Neighborhood Violent Crime and Perceived Stress in Pregnancy.

TitleNeighborhood Violent Crime and Perceived Stress in Pregnancy.
Publication TypeJournal Article
Year of Publication2020
AuthorsShannon MM, Clougherty JE, McCarthy C, Elovitz MA, Tiako MJordan Ngu, Melly SJ, Burris HH
JournalInt J Environ Res Public Health
Volume17
Issue15
Date Published2020 Aug 03
ISSN1660-4601
Abstract

Stress has been shown to adversely affect pregnancy outcomes. Neighborhood crime rates may serve as one publicly available social determinant of health for pregnancy studies that use registry or electronic health record datasets in which individual-level stress data are not available. We sought to determine whether neighborhood violent crime incidents were associated with measured perceived stress in a largely minority, urban pregnancy cohort. We performed a secondary analysis of the 1309 Philadelphia residents participating in the cohort ( = 2000) with both neighborhood violent crime and Cohen's Perceived Stress Scale (PSS-14) data. Generalized linear mixed models accounting for confounding variables and geographic clustering demonstrated that, regardless of race, women with the highest quartile of neighborhood violent crime had significantly elevated odds of high stress compared to women with lower crime. We also found that Black women were more likely to have both the highest quartile of neighborhood violent crime and high stress than non-Black women. Overall, this study demonstrates that neighborhood violent crime is associated with perceived stress in pregnancy. Given disparate exposure to crime and prenatal stress by race, future work is warranted to determine whether urban neighborhood violence and/or stress reduction strategies would improve birth outcome racial disparities.

DOI10.3390/ijerph17155585
Alternate JournalInt J Environ Res Public Health
PubMed ID32756321
PubMed Central IDPMC7432742
Grant ListR01NR014784 / / undefined <span style="color:gray;font-size:10px;">undefined</span> /
undefined / / Penn March of Dimes Prematurity Research Center /