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My neighborhood has a good reputation: Associations between spatial stigma and health
Affiliation:1. West Virginia University/Charleston Area Medical Center, Charleston, WV, United States;2. Charleston Area Medical Center, Women’s Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302, United States;3. Center for Health Services and Outcomes Research, Charleston Area Medical Center Health Education and Research Institute, 3211 McCorkle Ave, SE Charleston, WV 25304, United States;4. Department of Obstetrics and Gynecology, West Virginia University – Charleston Division, Charleston Area Medical Center, 800 Pennsylvania Ave, Charleston, WV 25302, United States;1. Department of Community & Environmental Sociology, University of Wisconsin-Madison, Agricultural Hall, Room 340A, 1450 Linden Drive, Madison, WI 53706, United States;2. Department of Sociology, University of Wisconsin-Madison, 4432 Sewell Social Sciences, Madison, WI 53706, United States;3. Department of Community-Public Health, School of Nursing, Johns Hopkins University, 525 N. Wolfe Street, Baltimore, MD 21205, United States;1. Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA;2. Center for Biostatistics and Bioinformatics, University of Mississippi Medical Center, Jackson, MS, USA;3. Department of Medicine, University of Mississippi Medical Center, Jackson, MS, USA;1. Department of Social Policy, Sociology and Criminology, University of Birmingham, UK;2. Institute of Health and Society, Newcastle University, UK;1. BC Centre for Excellence in HIV/AIDS, Vancouver, BC, Canada;2. Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada;3. Dr. Peter AIDS Foundation, Vancouver, BC, Canada;4. Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada;5. Department of Medicine, University of British Columbia, Vancouver, BC, Canada
Abstract:Health researchers increasingly recognize the influence of spatial stigma, or negative reputation of place, as a social determinant of health. Drawing from a New Haven-based cohort study (n = 251), we assessed the relationships between spatial stigma, self-rated health, and psychological distress using generalized estimating equation models. Adjusting for neighborhood-level poverty and racial composition, those who perceived living in spatially stigmatized neighborhoods were significantly more likely to report severe psychological distress compared to those that did not perceive their neighborhoods to be stigmatized (B = 1.09, CI: 0.31, 1.87). Our findings contribute to a growing body of literature that suggests that socially constructed meanings of place may influence health.
Keywords:Spatial stigma  Place  Neighborhood  Self-rated health  Mental health
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