Neighborhood Perceptions Among Pregnant African American Women in St. Louis, Missouri, Before and After the Shooting of Michael Brown

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, pr...

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Format: Article
Language:English
Published: Mary Ann Liebert 2020-08-01
Series:Health Equity
Online Access:https://www.liebertpub.com/doi/full/10.1089/HEQ.2019.0125
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collection DOAJ
description 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.
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spelling doaj.art-318de14b00ed445899fa640ee33b1db32022-12-21T23:25:07ZengMary Ann LiebertHealth Equity2473-12422020-08-0110.1089/HEQ.2019.0125Neighborhood Perceptions Among Pregnant African American Women in St. Louis, Missouri, Before and After the Shooting of Michael BrownPurpose: 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.https://www.liebertpub.com/doi/full/10.1089/HEQ.2019.0125
spellingShingle Neighborhood Perceptions Among Pregnant African American Women in St. Louis, Missouri, Before and After the Shooting of Michael Brown
Health Equity
title Neighborhood Perceptions Among Pregnant African American Women in St. Louis, Missouri, Before and After the Shooting of Michael Brown
title_full Neighborhood Perceptions Among Pregnant African American Women in St. Louis, Missouri, Before and After the Shooting of Michael Brown
title_fullStr Neighborhood Perceptions Among Pregnant African American Women in St. Louis, Missouri, Before and After the Shooting of Michael Brown
title_full_unstemmed Neighborhood Perceptions Among Pregnant African American Women in St. Louis, Missouri, Before and After the Shooting of Michael Brown
title_short Neighborhood Perceptions Among Pregnant African American Women in St. Louis, Missouri, Before and After the Shooting of Michael Brown
title_sort neighborhood perceptions among pregnant african american women in st louis missouri before and after the shooting of michael brown
url https://www.liebertpub.com/doi/full/10.1089/HEQ.2019.0125