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Neighborhood disadvantage and adolescent behavior problems: how do inferences differ across definitions of disadvantage?

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Abstract

Background

Various definitions of neighborhood disadvantage (ND) exist, yet evidence is lacking on how ND operationalization may impact scientific inference.

Methods

We used data from wave 6 of the Fragile Families study, excluding those without census tract or behavior problem data (n = 2363). Outcomes included five scales from the caregiver-reported Child Behavior Checklist (CBCL) and a self-reported delinquency scale. ND was defined in four ways: (1) a modified Sampson definition which included four neighborhood poverty variables; (2) a poverty-only definition which only included percent households below poverty; (3) an overextended definition which added a mediator between the ND-behavior relationship, and (4) an expanded definition which added six additional ND variables to the modified Sampson definition. Using effect estimates from generalized linear models, differences were calculated using percent change-in-estimate, with the modified Sampson as the referent.

Results

Effect estimates were similar for the modified Sampson and expanded definitions (< 5% difference). The poverty-only definition differed from the modified Sampson unsystematically. Estimates for the overextended definition were consistently larger compared to modified Sampson (10–37% greater). The expanded and modified Sampson definitions produced similar results.

Conclusion

Poverty-only and overextended ND definitions should be interpreted with caution.

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Data availability

The Future Families and Child Wellbeing study manages data sharing from: (https://fragilefamilies.princeton.edu/).

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Funding

Research reported in this publication was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) of the National Institutes of Health under award numbers R01HD036916, R01HD039135, and R01HD040421, as well as a consortium of private foundations. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Contributions

Seth Frndak is the first author. He provided conceptual and analytic contributions to the paper while also writing the manuscript. Drs. Hanna Grol-Prokopczyk, Craig Colder, Hailey Banack, and Katarzyna Kordas provided epidemiologic and methodologic support, while also editing and revising the manuscript.

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Correspondence to Seth Frndak.

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Authors have no competing interests to declare.

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Frndak, S., Grol-Prokopczyk, H., Colder, C. et al. Neighborhood disadvantage and adolescent behavior problems: how do inferences differ across definitions of disadvantage?. Soc Psychiatry Psychiatr Epidemiol (2023). https://doi.org/10.1007/s00127-023-02593-y

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