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. 2021 Jan:67:102498.
doi: 10.1016/j.healthplace.2020.102498. Epub 2020 Dec 28.

Visual cues of the built environment and perceived stress among a cohort of black breast cancer survivors

Jesse J Plascak  1 , Adana A M Llanos  2 , Bo Qin  3 , Laxmi Chavali  4 , Yong Lin  5 , Karen S Pawlish  6 , Noreen Goldman  7 , Chi-Chen Hong  8 , Kitaw Demissie  9 , Elisa V Bandera  10
Affiliations

Visual cues of the built environment and perceived stress among a cohort of black breast cancer survivors

Jesse J Plascak et al. Health Place. 2021 Jan.

Abstract

We investigated relationships between independently observed, visual cues of residential environments and subsequent participant-reported stress within a population-based cohort of Black breast cancer survivors (n = 476). Greater visual cues of engagement - presence of team sports, yard decorations, outdoor seating - (compared to less engagement) was marginally associated with lower perceived stress in univariate models, but attenuated towards null with adjustment for socio-demographic, behavioral, and health-related covariates. Similarly, physical disorder and perceived stress were not associated in adjusted models. Relationships between observed built environment characteristics and perceived stress might be influenced by socioeconomic and health behavior factors, which longitudinal studies should investigate.

Keywords: Black women; Breast cancer survivors; Built environment; Neighborhood audit; Perceived stress.

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Conflict of interest statement

Declaration of competing interest

All authors report no conflicts of interest.

Figures

Fig. 1.
Fig. 1.
Estimated built environment physical disorder and WCHFS follow-up participants, restricted to New Jersey urban regions and WCHFS counties.
Fig. 2.
Fig. 2.
Estimated built environment engagement and WCHFS follow-up participants, restricted to New Jersey urban regions and WCHFS counties.
Fig. 3.
Fig. 3.
Correlation matrix of sociodemographic, anthropometric, health behavior, cancer, audited built environment, neighborhood factors, and perceived stress.
Fig. 4.
Fig. 4.
Example Google Street View scenes representative of neighborhood engagement among a) lower, and b) higher values of WCHFS study participants..
See this image and copyright information in PMC

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