"Broken windows" and the risk of gonorrhea
"Broken windows" and the risk of gonorrhea
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DOI:
10.2105/ajph.90.2.230
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发表时间:
2000-02-01
影响因子:
12.7
通讯作者:
Wildgen, J
中科院分区:
文献类型:
--
作者:
Cohen, D;Spear, S;Wildgen, J
Objectives. We examined the relationships between neighborhood conditions and gonorrhea.Methods. We assessed 55 block soups by rating housing and street conditions. We mapped all cases of gonorrhea between 1994 and 1996 and calculated aggregated case rates by block group. We obtained public school inspection reports and assigned findings to the block groups served by the neighborhood schools. A "broken windows" index measured housing quality, abandoned cars, graffiti: trash and public school deterioration. Using data from the 1990 census and 1995 updates, we determined the association between "broken windows," demographic characteristics, and gonorrhea rates.Results. The broken windows index explained more of the variance in gonorrhea rates than did a poverty index measuring: income, unemployment, and low education. in high-poverty neighborhoods, block groups with high broken windows scores had significantly higher gonorrhea rates than block groups with low broken windows scores(46.6 per 1000 vs 25.8 per 1000; P