (FL), mammography use trial in Western Washington. Latina reported neighborhood perceptions (willingness to help others, close-knit relationships, trustworthiness, getting along, and shared values), perceived health (self-rated health-SRH, Short Form 12-item survey-SF-12 physical and mental, mental health inventory-MHI-5) and confounders (demographic, individual SES, healthcare access). Neighborhood characteristics (SES, Latino segregation-Gini coefficients) from the American Community Survey (ACS). Single-level linear regression models used to assess associations (changes in variables’ interquartile range) since neighborhood clustering was minimal.
Results.
Compared to other Latina in area, FL women had a lower health insurance rate (26.0% vs 57.0%), higher poverty rate (72.6% versus 18.8%) and lower percentages of high school education (31.5% versus 68.9%). Neither SRH nor SF-12 mental significantly associated with neighborhood. Neighborhood demographic factors not associated with SF-12 physical but negatively associated with MHI-5: higher percent Latino (β=-0.65; 95% confidence interval [CI] -1.30, -0.01); percent below 100% FPL (β=-0.36; 95% CI -0.62, -0.10); percent less than a high school diploma (β=-0.55; 95% CI -1.00, -0.01). Neighborhood Latino segregation not statistically significantly associated with perceived health. Willingness to help others, trustworthiness associated with SF-12 physical. Perceived neighborhood social cohesion associated with mental health: lowest compared to highest quartile. (β=-1.77; 95% CI -2.77, -0.76).
Conclusions/Implications.
Among this Latina population, neighborhood social and demographic factors, including Latino segregation, were not associated with perceived physical or mental health. Some neighborhood perceptions associated with physical and mental health, although causality cannot be evaluated.
Learning Areas:
Assessment of individual and community needs for health educationChronic disease management and prevention
Implementation of health education strategies, interventions and programs
Provision of health care to the public
Public health or related public policy
Social and behavioral sciences
Learning Objectives:
Identify and discuss the important neighborhood characteristics and perceptions of Latina participating in mammography screening promotion and relationship to perceived health.
Keyword(s): Latinos, Cancer Prevention and Screening
Qualified on the content I am responsible for because: I am a co-investigator on the project data being reported here. I am a social scientist with research experience in cancer prevention and health promotion interventions at the neighborhood level.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.