Dorman Autumn, Ramsey Frederick V, Brownstein Kirsten, Fisher Susan G
College of Health Sciences, Education and Rehabilitation, Salus University, Elkins Park, PA, USA.
Center for Biostatistics & Epidemiology, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA.
J Community Health. 2025 Aug;50(4):605-612. doi: 10.1007/s10900-025-01451-z. Epub 2025 Feb 22.
This study explores the impact of serious neighborhood crime on levels of stress and prevalence of depression. The target population was adults residing in affected communities, specifically within North Philadelphia. A cross-sectional study was conducted to examine the relationship between serious crimes in North Philadelphia and stress/depression among community residents. All participants (n = 577) resided within one of ten zip codes in North Philadelphia. Individual exposure to serious neighborhood crime over four years (2016-2019) was quantified. Levels of stress and prevalence of depression served as outcome measures of mental health. The study results did not support an association between exposure to neighborhood crime and stress/depression as measured by validated instruments. Resilience was identified to have a positive and statistically significant independent impact on both stress (p < 0.0001) and depression (p < 0.0001), serving as a mediator in the association between crime exposure and levels of stress and prevalence of depression. Results from this study can be used as a framework in targeting the needs of Philadelphia residents and improving their overall stress and depression.
本研究探讨严重的邻里犯罪对压力水平和抑郁症患病率的影响。目标人群是居住在受影响社区的成年人,特别是北费城地区的居民。开展了一项横断面研究,以检验北费城严重犯罪与社区居民压力/抑郁之间的关系。所有参与者(n = 577)居住在北费城十个邮政编码区域之一内。对个体在四年(2016 - 2019年)期间遭受严重邻里犯罪的情况进行了量化。压力水平和抑郁症患病率作为心理健康的结果指标。研究结果不支持经有效工具测量的邻里犯罪暴露与压力/抑郁之间存在关联。研究发现复原力对压力(p < 0.0001)和抑郁(p < 0.0001)均有积极且具有统计学意义的独立影响,在犯罪暴露与压力水平及抑郁症患病率之间的关联中起到中介作用。本研究结果可作为一个框架,用于确定费城居民的需求并改善他们的总体压力和抑郁状况。