Abstract:
OBJECTIVES:We investigated associations of officially recorded crime and perceived neighbourhood safety with physical health, evaluating potential effect modification by gender. SETTING:Nationally representative population-based survey in New Zealand. PARTICIPANTS:Individual-level data from 6995 New Zealand General Social Survey (2010-2011) participants with complete data on physical health status, perceived neighbourhood safety, sociodemographic characteristics and smoking. Crime rate for each participant's home census was estimated based on data from the New Zealand Police (2008-2010). PRIMARY OUTCOME MEASURE:The Transformed Physical Composite Score from the SF-12, a physical health summary score based on self-report ranging from 0 to 100. RESULTS:We used cluster robust multivariable regression models to examine the associations among neighbourhood crime rates, perceived neighbourhood safety and the physical health summary score. Crime rates predicted adults' perception that it was unsafe to walk in their neighbourhood at night: for each additional crime per 100 000 residents adults were 1.9% more likely to perceive their neighbourhood as unsafe (95% CI 1.2% to 2.5%). While relatively uncommon, the rate of crime with a weapon strongly predicted perceived safety: for each additional crime per 100 000 residents in this category, adults were 12.9% more likely to report the neighbourhood as unsafe (95% CI 8.8% to 17.0%). Police-recorded violent and night crime rates were associated with worse physical health among women: for each additional crime per 100 000 residents in these category women had a 0.3 point lower physical health score (95% CIs -0.6 to -0.1 for violent crime and -0.5 to -0.1 for crime at night, gender interaction p values 0.08 and 0.01, respectively). Perceiving the neighbourhood as unsafe was independently associated with 1.0 point lower physical health score (95% CI -1.5 to -0.5). CONCLUSIONS:Gender may modify the associations of officially recorded crime rates with physical health. Perceived neighbourhood safety was independently associated with physical health.
journal_name
BMJ Openjournal_title
BMJ openauthors
Lovasi GS,Goh CE,Pearson AL,Breetzke Gdoi
10.1136/bmjopen-2013-004058subject
Has Abstractpub_date
2014-03-10 00:00:00pages
e004058issue
3issn
2044-6055pii
bmjopen-2013-004058journal_volume
4pub_type
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