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Community Violence and Asthma Morbidity: The Inner-City Asthma Study

Author

Listed:
  • Wright, R.J.
  • Mitchell, H.
  • Visness, C.M.
  • Cohen, S.
  • Stout, J.
  • Evans, R.
  • Gold, D.R.

Abstract

Objectives. We examined the association between exposure to violence and asthma among urban children. Methods. We obtained reports from caretakers (n = 851) of violence, negative life events, unwanted memories (rumination), caretaker-perceived stress, and caretaker behaviors (keeping children indoors, smoking, and medication adherence). Outcomes included caretaker-reported wheezing, sleep disruption, interference with play because of asthma, and effects on the caretaker (nights caretaker lost sleep because of child's asthma). Results. Increased exposure to violence predicted higher number of symptom days (P = .0008) and more nights that caretakers lost sleep (P = .02) in a graded fashion after control for socioeconomic status, housing deterioration, and negative life events. Control for stress and behaviors partially attenuated this gradient, although these variables had little effect on the association between the highest level of exposure to morbidity, which suggests there are other mechanisms. Conclusions. Mechanisms linking violence and asthma morbidity need to be further explored.

Suggested Citation

  • Wright, R.J. & Mitchell, H. & Visness, C.M. & Cohen, S. & Stout, J. & Evans, R. & Gold, D.R., 2004. "Community Violence and Asthma Morbidity: The Inner-City Asthma Study," American Journal of Public Health, American Public Health Association, vol. 94(4), pages 625-632.
    • Handle: RePEc:aph:ajpbhl:2004:94:4:625-632_4
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    Cited by:

    1. Sabel, C.E. & Kihal, W. & Bard, D. & Weber, C., 2013. "Creation of synthetic homogeneous neighbourhoods using zone design algorithms to explore relationships between asthma and deprivation in Strasbourg, France," Social Science & Medicine, Elsevier, vol. 91(C), pages 110-121.
    2. Mondal, Dinabandhu & Paul, Pintu, 2020. "Association between intimate partner violence and child nutrition in India: Findings from recent National Family Health Survey," Children and Youth Services Review, Elsevier, vol. 119(C).
    3. Canino, Glorisa & Koinis-Mitchell, Daphne & Ortega, Alexander N. & McQuaid, Elizabeth L. & Fritz, Gregory K. & Alegría, Margarita, 2006. "Asthma disparities in the prevalence, morbidity, and treatment of Latino children," Social Science & Medicine, Elsevier, vol. 63(11), pages 2926-2937, December.
    4. Rita C. Ribeiro-Silva & Deborah C. Malta & Laura C. Rodrigues & Dandara O. Ramos & Rosemeire L. Fiaccone & Daiane B. Machado & Maurício L. Barreto, 2018. "Social, Environmental and Behavioral Determinants of Asthma Symptoms in Brazilian Middle School Students—A National School Health Survey (Pense 2012)," IJERPH, MDPI, vol. 15(12), pages 1-17, December.
    5. Judy Y. Ou & Jonathan I. Levy & Junenette L. Peters & Roseann Bongiovanni & Jovanna Garcia-Soto & Rafael Medina & Madeleine K. Scammell, 2016. "A Walk in the Park: The Influence of Urban Parks and Community Violence on Physical Activity in Chelsea, MA," IJERPH, MDPI, vol. 13(1), pages 1-12, January.
    6. Tiffany Green, 2011. "Infant feeding and asthma: is breast milk best?," Review of Economics of the Household, Springer, vol. 9(4), pages 487-504, December.
    7. Xiaoqi Feng & Thomas Astell-Burt, 2017. "Is Neighborhood Green Space Protective against Associations between Child Asthma, Neighborhood Traffic Volume and Perceived Lack of Area Safety? Multilevel Analysis of 4447 Australian Children," IJERPH, MDPI, vol. 14(5), pages 1-11, May.
    8. Kristen M. C. Malecki & Amy A. Schultz & Rachel S. Bergmans, 2018. "Neighborhood Perceptions and Cumulative Impacts of Low Level Chronic Exposure to Fine Particular Matter (PM 2.5 ) on Cardiopulmonary Health," IJERPH, MDPI, vol. 15(1), pages 1-19, January.
    9. Tonorezos, Emily S. & Breysse, Patrick N. & Matsui, Elizabeth C. & McCormack, Meredith C. & Curtin-Brosnan, Jean & Williams, D'Ann & Hansel, Nadia N. & Eggleston, Peyton A. & Diette, Gregory B., 2008. "Does neighborhood violence lead to depression among caregivers of children with asthma?," Social Science & Medicine, Elsevier, vol. 67(1), pages 31-37, July.
    10. Shankardass, Ketan & McConnell, Rob S. & Milam, Joel & Berhane, Kiros & Tatalovich, Zaria & Wilson, John P. & Jerrett, Michael, 2007. "The association between contextual socioeconomic factors and prevalent asthma in a cohort of Southern California school children," Social Science & Medicine, Elsevier, vol. 65(8), pages 1792-1806, October.
    11. Kathleen Hibbert & Nicolle S. Tulve, 2019. "State-of-the-Science Review of Non-Chemical Stressors Found in a Child’s Social Environment," IJERPH, MDPI, vol. 16(22), pages 1-27, November.
    12. S V Subramanian & Malinda H Kennedy, 2009. "Perception of Neighborhood Safety and Reported Childhood Lifetime Asthma in the United States (U.S.): A Study Based on a National Survey," PLOS ONE, Public Library of Science, vol. 4(6), pages 1-7, June.

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