479 C.S. Aneshensel et al. (eds.), Handbook of the Sociology of Mental Health, Second Edition,
Handbooks of Sociology and Social Research, DOI 10.1007/978-94-007-4276-5_23,
© Springer Science+Business Media Dordrecht 2013
Abbreviations
AHEAD Study of Assets and Health Dynamics Among the Oldest Old
APOE Apolipoprotein E
CCH Community Crime, and Health
DRD2 Dopamine receptor D2
HLM Hierarchical linear models
5-HTT 5-Hydroxytryptamine transporter
Although studies of the social causes of mental health tend to emphasize social characteristics
measured at the level of the individual (e.g., personal socioeconomic standing), research also suggests that
mental health may vary according to social characteristics measured at the level of the neighborhood.
More than 70 years ago, Faris and Dunham (1939) examined the spatial distribution of mental disorders
in Chicago neighborhoods. Their analysis of data collected from over 34,000 psychiatric patients
showed that “…high insanity rates appear to cluster in the deteriorated regions in and surrounding
the center of the city…” (Faris & Dunham, 1939, p. 35). Using the urban ecological approach
developed by Park (1915) and Burgess (1925), Faris and Dunham explained that the conditions of life
in socially disorganized neighborhoods could favor the development of mental disorders by promoting
a sense of extreme social isolation and by exposing residents to environments that are conducive to
substance abuse.
The pioneering work of Faris and Dunham (1939) and numerous subsequent studies show us that
(a) neighborhoods are socially patterned, such that the most disadvantaged groups in society tend to
live in disadvantaged neighborhoods, (b) mental health varies systematically across neighborhoods,
Chapter 23
Neighborhood Context and Mental Health
Terrence D. Hill and David Maimon
T.D. Hill (*)
Department of Sociology, Florida State University, 526 Bellamy Building,
P.O. Box 3062270, Tallahassee, FL 32306, USA
e-mail: thill@fsu.edu
D. Maimon
Department of Criminology and Criminal Justice,
University of Maryland, College Park, MD, USA