The role of social and built environments in predicting self-rated stress: A multilevel analysis in Philadelphia.
Most studies of the predictors of stress focus on individual characteristics. Linking multiple contextual data sources to an individual-level health survey, we explore the associations of both built and social environment determinants with self-rated stress. At the individual level few social factors were significant predictors, although neighborhood trust and food insecurity have independent effects on stress. At the neighborhood level, the presence of hazardous waste sites and traffic volume were determinants of self-rated stress even after controlling for other individual characteristics. The latter two factors are of relevance to public health policy as they are potentially modifiable.
Yang
Tse-Chuan
TC
The Social Science Research Institute, The Population Research Institute, The Pennsylvania State University, 803 Oswald Tower, University Park, PA 16801, USA. tuy111@psu.edu
Matthews
Stephen A
SA
D000328:Adult; D004779:Environment Design; D005260:Female; D006801:Humans; D008297:Male; D015143:Philadelphia; D012111:Residence Characteristics; D012931:Social Environment; D013315:Stress, Psychological / Q000209:etiology* / Q000523:psychology