The proposed study builds on a transdisciplinary program of research to investigate the role of the built environment in risk and protection of Hispanics' health over time. Built environment is measured using a theoretically-derived coding system. This application capitalizes on an existing population-based cohort of 273 Hispanic elders in East Little Havana, 230 of who remain. The proposed research examines the impact of the built environment on elders' trajectories of physical functioning, cognitive functioning, and psychological distress, and investigates trajectories of neighborhood social behaviors and social support as potential mediators in this relationship. This study extends ongoing research in four ways: adds 48- and 60-month follow up assessments; adds a trajectory of physical functioning; proposes a novel unit of analysis for the built environment, """"""""effective built environment"""""""" exposure; and examines the impact of a changing built environment. The rebuilding of a large number of lots in the target neighborhood is a natural experiment that permits the assessment of the impact of changes in the built environment on social processes, and behavioral and physical outcomes. Should exogenous changes in the built environment impact social processes and elders' outcomes, this would provide additional support for the hypothesis that the built environment is an important factor in risk and protection of elders' health. To address the debate about the correct built environment unit of analysis, the study investigates the strengths of alternative units of analysis. Analysis will estimate latent growth curves in a structural equation modeling framework. The impact of time-varying built environment changes on health outcomes will be estimated using both time-varying covariates in the latent growth curve framework and autoregressive models. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG027527-02
Application #
7250882
Study Section
Community-Level Health Promotion Study Section (CLHP)
Program Officer
Nielsen, Lisbeth
Project Start
2006-07-01
Project End
2009-04-30
Budget Start
2007-05-01
Budget End
2008-04-30
Support Year
2
Fiscal Year
2007
Total Cost
$474,609
Indirect Cost
Name
University of Miami School of Medicine
Department
Psychiatry
Type
Schools of Medicine
DUNS #
052780918
City
Coral Gables
State
FL
Country
United States
Zip Code
33146
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Brown, Scott C; Huang, Shi; Perrino, Tatiana et al. (2011) The relationship of perceived neighborhood social climate to walking in Hispanic older adults: a longitudinal, cross-lagged panel analysis. J Aging Health 23:1325-51
Perrino, Tatiana; Mason, Craig A; Brown, Scott C et al. (2010) The relationship between depressive symptoms and walking among Hispanic older adults: a longitudinal, cross-lagged panel analysis. Aging Ment Health 14:211-9
Brown, Scott C; Mason, Craig A; Lombard, Joanna L et al. (2009) The relationship of built environment to perceived social support and psychological distress in Hispanic elders: the role of ""eyes on the street"". J Gerontol B Psychol Sci Soc Sci 64:234-46
Brown, Scott C; Mason, Craig A; Perrino, Tatiana et al. (2009) LONGITUDINAL RELATIONSHIPS BETWEEN NEIGHBORING BEHAVIOR AND DEPRESSIVE SYMPTOMS IN HISPANIC OLDER ADULTS IN MIAMI, FLORIDA. J Community Psychol 37:618-634
Brown, Scott C; Mason, Craig A; Spokane, Arnold R et al. (2009) The relationship of neighborhood climate to perceived social support and mental health in older Hispanic immigrants in Miami, Florida. J Aging Health 21:431-59
Perrino, Tatiana; Brown, Scott C; Mason, Craig A et al. (2009) Depressive Symptoms Among Urban Hispanic Older Adults in Miami: Prevalence and Sociodemographic Correlates. Clin Gerontol 32:26-43
Perrino, Tatiana; Mason, Craig A; Brown, Scott C et al. (2008) Longitudinal relationships between cognitive functioning and depressive symptoms among Hispanic older adults. J Gerontol B Psychol Sci Soc Sci 63:P309-17
Brown, Scott C; Mason, Craig A; Perrino, Tatiana et al. (2008) Built environment and physical functioning in Hispanic elders: the role of ""eyes on the street"". Environ Health Perspect 116:1300-7