Macassa Gloria, McGrath Cormac, Wijk Katarina, Rashid Mamunur, Hiswåls Anne-Sofie, Soares Joaquim
Department of Public Health and Sports Science, Faculty of Occupational and Health Sciences, University of Gävle, 80176 Gävle, Sweden.
EPI Unit-Instituto de Saúde Pública, Universidade do Porto, 4050-600 Porto, Portugal.
Epidemiologia (Basel). 2023 Apr 30;4(2):148-162. doi: 10.3390/epidemiologia4020016.
Fear of crime is an important public health problem that impacts people's quality of life, health, and wellbeing, and causes mental health ailments (e.g., anxiety). This study aimed to determine whether there was an association between fear of crime, educational attainment, and self-rated health and anxiety among women residing in a county in east-central Sweden. A sample ( = 3002) of women aged 18-84 years surveyed in the Health on Equal Terms survey carried out in 2018 was included in the study. Bivariate and multivariate regression analysis was performed on the relationship between the composite variables fear of crime, educational attainment, and self-rated health and anxiety. Women with primary education or similar who reported fear of crime had increased odds of poor health (odds ratio (OR) 3.17; 95% confidence interval (CI) 2.40-4.18) compared with women with primary education/similar and no fear of crime (OR 2.90; CI 1.90-3.20). A statistically significant relationship persisted in the multivariate analysis after controlling for other covariates, although the odds were reduced (OR 1.70; CI 1.14-2.53 and 1.73; CI 1.21-2.48, respectively). Similarly, in the bivariate analysis, women who reported fear of crime and who only had primary education had statistically significant odds of anxiety (OR 2.12; CI 1.64-2.74); the significance was removed, and the odds were reduced (OR 1.30; CI 0.93-1.82) after adjusting for demographic, socioeconomic, and health-related covariates. Women with only primary education or similar who reported fear of crime had higher odds of poor health and anxiety compared with those with university education or similar, with and without fear of crime. Future studies (including longitudinal ones) are warranted-on the one hand, to understand possible mechanisms of the relationship between educational attainment and fear of crime and its consequences to health, and on the other, to explore low-educated women's own perceptions regarding factors underlining their fear of crime (qualitative studies).
对犯罪的恐惧是一个重要的公共卫生问题,它影响人们的生活质量、健康和幸福,并导致心理健康问题(如焦虑)。本研究旨在确定瑞典中东部一个县的女性中,对犯罪的恐惧、教育程度、自评健康状况和焦虑之间是否存在关联。研究纳入了2018年在“平等健康”调查中接受调查的18至84岁女性样本(n = 3002)。对“对犯罪的恐惧”“教育程度”“自评健康状况”和“焦虑”这些复合变量之间的关系进行了双变量和多变量回归分析。与接受小学教育或同等教育且不恐惧犯罪的女性相比,接受小学教育或同等教育且表示恐惧犯罪的女性健康状况不佳的几率增加(优势比(OR)为3.17;95%置信区间(CI)为2.40 - 4.18)(OR为2.90;CI为1.90 - 3.20)。在控制其他协变量后,多变量分析中这种统计学上的显著关系仍然存在,尽管几率有所降低(分别为OR 1.70;CI 1.14 - 2.53和OR 1.73;CI 1.21 - 2.48)。同样,在双变量分析中,报告恐惧犯罪且仅接受小学教育的女性出现焦虑的几率具有统计学意义(OR 2.12;CI 1.64 - 2.74);在调整人口统计学、社会经济和健康相关协变量后,这种显著性消失,几率降低(OR 1.30;CI 0.93 - 1.82)。与接受大学教育或同等教育且无论是否恐惧犯罪的女性相比,仅接受小学教育或同等教育且表示恐惧犯罪的女性健康状况不佳和焦虑的几率更高。有必要开展未来研究(包括纵向研究)——一方面,了解教育程度与对犯罪的恐惧之间关系的可能机制及其对健康的影响;另一方面,探索低学历女性自身对其恐惧犯罪背后因素的看法(定性研究)。