Choi Jeong Ha, Szymanski Kylie, Jung Daniel H, King Tricia Z
Department of Psychology, Georgia State University, 140 Decatur Street, Suite 1150 Urban Life Building, Atlanta, GA, 30303, USA.
Department of Public Policy and Management, University of Georgia, Atlanta, USA.
Int J Behav Med. 2025 Jan 2. doi: 10.1007/s12529-024-10339-6.
This study aimed to examine the impact of neighborhood conditions and household material hardship experiences on young adult health outcomes, while also considering financial autonomy as a critical determinant of health.
We employed a cross-sectional observational design with a diverse sample of young adults from a large urban university. Structural equation modeling was used to analyze the relationships between neighborhood conditions and material hardship with health outcomes by financial autonomy.
Material hardship and neighborhood conditions were significantly related to various health outcomes among young adults. Food insecurity emerged as a significant mediator linking neighborhood conditions to health including global physical health, cognitive functioning, and depression. Financially independent young adults showed stronger direct and indirect effects of neighborhood conditions on health compared to financially dependent counterparts.
This study underscores the complex interplay of neighborhood conditions, household material hardship, and financial autonomy in shaping young adult health. Our findings also suggest how the impact of SDOH on young adult health may have long-term effects later in life. Future research should consider these factors comprehensively to address disparities in emerging adult health.
本研究旨在探讨邻里环境和家庭物质困难经历对青年成人健康结果的影响,同时将经济自主性视为健康的关键决定因素。
我们采用横断面观察设计,对一所大型城市大学的不同青年成人样本进行研究。使用结构方程模型分析邻里环境和物质困难与经济自主性对健康结果之间的关系。
物质困难和邻里环境与青年成人的各种健康结果显著相关。粮食不安全成为将邻里环境与包括总体身体健康、认知功能和抑郁在内的健康联系起来的重要中介因素。与经济依赖的同龄人相比,经济独立的青年成人在邻里环境对健康的直接和间接影响方面表现更强。
本研究强调了邻里环境、家庭物质困难和经济自主性在塑造青年成人健康方面的复杂相互作用。我们的研究结果还表明社会经济地位对青年成人健康的影响可能在以后的生活中产生长期影响。未来的研究应全面考虑这些因素,以解决新兴成年人健康方面的差异。