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

Jesse J Plascak; Adana A M Llanos; Bo Qin; Laxmi Chavali; Yong Lin; Karen S Pawlish; Noreen Goldman; Chi-Chen Hong; Kitaw Demissie; Elisa V Bandera

doi:10.1016/j.healthplace.2020.102498

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

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

Authors

Jesse J Plascak¹, Adana A M Llanos², Bo Qin³, Laxmi Chavali⁴, Yong Lin⁵, Karen S Pawlish⁶, Noreen Goldman⁷, Chi-Chen Hong⁸, Kitaw Demissie⁹, Elisa V Bandera¹⁰

Affiliations

¹ Department of Internal Medicine, College of Medicine, The Ohio State University, 1590 North High Street, Suite 525, Columbus, OH, 43201, USA. Electronic address: jesse.plascak@osumc.edu.
² Department of Biostatistics and Epidemiology, School of Public Health, Rutgers, the State University of New Jersey, Piscataway, NJ, USA; Cancer Prevention and Control Program, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA. Electronic address: adana.llanos@rutgers.edu.
³ Cancer Prevention and Control Program, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA. Electronic address: bonnie.qin@rutgers.edu.
⁴ Department of Biostatistics and Epidemiology, School of Public Health, Rutgers, the State University of New Jersey, Piscataway, NJ, USA. Electronic address: lbc65@sph.rutgers.edu.
⁵ Department of Biostatistics and Epidemiology, School of Public Health, Rutgers, the State University of New Jersey, Piscataway, NJ, USA. Electronic address: linyo@sph.rutgers.edu.
⁶ New Jersey State Cancer Registry, New Jersey Department of Health, Trenton, NJ, USA. Electronic address: Karen.Pawlish@doh.nj.gov.
⁷ Office of Population Research, Princeton University, Princeton, NJ, USA. Electronic address: ngoldman@princeton.edu.
⁸ Department of Cancer Prevention and Control, Roswell Park Cancer Institute, Buffalo, NY, USA. Electronic address: chi-chen.hong@roswellpark.org.
⁹ Department of Epidemiology and Biostatistics, School of Public Health, SUNY Downstate Health Sciences University, Brooklyn, NY, USA. Electronic address: kitaw.demissie@downstate.edu.
¹⁰ Cancer Prevention and Control Program, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ, USA. Electronic address: elisa.bandera@rutgers.edu.

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.

Publication types

Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

MeSH terms

Breast Neoplasms*
Built Environment
Cancer Survivors*
Cues
Female
Humans
Residence Characteristics
Stress, Psychological

Abstract

Publication types

MeSH terms

Grants and funding