Compound Disadvantage between Economic Declines at the City and Neighborhood Levels for Older Americans’ Depressive Symptoms

Abstract

American cities and neighborhoods vary in their residents’ typical levels of mental health. Despite scholarship emphasizing that we cannot thoroughly understand city and neighborhood problems without investigating how they are intertwined, limited research examines how city and neighborhood effects interact as they impact health. I investigate these interactions through a study of the effects of the Great Recession of 2007–2009. Using Waves 1 (2005–2006) and 2 (2010–2011) of the National Social Life, Health, and Aging Project survey (N = 1,341) and in accordance with the compound disadvantage model, I find through fixed-effects linear regression models that city- and neighborhood-level economic declines combine multiplicatively as they impact older Americans’ depressive symptoms. I furthermore find that this effect is only partly based on personal socioeconomic changes, suggesting contextual channels of effect. My results show that we cannot fully understand the effects of city-level changes without also considering neighborhood-level changes.