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Neighborhood Violent Crime and Perceived Stress in Pregnancy

Stress has been shown to adversely affect pregnancy outcomes. Neighborhood crime rates may serve as one publicly available social determinant of health for pregnancy studies that use registry or electronic health record datasets in which individual-level stress data are not available. We sought to d...

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Autores principales: Shannon, Megan M., Clougherty, Jane E., McCarthy, Clare, Elovitz, Michal A., Nguemeni Tiako, Max Jordan, Melly, Steven J., Burris, Heather H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432742/
https://www.ncbi.nlm.nih.gov/pubmed/32756321
http://dx.doi.org/10.3390/ijerph17155585
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author Shannon, Megan M.
Clougherty, Jane E.
McCarthy, Clare
Elovitz, Michal A.
Nguemeni Tiako, Max Jordan
Melly, Steven J.
Burris, Heather H.
author_facet Shannon, Megan M.
Clougherty, Jane E.
McCarthy, Clare
Elovitz, Michal A.
Nguemeni Tiako, Max Jordan
Melly, Steven J.
Burris, Heather H.
author_sort Shannon, Megan M.
collection PubMed
description Stress has been shown to adversely affect pregnancy outcomes. Neighborhood crime rates may serve as one publicly available social determinant of health for pregnancy studies that use registry or electronic health record datasets in which individual-level stress data are not available. We sought to determine whether neighborhood violent crime incidents were associated with measured perceived stress in a largely minority, urban pregnancy cohort. We performed a secondary analysis of the 1309 Philadelphia residents participating in the Motherhood and Microbiome cohort (n = 2000) with both neighborhood violent crime and Cohen’s Perceived Stress Scale (PSS-14) data. Generalized linear mixed models accounting for confounding variables and geographic clustering demonstrated that, regardless of race, women with the highest quartile of neighborhood violent crime had significantly elevated odds of high stress compared to women with lower crime. We also found that Black women were more likely to have both the highest quartile of neighborhood violent crime and high stress than non-Black women. Overall, this study demonstrates that neighborhood violent crime is associated with perceived stress in pregnancy. Given disparate exposure to crime and prenatal stress by race, future work is warranted to determine whether urban neighborhood violence and/or stress reduction strategies would improve birth outcome racial disparities.
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spelling pubmed-74327422020-08-27 Neighborhood Violent Crime and Perceived Stress in Pregnancy Shannon, Megan M. Clougherty, Jane E. McCarthy, Clare Elovitz, Michal A. Nguemeni Tiako, Max Jordan Melly, Steven J. Burris, Heather H. Int J Environ Res Public Health Article Stress has been shown to adversely affect pregnancy outcomes. Neighborhood crime rates may serve as one publicly available social determinant of health for pregnancy studies that use registry or electronic health record datasets in which individual-level stress data are not available. We sought to determine whether neighborhood violent crime incidents were associated with measured perceived stress in a largely minority, urban pregnancy cohort. We performed a secondary analysis of the 1309 Philadelphia residents participating in the Motherhood and Microbiome cohort (n = 2000) with both neighborhood violent crime and Cohen’s Perceived Stress Scale (PSS-14) data. Generalized linear mixed models accounting for confounding variables and geographic clustering demonstrated that, regardless of race, women with the highest quartile of neighborhood violent crime had significantly elevated odds of high stress compared to women with lower crime. We also found that Black women were more likely to have both the highest quartile of neighborhood violent crime and high stress than non-Black women. Overall, this study demonstrates that neighborhood violent crime is associated with perceived stress in pregnancy. Given disparate exposure to crime and prenatal stress by race, future work is warranted to determine whether urban neighborhood violence and/or stress reduction strategies would improve birth outcome racial disparities. MDPI 2020-08-03 2020-08 /pmc/articles/PMC7432742/ /pubmed/32756321 http://dx.doi.org/10.3390/ijerph17155585 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Shannon, Megan M.
Clougherty, Jane E.
McCarthy, Clare
Elovitz, Michal A.
Nguemeni Tiako, Max Jordan
Melly, Steven J.
Burris, Heather H.
Neighborhood Violent Crime and Perceived Stress in Pregnancy
title Neighborhood Violent Crime and Perceived Stress in Pregnancy
title_full Neighborhood Violent Crime and Perceived Stress in Pregnancy
title_fullStr Neighborhood Violent Crime and Perceived Stress in Pregnancy
title_full_unstemmed Neighborhood Violent Crime and Perceived Stress in Pregnancy
title_short Neighborhood Violent Crime and Perceived Stress in Pregnancy
title_sort neighborhood violent crime and perceived stress in pregnancy
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432742/
https://www.ncbi.nlm.nih.gov/pubmed/32756321
http://dx.doi.org/10.3390/ijerph17155585
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