Neighborhood crime and access to health-enabling resources in Chicago
Neighborhood crime may be an important social determinant of health in many high-poverty, urban communities, yet little is known about its relationship with access to health-enabling resources. We recruited an address-based probability sample of 267 participants (ages ≥35 years) on Chicago's So...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-03-01
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| Series: | Preventive Medicine Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335518300172 |
| _version_ | 1818304968259534848 |
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| author | Elizabeth L. Tung Kelly Boyd Stacy Tessler Lindau Monica E. Peek |
| author_facet | Elizabeth L. Tung Kelly Boyd Stacy Tessler Lindau Monica E. Peek |
| author_sort | Elizabeth L. Tung |
| collection | DOAJ |
| description | Neighborhood crime may be an important social determinant of health in many high-poverty, urban communities, yet little is known about its relationship with access to health-enabling resources. We recruited an address-based probability sample of 267 participants (ages ≥35 years) on Chicago's South Side between 2012 and 2013. Participants were queried about their perceptions of neighborhood safety and prior experiences of neighborhood crime. Survey data were paired to a comprehensive, directly-observed census of the built environment on the South Side of Chicago. Multivariable logistic regression models were used to examine access to health-enabling resources (potential and realized access) as a function of neighborhood crime (self-reported neighborhood safety and prior experience of theft or property crime), adjusting for sociodemographic characteristics and self-reported health status. Low potential access was defined as a resident having nearest resources >1 mile from home; poor realized access was defined as bypassing nearby potential resources to use resources >1 mile from home. Poor neighborhood safety was associated with low potential access to large grocery stores (AOR = 1.73, 95% CI = 1.04, 2.87), pharmacies (AOR = 2.24, 95% CI = 1.33, 3.77), and fitness resources (AOR = 1.93, 95% CI = 1.15, 3.24), but not small grocery stores. Any prior experience of neighborhood crime was associated with higher adjusted odds of bypassing nearby pharmacies (AOR = 3.78, 95% CI = 1.11, 12.87). Neighborhood crime may be associated with important barriers to accessing health-enabling resources in urban communities with high rates of crime. Keywords: Built environment, Neighborhood crime, Access to resources, Social determinants of health, Obesity, Hypertension |
| first_indexed | 2024-12-13T06:19:07Z |
| format | Article |
| id | doaj.art-219555d8210348b7ae23a49d744b17a1 |
| institution | Directory Open Access Journal |
| issn | 2211-3355 |
| language | English |
| last_indexed | 2024-12-13T06:19:07Z |
| publishDate | 2018-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj.art-219555d8210348b7ae23a49d744b17a12022-12-21T23:56:52ZengElsevierPreventive Medicine Reports2211-33552018-03-019153156Neighborhood crime and access to health-enabling resources in ChicagoElizabeth L. Tung0Kelly Boyd1Stacy Tessler Lindau2Monica E. Peek3Department of Medicine, Section of General Internal Medicine, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA; Chicago Center for Diabetes Translation Research, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA; Corresponding author at: 5841 South Maryland Avenue, MC 2007, Chicago, IL 60637, USA.Department of Obstetrics and Gynecology, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USADepartment of Obstetrics and Gynecology, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA; Department of Medicine-Geriatrics, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA; MacLean Center on Clinical Medical Ethics, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USADepartment of Medicine, Section of General Internal Medicine, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA; Chicago Center for Diabetes Translation Research, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USA; MacLean Center on Clinical Medical Ethics, University of Chicago, 5841 South Maryland Avenue, Chicago, IL 60637, USANeighborhood crime may be an important social determinant of health in many high-poverty, urban communities, yet little is known about its relationship with access to health-enabling resources. We recruited an address-based probability sample of 267 participants (ages ≥35 years) on Chicago's South Side between 2012 and 2013. Participants were queried about their perceptions of neighborhood safety and prior experiences of neighborhood crime. Survey data were paired to a comprehensive, directly-observed census of the built environment on the South Side of Chicago. Multivariable logistic regression models were used to examine access to health-enabling resources (potential and realized access) as a function of neighborhood crime (self-reported neighborhood safety and prior experience of theft or property crime), adjusting for sociodemographic characteristics and self-reported health status. Low potential access was defined as a resident having nearest resources >1 mile from home; poor realized access was defined as bypassing nearby potential resources to use resources >1 mile from home. Poor neighborhood safety was associated with low potential access to large grocery stores (AOR = 1.73, 95% CI = 1.04, 2.87), pharmacies (AOR = 2.24, 95% CI = 1.33, 3.77), and fitness resources (AOR = 1.93, 95% CI = 1.15, 3.24), but not small grocery stores. Any prior experience of neighborhood crime was associated with higher adjusted odds of bypassing nearby pharmacies (AOR = 3.78, 95% CI = 1.11, 12.87). Neighborhood crime may be associated with important barriers to accessing health-enabling resources in urban communities with high rates of crime. Keywords: Built environment, Neighborhood crime, Access to resources, Social determinants of health, Obesity, Hypertensionhttp://www.sciencedirect.com/science/article/pii/S2211335518300172 |
| spellingShingle | Elizabeth L. Tung Kelly Boyd Stacy Tessler Lindau Monica E. Peek Neighborhood crime and access to health-enabling resources in Chicago Preventive Medicine Reports |
| title | Neighborhood crime and access to health-enabling resources in Chicago |
| title_full | Neighborhood crime and access to health-enabling resources in Chicago |
| title_fullStr | Neighborhood crime and access to health-enabling resources in Chicago |
| title_full_unstemmed | Neighborhood crime and access to health-enabling resources in Chicago |
| title_short | Neighborhood crime and access to health-enabling resources in Chicago |
| title_sort | neighborhood crime and access to health enabling resources in chicago |
| url | http://www.sciencedirect.com/science/article/pii/S2211335518300172 |
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