Open AccessNeighborhood Poverty and Physical Health at Midlife: The Role of Life-Course Exposure
Author(s) -
Tse Chuan Yang,
Scott J. South
Publication year - 2020
Publication title -
journal of urban health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.211
H-Index - 92
eISSN - 1468-2869
pISSN - 1099-3460
DOI - 10.1007/s11524-020-00444-8
Subject(s) - poverty , life course approach , psychology , gerontology , logistic regression , physical health , latent class model , demography , mental health , sociology , medicine , developmental psychology , economic growth , economics , statistics , mathematics , psychotherapist
Studies of the effect of neighborhood poverty on health are dominated by research designs that measure neighborhood poverty at a single point in time, ignoring the potential influence of exposure to neighborhood poverty over the life course. Applying latent class analysis to restricted residential history data from the National Longitudinal Survey of Youth, 1979 Cohort, we identify four trajectories of life-course exposure to high-poverty neighborhoods between adolescence and midlife and then examine how these groups differ in their physical health conditions (SF-12 score) and self-rated health at around age 40. Linear and logistic regression analyses show that life-course exposure to high-poverty neighborhoods is a stronger predictor of midlife physical health than are point-in-time measures of neighborhood poverty observed during either adolescence or midlife. Our findings suggest that a life-course approach can enhance our understanding of how neighborhood poverty affects physical health.