Local partisan context and mental health

We find that, relative to Republicans residing in more Republican neighborhoods, Republicans in neighborhoods with a higher concentration of Democratic residents report higher levels of anxiety, depression, and loneliness. While Democrats in general report worse mental health than Republicans, Democrats show no sensitivity to partisan context. Using a large-scale national survey and fine-grained data on residential political context, we establish that these patterns persist even when examining partisans who live in the same Zip Codes, and while controlling for other individual and geographic features. The correlation is strongest for the most strongly partisan individuals, suggesting that politics is a significant factor in the relationship. For Republicans, the size of the relationship between partisan context and mental health is comparable to or larger than the correlation between mental health reports and other contextual features of residential areas, such as neighborhood poverty or the way racial minorities respond to changes in the racial or ethnic composition of local geography.

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Publication Details

Journal
Proceedings of the National Academy of Sciences
Published
2026-06-29
DOI
https://doi.org/10.1073/pnas.2522718123
Primary Topic
Health disparities and outcomes
Type
article
Field-Weighted Citation Impact
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article

Local partisan context and mental health

Lynn Vavreck, Jacob Brown, Ryan Enos, Arash Naeim et al.
Proceedings of the National Academy of Sciences
Health disparities and outcomes
article

Local partisan context and mental health

Lynn Vavreck, Jacob Brown, Ryan Enos, Arash Naeim, Ryan Baxter-King
article en

Abstract

We find that, relative to Republicans residing in more Republican neighborhoods, Republicans in neighborhoods with a higher concentration of Democratic residents report higher levels of anxiety, depression, and loneliness. While Democrats in general report worse mental health than Republicans, Democrats show no sensitivity to partisan context. Using a large-scale national survey and fine-grained data on residential political context, we establish that these patterns persist even when examining partisans who live in the same Zip Codes, and while controlling for other individual and geographic features. The correlation is strongest for the most strongly partisan individuals, suggesting that politics is a significant factor in the relationship. For Republicans, the size of the relationship between partisan context and mental health is comparable to or larger than the correlation between mental health reports and other contextual features of residential areas, such as neighborhood poverty or the way racial minorities respond to changes in the racial or ethnic composition of local geography.

Proceedings of the National Academy of SciencesVol. 123(27)
Boston University (US), University of Nevada, Reno (US), University of California, Los Angeles (US), Quantitative BioSciences (US)
No poverty
Openalex Percentile: Top 6%
Health disparities and outcomes
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Local partisan context and mental health — Lynn Vavreck, Jacob Brown, et al. · Proceedings of the National Academy of Sciences (2026) | TGRS Research Map | TGRS