The purpose of this proposal is to investigate the influence of neighborhood context on emotional distress among youth. It is well known that neighborhood context influences individual behavior but it is less clear how specific neighborhood conditions - disadvantage and instability - shape adolescent mental health. We will explore cross-sectional associations among indicators of neighborhood disadvantage and instability (poverty, female-headed households, unemployment, residential mobility, racial heterogeneity, and crime) and emotional distress (depressed affect, anxiety, hopelessness, and suicide risk behaviors), longitudinal effects of change in emotional distress and intervention effects at post-program and at a 9-month follow-up. Specifically we ask: 1) Do neighborhood disadvantage and instability have a direct and/or moderating effect on adolescent emotional distress or change in emotional distress net of individual, family, and peer characteristics? 2) Do neighborhood disadvantage and instability have a direct and/or moderating effect on change in emotional distress net of individual, family, and peer characteristics? 3) Do neighborhood disadvantage and instability moderate the effects of the intervention net of individual, family, and peer characteristics? To address these questions multiple data sources will be linked together. The base dataset comes from the Reconnecting Youth (RY) prevention research studies, funded by NIDA, DOE, and CDC, providing a random sample of high school aged youth, stratified by high-risk, in the Seattle metropolitan area. The secondary data comes from the United States Census and the Seattle-area police departments. Individuals in the RY dataset will be linked to their census tracts and then local characteristics at the census tract-level will be added. Multilevel techniques will be used to assess the impact of neighborhood context on emotional distress, growth in emotional distress, and intervention effectiveness and adjust for natural clustering within neighborhoods. It is expected that adding neighborhood context will enhance our understanding of mental health patterns and change among teenagers and intervention efficacy. Findings from this project will inform future grant submissions to further explore the effects of neighborhood context on behavior. ? ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Small Research Grants (R03)
Project #
1R03MH074618-01A2
Application #
7196559
Study Section
Behavioral Genetics and Epidemiology Study Section (BGES)
Program Officer
Avenevoli, Shelli A
Project Start
2006-12-15
Project End
2008-11-30
Budget Start
2006-12-15
Budget End
2007-11-30
Support Year
1
Fiscal Year
2007
Total Cost
$73,415
Indirect Cost
Name
University of Washington
Department
Other Health Professions
Type
Schools of Nursing
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195