Neighborhood Types and Externalizing Behavior in Urban School-Age Children: Tests of Direct, Mediated, and Moderated Effects

We evaluated the association of neighborhood types and externalizing behavior problems in 99 predominately African-American urban children (M = 10.7 years), and the extent to which qualities of the family environment mediated or moderated these associations. Three distinct neighborhood types were identified using cluster analysis of census and crime data. Results showed that children living in very poor neighborhoods with moderate crime levels had more behavior problems than children living in relatively low crime, low poverty areas. Family stress mediated the association between neighborhood type and behavior problems. Family cohesion moderated the association of neighborhood type and adjustment: children living in the most impoverished neighborhoods with high levels of family cohesion demonstrated fewer behavior problems relative to their peers in low-cohesive households in the same area, and similar levels of behavior problems relative to children in highly cohesive homes in low crime, low poverty areas.     

Changes in neighborhood poverty from 1990 to 2000 and youth's problem behaviors

This study used data from the Project on Human Development in Chicago Neighborhoods, a multilevel, longitudinal study of children sampled from 80 diverse neighborhoods, to explore associations among changes in neighborhood poverty from 1990 to 2000 and changes in youth's internalizing problems and property and violent offenses over 6 years (N = 3,324; mean age across waves = 12.6 years). After accounting for a host of background characteristics and weighting for the propensity to stay in the original sampled neighborhood, results indicated that neighborhood poverty dynamics were unfavorably linked to boys' problem behaviors. In high-poverty (>30% in 1990) neighborhoods, decreasing poverty was associated with boys' greater internalizing problems and higher probability of increasing in violent behavior than stable neighborhood poverty. In moderate-poverty (20%-30% in 1990) neighborhoods, boys in neighborhoods that got poorer had more internalizing problems than boys in stably poor neighborhoods. Likewise, in low-poverty (<20% in 1990) neighborhoods, increasing poverty was associated with boys' higher probability of increasing in violent behavior than stable neighborhood poverty. Effect sizes were larger in high- and moderate-poverty neighborhoods than in low-poverty neighborhoods. This study complements the neighborhood mobility literature and has implications for interventions aimed at community revitalization.     

Childhood anxiety associated with low BMI in women with Anorexia Nervosa

Objective

Extremely low body mass index (BMI) values are associated with increased risk for death and poor long-term prognosis in individuals with anorexia nervosa (AN). The present study explores childhood personality characteristics that could be associated with the ability to attain an extremely low BMI.

Methods

Participants were 326 women from the Genetics of Anorexia Nervosa (GAN) Study who completed the Structured Interview for Anorexia Nervosa and Bulimic Syndromes and whose mother completed the Child Behavioral Checklist and/or Revised Dimensions of Temperament Survey.

Results

Children who were described as having greater fear or anxiety by their mothers attained lower BMIs during AN (p < 0.02). Path analysis in the GAN and a validation sample, Price Foundation Anorexia Nervosa Trios Study, confirmed the relation between early childhood anxiety, caloric restriction, qualitative food item restriction, excessive exercise, and low BMI. Path analysis also confirmed a relation between childhood anxiety and caloric restriction, which mediated the relation between childhood anxiety and low BMI in the GAN sample only.

Conclusion

Fearful or anxious behavior as a child was associated with the attainment of low BMI in AN and childhood anxiety was associated with caloric restriction. Measures of anxiety and factors associated with anxiety-proneness in childhood may index children at risk for restrictive behaviors and extremely low BMIs in AN.     

Neighborhood Poverty, Social Capital, and the Cognitive Development of African American Preschoolers

In this investigation, we examine the impact of the ecological context of the residential neighborhood on the cognitive development of children by considering social processes not only at the family-level but also at the neighborhood-level. In a socioeconomically diverse sample of 200 African American children living in 39 neighborhoods in Baltimore, we found that neighborhood poverty was associated with poorer problem-solving skills over and above the influence of family economic resources and level of positive parent involvement. Sampson has theorized that neighborhood poverty affects child well-being by altering levels of neighborhood social capital as well as family social capital. Although we found that indicators of neighborhood and family social capital were associated with cognitive skills, these factors did not explain the association between neighborhood poverty and problem-solving ability. Implications for future research in the area of neighborhoods and child development are discussed.     

Trajectories of adolescent stressful life events and young adults’ socioeconomic and relational outcomes: Weight and depressive symptoms as mediators

Little is known about how biological and psychological consequences of adolescent stressful life events (SLEs) are jointly associated with socioeconomic and relational outcomes in adulthood. To address this gap, the present study involved testing a model based on the life course perspective that posits adolescent SLE trajectories produce parallel trajectories of depressive symptoms and weight status, which are jointly associated with socioeconomic status and intimate relationship quality in adulthood. Prospective data over 13 years from a nationally representative sample of 11,677 US adolescents was utilized. The results demonstrated that trajectories of BMI and depressive symptoms, which showed contemporaneous and longitudinal comorbidities over the early life course, were influenced by adolescent SLEs. Both BMI and depressive symptoms trajectories are additively and jointly associated with socioeconomic status and intimate relationship quality in adulthood. Additionally, adolescent SLE trajectories are directly associated with these adult outcomes. These observed associations persisted even after controlling for early family socioeconomic adversity and race/ethnicity. The theoretical and practical implications of these findings are discussed.     

Neighbourhood,school and family determinants of children's aspirations in primary school

Aspirations can be important for young children as well as adolescents. However, there is little research on the determinants of aspirations in young children. We carried out this study to investigate the early contextual (neighbourhood, school and family) determinants of occupational aspirations in primary school children. Our sample comprised children from the Millennium Cohort Study who lived in England in the beginning of our study period (n = 10,086; 5,126 boys). Occupational aspirations were measured at age 7 years, while their contextual determinants were measured in the previous data sweeps, at ages 3 and 5 years. We fitted structural equation models to test the role of family and neighbourhood socio-economic status (SES) and child ethnicity in predicting aspirations both directly and via their associations with parental involvement, household chaos, school-level achievement and child cognitive ability. We found that the only significant determinants of aspirations at age 7 years were family SES and ethnicity, and only in boys. Family SES and ethnicity were also related to parental involvement, household chaos, cognitive ability and school-level achievement, but none of these factors predicted aspirations. Supplementary analysis showed that family SES was a particularly powerful determinant of the aspirations of white compared to non-white boys.     

An Examination of Alcohol Use Disorder Symptoms and Neighborhood Disorganization from Age 21 to 39

Living in disorganized neighborhoods characterized by high levels of poverty, crime, violence, and deteriorating buildings has been associated with increased alcohol consumption and mental health problems. Data drawn from the Seattle Social Development Project (N = 790), a theory‐driven longitudinal study originating in Seattle, WA, were used to estimate trajectories of Alcohol Use Disorder (AUD) symptoms from age 21 to 39. Time‐varying measures of neighborhood disorganization, psychological distress, and sociodemographic factors were associated with deviations from average AUD symptoms at each wave. Results indicated that, on average, AUD symptoms decreased as individuals got older. Living in more disorganized neighborhoods and experiencing psychological distress was associated with increased AUD symptoms after accounting for average reductions from AUD symptoms over time and time‐varying measures of relevant sociodemographic factors. Results of mediation analysis suggested that psychological distress is a mechanism by which disorganized neighborhoods increased risk of AUD from age 21 to 39.     

Judging the differences between women's attractiveness and health: Is there really a difference between judgments made by men and women?

Perceived weight in the face and body size have been shown to be significant predictors of both attractiveness and health. Studies looking at the relationship between attractiveness, perceived health, and perceived weight in faces have found that individuals prefer a lower weight for attractiveness than for apparent health. Here, a group of twenty-four Asian participants were allowed to manipulate the apparent body mass indices (BMIs) of full-length photographs of young Malaysian Chinese women to enhance their perceived healthiness and attractiveness. Results showed that both men and women differentiated between attractiveness and health by preferring a lower BMI for attractiveness than health, suggesting a consistency in the preferred ideal BMI for attractiveness and healthy appearance across both sexes. Results also suggested that BMI provides important cues to judgments of attractive and healthy appearance.     

A Multilevel Contextual Model of Neighborhood Collective Efficacy

Different data sources were used to examine hypothesized relations among neighborhood-, family-, and individual-level variables, and perceptions of neighborhood collective efficacy. Data were from 1,105 individuals (56% female, 42% African American, and 58% White) nested within 55 neighborhoods and 392 families, analyzed within a multilevel design using a 3-level model. At the neighborhood level, the study examined relations between Census, police, and neighborhood representative indicators. At the family level, the model examined the influence of marital status and family income. At the individual level, gender and age were examined. Results indicated that age at the individual level, marital status at the family level, and poverty and perceived gang activity at the neighborhood level predicted levels of neighborhood collective efficacy. The study illustrated significant variation across neighborhoods and families, and demonstrates the utility of combining different sources of neighborhood data to examine relations of interest within a multilevel framework.     

Does Neighborhood Social Capital Buffer the Effects of Maternal Depression on Adolescent Behavior Problems?

Neighborhood characteristics have been shown to impact child well-being. However, it remains unclear how these factors combine with family characteristics to influence child development. The current study helps develop that understanding by investigating how neighborhoods directly impact child and adolescent behavior problems as well as moderate the influence of family characteristics on behavior. Using multilevel linear models, we examined the relationship among neighborhood conditions (poverty and social capital) and maternal depression on child and adolescent behavior problems. The sample included 741 children, age 5–11, and 564 adolescents, age 12–17. Outcomes were internalizing (e.g. anxious/depressed) and externalizing (e.g. aggressive/hyperactive) behavior problems. Neighborhood poverty and maternal depression were both positively associated with behavior problems for children and adolescents. However, while neighborhood social capital was not directly associated with behavior problems, the interaction of social capital and maternal depression was significantly related to behavior problems for adolescents. This interaction showed that living in neighborhoods with higher levels of social capital attenuated the relationship between maternal depression and adolescent behavior problems and confirmed the expectation that raising healthy well-adjusted children depends not only on the family, but also the context in which the family lives.     

Personalized interactive characters for toddlers' learning of seriation from a video presentation

Children's media is rooted in relationships with onscreen characters. In this study, 18-month-old toddlers were initially exposed to one of two unfamiliar interactive media characters for 3 months. Conditions varied whether the character was personalized to them or not. At age 21 months, toddlers were tested on a seriation task that was presented onscreen by the character and compared to the performance of a 21-month-old control group who did not view a video demonstration (total N = 48). Toddlers learned significantly more from the personalized character, but not from the non-personalized character, when compared to the control group. Children in the personalized condition also increased in parasocial, nurturing behaviors directed at the character during play sessions, and these scores were linked to better seriation performance. The results suggest an important role for social relationships with interactive characters to teach early seriation skills.     

The importance of body satisfaction to physical self‐concept and body mass index in Spanish adolescents

This research examines the association between measured body mass index (BMI) and the perception of BMI by young students. Moreover, this research tests the importance of BMI and self‐concept, in order to predict body dissatisfaction in high school students. The sample consisted of 2087 individuals from different high schools in Extremadura, Spain, both males (n = 1046) and females (n = 1041), ranging in age from 15 to 17 years old (M = 15.42; SD = 0.86). Initially, participants' BMIs were assessed through anthropometry. Later, all individuals were asked about their weight and height, and their self‐reported BMI was calculated. Participants also answered a questionnaire about their perception of self‐concept, as well as completed a test about body image perception using Stunkard images. Outcomes revealed that factors concerning self‐concept and perceived BMI explained body dissatisfaction. Finally, results are discussed with the aim of improving knowledge in body dissatisfaction context.     

Body Image: A Study in a Tri-Ethnic Sample of Low Income Women

This study was designed to examine the evaluative, affective, and behavioral components of body image among 1,217 low-income European American, African American, and Latina women. Participants completed a multidimensional body image questionnaire while awaiting an outpatient clinic appointment. Body mass index (BMI) was determined by medical chart review. Nearly all normal weight and a number of overweight and obese African Americans characterized their weight as normal. In contrast, nearly all overweight and obese European Americans and Latinas regarded themselves as overweight as did over 30% of those of normal weight. European Americans and Latinas with higher BMIs reported more appearance shame than their lower BMI peers did; this pattern was not observed among African Americans. Among Latinas, body image was influenced by length of residency in the U.S. Dr. Berenson is supported by Grant Number K24HD043659, a Midcareer Investigator Award in Patient-Oriented Research, from the National Institute of Child Health and Human Development. Heather Littleton is now at Sam Houston State University.     

Paternal autonomy restriction,neighborhood safety,and child anxiety trajectory in community youth

Intrusive parenting, primarily examined among middle to upper-middle class mothers, has been positively associated with the presence and severity of anxiety in children. This study employed cross-sectional linear regression and longitudinal latent growth curve analyses to evaluate the main and interactive effects of early childhood paternal autonomy restriction (AR) and neighborhood safety (NS) on the trajectory of child anxiety in a sample of 596 community children and fathers from the NICHD SECYD. Longitudinal analyses revealed that greater paternal AR at age 6 was actually associated with greater decreases in child anxiety in later childhood. Cross-sectional analyses revealed main effects for NS across childhood, and interactive effects of paternal AR and NS that were present only in early childhood, whereby children living in safer neighborhoods demonstrated increased anxiety when experiencing lower levels of paternal AR. Findings further clarify for whom and when paternal AR impacts child anxiety in community youth.     

The Role of Childhood Neglect and Childhood Poverty in Predicting Mental Health, Academic Achievement and Crime in Adulthood

This study examines the roles of childhood neglect and childhood poverty (family and neighborhood) in predicting Posttraumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), academic achievement, and crime in young adulthood. Using existing data from a prospective cohort design study, 1,005 children with documented histories of neglect (N = 507) and matched controls (N = 497) were interviewed in young adulthood (mean age 29). Official criminal histories were also used to assess outcomes. Data were analyzed using logistic and ordinary least squares regressions and hierarchical linear modeling (HLM) to control for neighborhood clustering. Results from HLM revealed that childhood neglect and childhood family poverty uniquely predicted PTSD and adult arrest, MDD was predicted only by childhood family poverty, and a significant interaction between childhood family poverty and childhood neighborhood poverty predicted academic achievement for the control group only. Childhood neglect, childhood family poverty, and childhood neighborhood poverty each contribute to poor outcomes later in life. While interventions should be developed for neglected children to prevent negative outcomes, the current findings suggest that it is also important to consider the ecological context in which these children are growing up.     

Neighborhood and Individual Factors in Marijuana and Other Illicit Drug Use in a Sample of Low-income Women

Few studies have systematically evaluated whether contextual variables differ in their ability to explain the use of different drugs in the same sample. Our objective was to examine correlates of use for different illicit drugs at the individual and neighborhood level in a tri-ethnic sample of low-income women, an underrepresented sample in drug research. Women 18–31 were recruited from a low-cost family planning clinic in southeast Texas from December 2001 to May 2003. Neighborhood level indicators of disadvantage, family structure, and nativity status from U.S. Census 2000 were linked with individual survey data. Multilevel logistic regression was used to examine the effect of individual and neighborhood level measures on lifetime use of marijuana only and of other illicit drugs in 594 women. Only individual level variables (younger age, non-Hispanic White ethnicity, not being married, greater peer acceptance of substance use) increased odds of exclusive marijuana use, controlling for neighborhood level factors. However, both neighborhood and individual level variables significantly predicted other illicit drug use. Residence in less disadvantaged neighborhoods, non-Hispanic White ethnicity, higher levels of education, greater acceptance of substance use by peers, and a larger number of perceived neighborhood problems increased odds of illicit drug use. Use of other illicit drugs with or without marijuana may be more closely tied to area level factors whereas factors driving exclusive marijuana use may not rely on localized structures to the same extent. Thus, community-level interventions may need to customize their approaches according to the type of drug use targeted. The implication of using neighborhood level variables in substance use research is also discussed.     

Adolescent Coping and Neighborhood Violence: Perceptions, Exposure, and Urban Youths' Efforts to Deal with Danger

Neighborhood violence is a persistent source of danger, stress, and other adverse outcomes for urban youth. We examined how 140 African American and Latino adolescents coped with neighborhood danger in low, medium, and high crime neighborhoods throughout Chicago. Participants reported using a range of coping strategies (measured via a modified version of the Ways of Coping Scale; R. S. Lazarus & S. Folkman, 1984). In low and medium crime rate areas, using confrontive strategies was significantly correlated with increased exposure to violence, and no strategies were associated with perceptions of safety. Coping strategies were associated with perceived safety to a substantial degree only in high crime neighborhoods, and none were associated with exposure to violence. A k means cluster analysis identified groups that differed in coping profiles and varied in rates of exposure to violence. Moderating effects of gender, ethnicity, and neighborhood were found for both person level and variable level analyses.     

The swimsuit issue: Correlates of body image in a sample of 52,677 heterosexual adults

Past research on adults’ body image has typically used small convenience samples, limiting the ability to examine associations of personal characteristics to body satisfaction. This study of 52,677 heterosexual adults ages 18–65 examined associations of body satisfaction to age, height, gender, and body mass index (BMI). Age and height were mostly unrelated to body satisfaction. Consistent with an Objectification Theory perspective, fewer men than women reported being too heavy (41% versus 61%), rated their body as unattractive (11% versus 21%), or avoided wearing a swimsuit in public (16% versus 31%). Men felt better about their bodies than women across most of the weight span, although among underweight individuals, women felt better than men. Slender women (BMIs 14.5–22.49) were more satisfied than most other women (BMIs 22.5–40.5). Among men, underweight and obese men were least satisfied. These findings highlight gender differences in the association of weight to body satisfaction.     

Distress tolerance and early adolescent externalizing and internalizing symptoms: The moderating role of gender and ethnicity

A large body of research has examined the development of internalizing and externalizing symptoms in childhood and early adolescence. Notably, there is significant concomitant impairment associated with early adolescent symptomatology, as well as association of these symptoms with future development of psychopathology, poor physical health, self-destructive thoughts and behaviors, criminal behavior, and HIV risk behaviors. Drawing on negative reinforcement theory, the current study sought to examine the potential role of distress tolerance, defined as the ability to persist in goal-directed activity while experiencing emotional distress, as a potential mechanism that may underlie both internalizing and externalizing symptoms among 231 Caucasian and African American youth (M age = 10.9 years; 45.5% female; 54.5% Caucasian ethnicity). A series of regressions resulted in significant moderated relationships, such that low distress tolerance conferred increased risk for alcohol use among Caucasians, delinquent behavior among African Americans, and internalizing symptoms among females. Clinical implications, including the potential role of negative reinforcement models in early intervention with young adolescents, are discussed.     

Weighing in on risk factors for body dissatisfaction: a one-year prospective study of middle-adolescent girls

Body dissatisfaction is a common problem among adolescent girls that is linked to serious outcomes, including the development of eating disorders. This study tested to what degree five theorized risk factors (weight-related teasing, thin-ideal internalization, body mass index [BMI], self-esteem, and perfectionism) predicted prospective changes in body dissatisfaction. At baseline, 393 10th and 11th grade girls (M = 15.8 years) completed questionnaires and had their height and weight measured. One year later, 316 participants’ body dissatisfaction was reassessed (80.4% retention). Results suggested that self-esteem was the most potent risk factor, followed by BMI, when used to categorize girls into high- and low-risk groups for body dissatisfaction at follow-up. However, weight-related teasing, thin-ideal internalization, and perfectionism did not prove to be risk factors. These results suggest self-esteem and BMI are relevant variables for helping to identify middle-adolescent girls who may be at risk for subsequent increases in body dissatisfaction.