Neighborhood disorder and social cohesion: A longitudinal investigation of links with maternal cardiometabolic risk one year postpartum

IF 3.5 2区医学 Q2 PSYCHIATRY Journal of Psychosomatic Research Pub Date : 2025-02-01 DOI:10.1016/j.jpsychores.2024.112012

Leah Cha, Amanda K. Montoya, Christine Dunkel Schetter, Jennifer A. Sumner

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Abstract

Objective

Neighborhood characteristics can influence cardiometabolic health, including during the perinatal period. However, maternal health research has largely examined the influence of objective neighborhood measures, limiting insights into psychological and social processes. We examined associations of perceived neighborhood disorder and social cohesion with maternal cardiometabolic risk 1 year postpartum and explored potential pathways of psychological distress and physical activity.

Methods

A predominantly low-income sample of Black, Latina, and White postpartum women (n = 987) were participants in the Community Child Health Network study. Women reported on neighborhood characteristics at 1 month postpartum and on symptoms of depression, anxiety, and posttraumatic stress disorder and physical activity at 6 months postpartum. Biometrics and biological samples were collected at 1 year postpartum, including blood pressure, height, weight, and dried blood spots for cardiometabolic biomarkers (e.g., C-reactive protein, glycosylated hemoglobin). In this pre-registered study, we used structural equation modeling to estimate latent variables for disorder, social cohesion, distress, physical activity, and cardiometabolic risk. We fit a parallel mediation model to test associations between latent neighborhood factors at 1 month postpartum, distress and physical activity at 6 months postpartum, and cardiometabolic risk at 1 year postpartum.

Results

Greater social cohesion, but not disorder, was significantly associated with lower distress and greater physical activity. However, there were no significant associations between disorder or social cohesion with subsequent cardiometabolic risk nor evidence for indirect effects of distress or physical activity.

Conclusion

Results suggest that social cohesion may be more pertinent than disorder for health-relevant behavioral mechanisms in postpartum women.

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邻里关系紊乱和社会凝聚力：产后一年与母亲心脏代谢风险相关的纵向调查。

目的：邻里特征可影响心脏代谢健康，包括围产期。然而，孕产妇保健研究主要考察了客观邻里措施的影响，限制了对心理和社会过程的了解。我们研究了感知邻里障碍和社会凝聚力与产后1年产妇心脏代谢风险的关系，并探索了心理困扰和身体活动的潜在途径。方法：以低收入黑人、拉丁裔和白人产后妇女为主要样本（n = 987），参与社区儿童健康网络研究。妇女在产后1个月报告邻里特征，产后6个月报告抑郁、焦虑、创伤后应激障碍症状和身体活动。产后1年采集生物特征和生物样本，包括血压、身高、体重和干血斑，检测心脏代谢生物标志物（如c反应蛋白、糖化血红蛋白）。在这项预先注册的研究中，我们使用结构方程模型来估计紊乱、社会凝聚力、痛苦、身体活动和心脏代谢风险的潜在变量。我们拟合了一个平行中介模型来检验产后1个月的潜在邻里因素、产后6个月的焦虑和体力活动与产后1年的心脏代谢风险之间的关系。结果：更大的社会凝聚力，而不是混乱，与更低的痛苦和更多的身体活动显著相关。然而，疾病或社会凝聚力与随后的心脏代谢风险之间没有显着关联，也没有证据表明痛苦或体育活动的间接影响。结论：社会凝聚力对产后妇女健康相关行为机制的影响可能大于障碍。

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.