Kerr Zachary, Evenson Kelly R, Moore Kari, Block Richard, Diez Roux Ana V
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, 135 Dauer Drive, 2101 McGavran-Greenberg Hall, CB #7435, Chapel Hill, NC 27599-7435, USA.
Department of Epidemiology and Biostatistics, School of Public Health, Drexel University, 3215 Market St, Nesbitt Hall, Philadelphia, PA 19104, USA.
Prev Med. 2015 Apr;73:88-93. doi: 10.1016/j.ypmed.2015.01.017. Epub 2015 Jan 24.
To explore the association of changes in perceived safety and police-recorded crime with changes in transport and leisure walking using longitudinal data from Chicago residents participating in the Multi-Ethnic Study of Atherosclerosis (2000-2012).
Main exposures included perceived safety (self-reported as feeling safe walking in the neighborhood and reporting violence to be a problem in the neighborhood), and one-year counts of police-recorded crime occurring within a one-mile buffer of participants' residences. Main outcomes included transport and leisure walking (self-reported and calculated as total minutes/week across four study visits). Fixed effects models assessed the association of change in perceived safety and police-recorded crime with changes in transport and leisure walking over a 10-year period for 796 adults.
No associations were found between changes in perceived safety and either changes in transport or leisure walking. Residing in areas with increases in murder was associated with decreases in transport walking. However, no other associations were found with police-recorded crime.
There continues to be a need to explore the benefits of cultivating safe neighborhoods that enhance resident health and well-being. Research should continue examining how community initiatives may build safe environments and community identity that promote walking.
利用参与动脉粥样硬化多民族研究(2000 - 2012年)的芝加哥居民的纵向数据,探讨感知安全变化和警方记录的犯罪与交通及休闲步行变化之间的关联。
主要暴露因素包括感知安全(自我报告在社区行走时感到安全以及报告暴力是社区中的一个问题),以及参与者住所一英里缓冲区内警方记录的犯罪的年度计数。主要结局包括交通及休闲步行(自我报告,并计算为四次研究访视期间每周的总分钟数)。固定效应模型评估了796名成年人在10年期间感知安全变化和警方记录的犯罪与交通及休闲步行变化之间的关联。
未发现感知安全变化与交通或休闲步行变化之间存在关联。居住在谋杀案增加的地区与交通步行减少有关。然而,未发现与警方记录的犯罪有其他关联。
继续需要探索营造安全社区对居民健康和福祉的益处。研究应继续考察社区倡议如何构建促进步行的安全环境和社区认同感。