The association between cortisol and neighborhood disadvantage in a U.S. population-based sample of adolescents

Kara Rudolph, Wand Gary S., Elizabeth A. Stuart, Thomas A. Glass, Andrea H. Marques, Roman Duncko, Kathleen R. Merikangas

Research output: Contribution to journalArticle

22 Scopus citations

Abstract

The association between neighborhood conditions and cortisol is rarely studied in children or adolescents and has been hampered by small sample size and racial/ethnic and geographic homogeneity. Our objective was to estimate the association between neighborhood disadvantage and salivary cortisol levels in a large, geographically and racially/ethnically diverse sample of adolescents from the National Comorbidity Survey Replication Adolescent Supplement. Salivary cortisol was collected before and after an interview administered in the adolescent's home. We used a propensity score approach to match adolescents living in disadvantaged neighborhoods with those in non-disadvantaged neighborhoods to create two similar groups based on the time and day of cortisol collection as well as demographic characteristics. Adolescents living in disadvantaged neighborhoods had higher pre-interview cortisol levels and steeper rates of decline in cortisol levels over the course of the interview than similar adolescents in non-disadvantaged neighborhoods. This bolsters the evidence base suggesting that place may influence the stress response system.

Original languageEnglish (US)
Pages (from-to)68-77
Number of pages10
JournalHealth and Place
Volume25
DOIs
StatePublished - Jan 1 2014
Externally publishedYes

Keywords

  • Adolescents
  • Cortisol
  • Neighborhood
  • Propensity Score

ASJC Scopus subject areas

  • Health(social science)
  • Geography, Planning and Development
  • Public Health, Environmental and Occupational Health

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