Abstract: ECPN Student Poster Contestant: Residential Mobility and Prospective Depressive Symptomatology Among African American Adolescents: Neighborhood Cohesion As Mediator. (Society for Prevention Research 27th Annual Meeting)

297 ECPN Student Poster Contestant: Residential Mobility and Prospective Depressive Symptomatology Among African American Adolescents: Neighborhood Cohesion As Mediator.

Schedule:
Wednesday, May 29, 2019
Pacific D/L (Hyatt Regency San Francisco)
* noted as presenting author
Andrew A Gepty, BA, Doctoral Student, George Washington University, Washington, DC
Sharon Lambert, PhD, Associate Professor, George Washington University, Washington, DC
Adam J Milam, MD, PhD, Research Data Analyst, Johns Hopkins University, Baltimore, MD
Nicholas S Ialongo, Ph.D., Professor, The Johns Hopkins University, Baltimore, MD
Introduction: Low income African American youth residing in urban settings often experience multiple transitions that can interfere with their health and well-being. These youth disproportionately experience high residential mobility due to economic and safety concerns (Rosenblatt & Deluca, 2012; Zio-Guest & McKenna, 2014), and residential mobility often is accompanied by poor physical, emotional, and behavioral health outcomes (Morris et al., 2018). Links between residential instability and disparate health outcomes for residents of low income urban settings underscore the need to understand mechanisms linking residential mobility with problem outcomes in order to inform prevention efforts. Disruption of social ties to the neighborhood (Pettit, 2004) may be one mechanism accounting for mental health problems among highly mobile youth, particularly given the salience of social connectedness during adolescence (Tinsley et al., 2007). Thus, the current study examines whether changing residence is associated with increases in depressive symptoms and if so, whether this association is accounted for by decreases in neighborhood cohesion.

Method: Participants were 358 African American adolescents in Baltimore, MD who reported their perceptions of neighborhood cohesion in grade 10 and depressive symptoms in grade 11 as part of a longitudinal study following youth from elementary school through high school. Residential mobility was measured based on changes in yearly reported addresses between grades 6 to 10. We examined the effect of recent discrete moves (i.e., past year moves) as well as the aggregate of moves over grades 6-9 (i.e., middle school moves) as an indicator of chronic mobility.

Results: The SPSS PROCESS macro (Hayes, 2017) was used to test mediation. There was a significant positive indirect effect of the number of residential moves in middle school on depressive symptoms in grade 11 through grade 10 neighborhood cohesion (Effect=.0967, Bootstrap Confidence Interval BsCI [.0005, .2451]); specifically, more moves predicted lower neighborhood cohesion which in turn predicted more depressive symptoms. A similar pattern was observed for past year moves, but the indirect effect was not significant (Effect .2316, BsCI [-.0030, .5851]). Results highlight the significance of chronic mobility for adolescents’ depressive symptoms.

Conclusions: Results suggest that programs to support and bolster connections among neighbors may be an important component of preventive interventions focused on depression prevention for urban youth. In addition, programs and policies that enhance families’ ability to maintain residences (e.g., improved safety, economically viable housing) may result in reduced mobility and the accompanying adverse health effects.