Neighborhood Violence and its Association with Mothers' Health: Assessing the Relative Importance of Perceived Safety and Exposure to Violence
Neighborhood Violence and its Association with Mothers' Health: Assessing the Relative Importance of Perceived Safety and Exposure to Violence
复制标题
DOI：
10.1007/s11524-009-9345-8
复制
发表时间：
2009-07-01
影响因子：
6.6
通讯作者：
Gielen, Andrea C.
中科院分区：
文献类型：
--
作者：
Johnson, Sarah Lindstrom;Solomon, Barry S.;Gielen, Andrea C.
本文提出了一个横断面研究，探讨邻里暴力对母亲健康的多个方面的影响。虽然邻里暴力对健康的影响对所有人口都很重要，但母亲尤其重要，因为她们在保护子女免受暴力后果方面发挥着关键作用。392名巴尔的摩市5岁及以下儿童的母亲完成了一项自我管理的调查，其中包括关于他们的安全感以及他们对邻里暴力的个人经历的问题。研究人员运行了不同的模型，以比较邻里暴力的每种测量方法与五种不同的健康相关决定因素和结果之间的关系：自我报告的健康状况，吸烟，运动，每晚平均睡眠时间和睡眠中断。控制母亲的年龄，孩子的年龄，母亲的教育和婚姻状况，母亲与高暴露于邻里暴力的两倍可能报告健康状况较差，吸烟，从不锻炼，睡眠习惯差。母亲对邻里安全的看法与任何评估的健康相关的决定因素和结果无关。这项研究强调了测量邻里暴力暴露的重要性，而不是仅仅评估感知的安全。在这一城市样本中，邻里暴力是母亲的常见经历，卫生专业人员在试图了解和干预以改善母亲及其子女的健康时应考虑到这一点。
This paper presents a cross-sectional study examining the influence of neighborhood violence on multiple aspects of mothers' health. While the influence of neighborhood violence on health is important to understand for all populations, mothers are especially important as they play a key role in protecting their children from the consequences of violence. Three hundred and ninety-two Baltimore City mothers of children 5 years and younger completed a self-administered survey that included questions about perceptions of their safety as well as their personal experiences with neighborhood violence. Separate models were run to compare the relationship between each measurement of neighborhood violence and five diverse health-related determinants and outcomes: self-reported health status, smoking, exercise, average hours of sleep a night, and sleep interruption. Controlling for mother's age, child's age, maternal education, and marital status, mothers with high exposure to neighborhood violence were twice as likely to report poorer health, smoking, never exercising, and poor sleep habits. Maternal perception of neighborhood safety was not related to any of the assessed health-related determinants and outcomes. This study emphasizes the importance of measuring exposure to neighborhood violence rather than solely assessing perceived safety. Neighborhood violence was a common experience for mothers in this urban sample, and should be considered by health professionals in trying to understand and intervene to improve the health of mothers and their children.