Association of Neighborhood Crime with Asthma and Asthma Morbidity Among Mexican American Children in Chicago, Illinois

Details

• Personal Author:
  Eldeirawi K ; Gao Y ; Hebert-Beirne J ; Kunzweiler C ; Persky V ; Riley B ; Rosenberg N ; Tarlov E ; Zenk S
• Description:
  Background: There is increasing evidence that neighborhood-level factors, in addition to individual-level factors, may contribute directly or indirectly to childhood asthma by affecting environmental and lifestyle factors. Exposure to neighborhood crime and violence has been associated with poor health outcomes, especially among underserved and minority populations, and its effect on respiratory health is an area of active research. Objective: To examine the association of residential neighborhood crime with asthma and asthma-related outcomes among Mexican American children. Methods: This cross-sectional study was conducted with parents of 2,023 Mexican American children. We derived measures of neighborhood (census tract) violent, property, and drug abuse crime and used multilevel generalized estimating equations to test associations of neighborhood crime counts with respiratory conditions. Results: In multiple regression models, a 1-SD increase in neighborhood property crimes significantly increased the odds of lifetime asthma, lifetime wheezing, lifetime emergency department (ED) visits attributable to asthma or wheezing, and lifetime hospitalization attributable to asthma or wheezing by 25%, 18%, 44%, and 62%, respectively. A 1-SD elevation in neighborhood violent crime was positively and significantly associated with 21% and 57% higher odds of lifetime wheezing and ED visits, respectively. We also observed 13% and 44% significantly increased odds of lifetime wheezing and ED visits, respectively, for a 1-SD increase in drug abuse crime. These findings were not explained or modified by individual- and neighborhood-level covariates. Conclusion: Higher neighborhood crime was associated with greater odds of asthma and asthma morbidity in Mexican American children. [Description provided by NIOSH]
• Subjects:
  Asthma Asthma, Occupational Community Health Services Environment Healthcare Disparities Minority Health Morbidity Occupational Health Race Factors Respiratory System Respiratory Tract Diseases Safety Violence

  More +
• Keywords:
  Children Community Health Cross Sectional Studies Environmental Factors Health Disparities Minority Health Morbidity Rates Racial Factors Respiratory Diseases Sociological Factors
• ISSN:
  1081-1206
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Illinois ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  117
• Issue:
  5
• NIOSHTIC Number:
  nn:20054190
• Citation:
  Ann Allergy Asthma Immunol 2016 Nov; 117(5):502-507.e1
• Contact Point Address:
  Kamal Eldeirawi, PhD, RN, Department of Health Systems Science, College of Nursing (M/C 802), University of Illinois at Chicago, 845 S Damen Ave, Room 956, Chicago, IL 60612
• Email:
  keldei1@uic.edu
• Federal Fiscal Year:
  2017
• Performing Organization:
  University of Illinois at Chicago
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Annals of Allergy, Asthma and Immunology
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:055bba63459f3ca0d0942c8329e4e6d95f1f849f89517f4884acf5e48936e2b1769c745bd07ff3761dda0623e9b557159bf789c490a393c1eda338b47ac39944
• Download URL:
  https://stacks.cdc.gov/view/cdc/216803/cdc_216803_DS1.pdf
• File Type:
  [PDF - 843.62 KB ]