4.5 Article

Development of an instrument to measure perceived gentrification for health research: Perceptions about changes in environments and residents (PACER)

期刊

SSM-POPULATION HEALTH
卷 15, 期 -, 页码 -

出版社

ELSEVIER SCI LTD
DOI: 10.1016/j.ssmph.2021.100900

关键词

Survey methodology; Gentrification; Neighborhood; Social determinants of health; Environment; Displacement

资金

  1. Urban Health Collaborative within the Dornsife School of Public Health at Drexel University
  2. Institute for Survey Research within Temple University
  3. National Institute of Aging [R01 AG072634]

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The study developed a new survey tool PACER to measure individual perceptions of gentrification-related neighborhood changes relevant to health. Through a multistage development process, the tool showed good internal consistency and criterion-related validity after testing.
Despite a myriad of potential pathways linking neighborhood change and gentrification to health, existing quantitative measures failed to capture individual-level, self-reported perceptions of these processes. We developed the Perceptions About Change in Environment and Residents (PACER) survey to measure the gentrification-related neighborhood change experienced by individuals relevant to health. We employed a multistage process to develop PACER including a scoping review, question refinement, content validity, and cognitive interviews. Content validity and cognitive interviews were assessed within the National Neighborhood Indicators Partnership (NNIP) and for residents of different tenure in both gentrifying and non-gentrifying neighborhoods to ensure PACER considers the complex nature of neighborhood change for different people within different urban contexts. We piloted the instrument to a sample from the resident panel BeHeardPhilly to assess acceptability and data quality. Finally, we assessed internal consistency, dimensionality, and criterion-related validity using Principal Components Analysis (PCA), descriptive statistics, and correlation coefficients. Testing showed good internal consistency for PACER questions, as well as for each of four resulting factors (Feelings, Built Environment, Social Environment, and Affordability). Correlations between factors and other context measures demonstrated strong criterion-related validity. PACER offers an unprecedented tool for measuring and understanding resident perceptions about gentrification-related neighborhood change relevant to health. Rigorously tested and tailored for health, PACER holds utility for application across different settings to examine changes from events that may impact and shift neighborhoods.

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