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Perceptions of neighborhood safety and asthma among children and adolescents in Los Angeles: a multilevel analysis.

Publication ,  Journal Article
Camacho-Rivera, M; Kawachi, I; Bennett, GG; Subramanian, SV
Published in: PloS one
January 2014

Research examining the impact of neighborhoods on asthma has shown an increased interest in the role of the psychosocial environment. We examined the associations between various measures of neighborhood safety, individual and family characteristics, and asthma outcomes among children in Los Angeles.Multilevel logistic regression models were used to analyze data on 3,114 children across 65 neighborhoods from Wave 1 of the Los Angeles Family and Neighborhood Survey (2000 to 2002). Primary caregivers reported asthma outcome and all individual covariates; home environmental characteristics were observed by the interviewer.In fully adjusted models, parents who reported their neighborhood fairly safe or somewhat dangerous had lower odds of reported lifetime asthma compared to those who reported their neighborhood completely safe (OR 0.71; 95% CI 0.52-0.96 and OR 0.60; 95% CI 0.42-0.88 respectively). Conversely, parents who reported they could not trust their neighbors to keep their children safe had a nearly 40% increase in lifetime asthma compared to those who reported they could trust their neighbors to keep their children safe (OR 1.39; 95% CI 1.07-1.81).The study demonstrates a complex pattern between various measures of neighborhood safety and asthma and suggests that these relationships may operate differently in Los Angeles. As an increasing proportion of children are growing up in newer Western and Southwestern cities, which have different physical layouts and residential segregation patterns compared to Northeast and Midwestern cities, future studies should continue to examine neighborhood psychosocial stressors and asthma in diverse contexts.

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Published In

PloS one

DOI

EISSN

1932-6203

ISSN

1932-6203

Publication Date

January 2014

Volume

9

Issue

1

Start / End Page

e87524

Related Subject Headings

  • Social Perception
  • Safety
  • Residence Characteristics
  • Regression Analysis
  • Psychology
  • Multilevel Analysis
  • Los Angeles
  • Humans
  • General Science & Technology
  • Family Characteristics
 

Citation

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Camacho-Rivera, M., Kawachi, I., Bennett, G. G., & Subramanian, S. V. (2014). Perceptions of neighborhood safety and asthma among children and adolescents in Los Angeles: a multilevel analysis. PloS One, 9(1), e87524. https://doi.org/10.1371/journal.pone.0087524
Camacho-Rivera, Marlene, Ichiro Kawachi, Gary G. Bennett, and S. V. Subramanian. “Perceptions of neighborhood safety and asthma among children and adolescents in Los Angeles: a multilevel analysis.PloS One 9, no. 1 (January 2014): e87524. https://doi.org/10.1371/journal.pone.0087524.
Camacho-Rivera M, Kawachi I, Bennett GG, Subramanian SV. Perceptions of neighborhood safety and asthma among children and adolescents in Los Angeles: a multilevel analysis. PloS one. 2014 Jan;9(1):e87524.
Camacho-Rivera, Marlene, et al. “Perceptions of neighborhood safety and asthma among children and adolescents in Los Angeles: a multilevel analysis.PloS One, vol. 9, no. 1, Jan. 2014, p. e87524. Epmc, doi:10.1371/journal.pone.0087524.
Camacho-Rivera M, Kawachi I, Bennett GG, Subramanian SV. Perceptions of neighborhood safety and asthma among children and adolescents in Los Angeles: a multilevel analysis. PloS one. 2014 Jan;9(1):e87524.

Published In

PloS one

DOI

EISSN

1932-6203

ISSN

1932-6203

Publication Date

January 2014

Volume

9

Issue

1

Start / End Page

e87524

Related Subject Headings

  • Social Perception
  • Safety
  • Residence Characteristics
  • Regression Analysis
  • Psychology
  • Multilevel Analysis
  • Los Angeles
  • Humans
  • General Science & Technology
  • Family Characteristics