Childhood trauma and neighborhood disorder impact mental health of injured Black men
A new study by Penn Nursing’s Therese Richmond highlights the critical role of social and environmental factors in post-injury recovery.
A new Penn Nursing study published in the Journal of Urban Health reveals that both adverse childhood experiences (ACEs) and perceived neighborhood disorder significantly impact the mental health of Black men in Philadelphia following serious traumatic injuries.
Therese Richmond, the Andrea B. Laporte Professor of Nursing.
(Image: Courtesy of Penn Nursing)
“This research underscores the profound and lasting impact of social determinants of health on individual well-being,” says lead author Therese Richmond, the Andrea B. Laporte Professor of Nursing in the Department of Biobehavioral Health Sciences in Penn’s School of Nursing. “Our findings demonstrate that addressing both childhood trauma and the realities of living in neighborhoods with high levels of perceived disorder is crucial for improving the mental health and overall recovery of Black men after injury.”
The study analyzed data from 414 Black men who sustained acute physical injuries requiring hospitalization. Researchers examined the combined influence of ACEs and neighborhood characteristics, including perceptions of disorder and objective measures of social and economic disadvantage, on post-injury outcomes such as PTSD, depression, sleep quality, and return to work.
“Perceiving neighborhood disorder and feelings of fear and insecurity, emerged as a significant predictor of PTSD and depression after injury,” explains the study’s senior author Sara F. Jacoby, the Calvin Bland Faculty Fellow and associate professor of nursing in the Department of Family and Community Health.” This emphasizes the importance of considering an individual’s history of trauma along with the ways in which they experience their local environment and the social and economic factors that contribute to how they feel during the process of recovery.”
The study highlights the urgent need for interventions that address the complex interplay of ACEs and neighborhood environments to improve post-injury outcomes among Black men.
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