Abstract：
Despite the association of neighborhood quality with poorer adult health, limited research has explored the association between neighborhood disadvantage, e.g. Area Deprivation Index (ADI), and older Black adults\' health, prospectively. This observational study examined the association between ADI and changes in longitudinal physical health within older Black adults. The analytic sample (n = 317) included data from waves 1 & 2 of the Baltimore Study of Black Aging: Patterns of Cognitive Aging (BSBA-PCA). Study variables included the Area Deprivation Index (ADI), objective (e.g. average heart rate) and subjective (e.g. activities of daily living) measures of physical health. Multiple linear regression models were conducted controlling for sociodemographic and social support characteristics. Participants living in more disadvantaged neighborhoods, based on national and state ADIs, were more likely to have a decreasing heart rate even after adjusting for covariates. Likewise, participants reporting increasing levels of ADL difficulty were living in a neighborhood with greater disadvantage based on national and state ADI rankings. Significant social support received and ADI (national and state) interactions were observed for average heart rate. The findings suggest that research on the effect of neighborhood quality and social support can enhance our understanding of its impact on older Black adults\' health prospectively.
摘要：
尽管邻里质量与成人健康状况较差有关，有限的研究探索了邻里劣势之间的联系，例如，区域剥夺指数(ADI)，和年长的黑人成年人的健康，前瞻性。这项观察性研究检查了ADI与老年黑人成年人纵向身体健康变化之间的关系。分析样本(n=317)包括来自巴尔的摩黑色老化研究:认知老化模式(BSBA-PCA)的第1和第2波的数据。研究变量包括面积剥夺指数(ADI)，身体健康的客观(如平均心率)和主观(如日常生活活动)测量。采用多元线性回归模型控制社会人口统计学和社会支持特征。住在更弱势社区的参与者，基于国家和州的ADI，即使在调整协变量后，心率也更有可能下降。同样，根据国家和州ADI排名,报告ADL困难程度增加的参与者居住在劣势更大的社区.观察到平均心率的显着社会支持和ADI（国家和州）互动。研究结果表明，对邻里质量和社会支持的影响的研究可以增强我们对其对老年黑人健康影响的理解。
