新冠疫情居家令后社区暴力对身体活动的影响:一项多层次分析
The Effects of Neighborhood Violence on Physical Activity Following the COVID-19 Stay-at-Home Order: A Multilevel Analysis.
作者信息
Schober Daniel J, Lewis Taylor, Forbes Cole, Keller Allison, Bruce Douglas
机构信息
Department of Health Sciences, DePaul University, 1110 W. Belden Ave, Suite 411, Chicago, IL, 60614, USA.
Center for Official Statistics, RTI International, 701 13th St NW, Suite 750, Washington, DC, 20005, USA.
出版信息
J Racial Ethn Health Disparities. 2025 May 16. doi: 10.1007/s40615-025-02483-w.
OBJECTIVES
COVID-19 contributed to decreases in physical activity and residents from communities with more crime and fewer resources were less physically active during the pandemic. However, the direct effects of COVID-related increases in crime on leisure-time physical activity has not been studied, extensively. Therefore, we examined how individual perceptions of neighborhood violence, community-level perceptions of safety, and the prevalence of violent crime are associated with leisure-time physical activity across neighborhoods in Chicago, Illinois, following the COVID-19 stay-at-home order.
METHODS
We used cross-sectional data to build a multilevel logistic regression model in which the individual represented level 1 and the Chicago community area represented level 2. We used a stepwise approach, testing variables, one at a time, as random intercepts and then as random coefficients. We estimated adjusted odds ratios and 95% confidence intervals.
RESULTS
Respondents who reported violence occurring every day had significantly lower odds of leisure-time physical activity (OR = 0.65, 95% CI = 0.50-0.85). Compared to non-Hispanic Whites, Non-Hispanic Blacks (OR = 0.75, 95% CI = 0.57 - 0.99), non-Hispanic Asian American/Pacific Islanders (OR = 0.63, 95% CI = 0.45-0.89), and Hispanic/Latino respondents (OR = 0.69, 95% CI = 0.53-0.89) had lower odds of leisure-time physical activity. On the neighborhood level, the percent of adults who reported they feel safe in their neighborhood was significant (p < .001), but violence prevalence was not (p = 0.091).
CONCLUSIONS
These results can inform public health efforts to promote physical activity following the COVID-19 stay-at-home order.
目标
新冠疫情导致身体活动减少,在疫情期间,犯罪率较高且资源较少社区的居民身体活动更少。然而,新冠疫情相关犯罪增加对休闲时间身体活动的直接影响尚未得到广泛研究。因此,我们研究了在伊利诺伊州芝加哥市实施新冠疫情居家令后,个人对邻里暴力的认知、社区层面的安全认知以及暴力犯罪发生率与各邻里休闲时间身体活动之间的关联。
方法
我们使用横断面数据构建了一个多层次逻辑回归模型,其中个体代表第1层,芝加哥社区区域代表第2层。我们采用逐步法,一次测试一个变量,先作为随机截距,然后作为随机系数。我们估计了调整后的优势比和95%置信区间。
结果
报告每天都发生暴力事件的受访者进行休闲时间身体活动的几率显著较低(优势比=0.65,95%置信区间=0.50-0.85)。与非西班牙裔白人相比,非西班牙裔黑人(优势比=0.75,95%置信区间=0.57-0.99)、非西班牙裔亚裔美国人/太平洋岛民(优势比=0.63,95%置信区间=0.45-0.89)以及西班牙裔/拉丁裔受访者(优势比=0.69,95%置信区间=0.53-0.89)进行休闲时间身体活动的几率较低。在邻里层面,报告在邻里中感到安全的成年人比例具有显著性(p<0.001),但暴力犯罪发生率不具有显著性(p=0.091)。
结论
这些结果可为新冠疫情居家令后促进身体活动的公共卫生工作提供参考。