| Summary: | Purpose: This study aims to examine perceptions of neighborhood quality and safety before and after the death of Michael Brown and the unrest that followed.
Methods: In this secondary analysis of baseline data from one site in The Lifestyle Interventions for Expectant Moms (LIFE-Moms) Consortium, pregnant African American women in the St. Louis region completed a survey of neighborhood perceptions. Logistic regression was used to explore associations between perceptions among those completing baseline surveys and entering the study before and after August 9, 2014 (range: 2012?2015), adjusted for demographic characteristics.
Results: Of 267 participants, half (n=134) completed the survey after August 9, 2014. Thirty-four percent of participants completing the survey after this date felt ?The crime rate in my neighborhood makes it unsafe to go on walks during the day? compared with 21% of those completing the survey before (adjusted odds ratio=2.0, 95% confidence interval: 1.1?3.7). There were no consistently significant differences in demographic characteristics or in the remaining 16 neighborhood items.
Conclusions: This study is an example of how an unexpected shift in the community context in the wake of a profound event may impact health behaviors and outcomes in a measurable way.
Clinical Trials Registration: NCT01768793.
|
|---|