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.


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