Tags

Type your tag names separated by a space and hit enter

The association between parental perception of neighborhood safety and asthma diagnosis in ethnic minority urban children.
J Urban Health 2012; 89(5):758-68JU

Abstract

Low-income populations, minorities, and children living in inner cities have high rates of asthma. Recent studies have emphasized the role of psychosocial stress in development of asthma. Residence in unsafe neighborhoods is one potential source of increased stress. The study objective was to examine the association between parental perception of neighborhood safety and asthma diagnosis among inner city, minority children. Cross-sectional data from a community-based study of 6-8-year-old New York City children were used. Asthma was defined as parental report of physician-diagnosed asthma and at least one asthma-related symptom. Parental perceptions of neighborhood safety were assessed with a questionnaire. Associations between perceived neighborhood safety and asthma were examined using chi-squared tests. Multivariate logistic regression analyses were then performed. Five hundred four children were included with 79% female, 26.5% non-Hispanic Black, and 73.5% Hispanic. Asthma was present in 23.8% of children. There was an inverse association between feeling safe walking in the neighborhood and asthma with 45.7% of parents of asthmatic children reporting they felt safe compared to 60.9% of parents of non-asthmatic children (p = 0.006). Fewer parents of asthmatic children than of non-asthmatic children reported that their neighborhood was safe from crime (21.7% versus 33.9%, p = 0.018). In multivariate analyses adjusting for race/ethnicity, age, gender, socioeconomic status, number of smokers in the home and breastfeeding history, parents reporting feeling unsafe walking in the neighborhood were more likely to have a child diagnosed with asthma (OR = 1.89, 95%CI 1.13-3.14). Psychosocial stressors such as living in unsafe neighborhoods may be associated with asthma diagnosis in urban ethnic minority children. Addressing the increased asthma burden in certain communities may require interventions to decrease urban stressors.

Authors+Show Affiliations

Department of Preventive Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA. nita.vangeepuram@mssm.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

22669642

Citation

Vangeepuram, N, et al. "The Association Between Parental Perception of Neighborhood Safety and Asthma Diagnosis in Ethnic Minority Urban Children." Journal of Urban Health : Bulletin of the New York Academy of Medicine, vol. 89, no. 5, 2012, pp. 758-68.
Vangeepuram N, Galvez MP, Teitelbaum SL, et al. The association between parental perception of neighborhood safety and asthma diagnosis in ethnic minority urban children. J Urban Health. 2012;89(5):758-68.
Vangeepuram, N., Galvez, M. P., Teitelbaum, S. L., Brenner, B., & Wolff, M. S. (2012). The association between parental perception of neighborhood safety and asthma diagnosis in ethnic minority urban children. Journal of Urban Health : Bulletin of the New York Academy of Medicine, 89(5), pp. 758-68. doi:10.1007/s11524-012-9679-5.
Vangeepuram N, et al. The Association Between Parental Perception of Neighborhood Safety and Asthma Diagnosis in Ethnic Minority Urban Children. J Urban Health. 2012;89(5):758-68. PubMed PMID: 22669642.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The association between parental perception of neighborhood safety and asthma diagnosis in ethnic minority urban children. AU - Vangeepuram,N, AU - Galvez,M P, AU - Teitelbaum,S L, AU - Brenner,B, AU - Wolff,M S, PY - 2012/6/7/entrez PY - 2012/6/7/pubmed PY - 2013/3/9/medline SP - 758 EP - 68 JF - Journal of urban health : bulletin of the New York Academy of Medicine JO - J Urban Health VL - 89 IS - 5 N2 - Low-income populations, minorities, and children living in inner cities have high rates of asthma. Recent studies have emphasized the role of psychosocial stress in development of asthma. Residence in unsafe neighborhoods is one potential source of increased stress. The study objective was to examine the association between parental perception of neighborhood safety and asthma diagnosis among inner city, minority children. Cross-sectional data from a community-based study of 6-8-year-old New York City children were used. Asthma was defined as parental report of physician-diagnosed asthma and at least one asthma-related symptom. Parental perceptions of neighborhood safety were assessed with a questionnaire. Associations between perceived neighborhood safety and asthma were examined using chi-squared tests. Multivariate logistic regression analyses were then performed. Five hundred four children were included with 79% female, 26.5% non-Hispanic Black, and 73.5% Hispanic. Asthma was present in 23.8% of children. There was an inverse association between feeling safe walking in the neighborhood and asthma with 45.7% of parents of asthmatic children reporting they felt safe compared to 60.9% of parents of non-asthmatic children (p = 0.006). Fewer parents of asthmatic children than of non-asthmatic children reported that their neighborhood was safe from crime (21.7% versus 33.9%, p = 0.018). In multivariate analyses adjusting for race/ethnicity, age, gender, socioeconomic status, number of smokers in the home and breastfeeding history, parents reporting feeling unsafe walking in the neighborhood were more likely to have a child diagnosed with asthma (OR = 1.89, 95%CI 1.13-3.14). Psychosocial stressors such as living in unsafe neighborhoods may be associated with asthma diagnosis in urban ethnic minority children. Addressing the increased asthma burden in certain communities may require interventions to decrease urban stressors. SN - 1468-2869 UR - https://www.unboundmedicine.com/medline/citation/22669642/The_association_between_parental_perception_of_neighborhood_safety_and_asthma_diagnosis_in_ethnic_minority_urban_children_ L2 - https://dx.doi.org/10.1007/s11524-012-9679-5 DB - PRIME DP - Unbound Medicine ER -