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Violent crime and socioeconomic deprivation in shaping asthma-related pollution susceptibility: a case-crossover design
Journal article   Open access   Peer reviewed

Violent crime and socioeconomic deprivation in shaping asthma-related pollution susceptibility: a case-crossover design

Perry E Sheffield, Jessie L C Shmool, Ellen J Kinnee and Jane E Clougherty
Journal of epidemiology and community health (1979), v 73(9), pp 846-853
Sep 2019
DOI: https://doi.org/10.1136/jech-2018-211816
PMID: 31289119
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1136/jech-2018-211816View
Published, Version of Record (VoR)CC BY-NC V4.0,  Open

Abstract

Adolescent Asthma - epidemiology Asthma - etiology Asthma - psychology Child Child, Preschool Crime - statistics & numerical data Cross-Over Studies Disease Susceptibility - chemically induced Disease Susceptibility - complications Emergency Service, Hospital - statistics & numerical data Environmental Exposure - adverse effects Female Humans Male New York City Ozone - adverse effects Ozone - analysis Poverty Residence Characteristics Social Class Socioeconomic Factors Violence - psychology Violence - statistics & numerical data
The objective of this study was to quantify and compare the relative influence of community violent crime and socioeconomic deprivation in modifying associations between ozone and emergency department (ED) visits for asthma among children. We used a spatiotemporal case-crossover analysis for all New York City EDs for the months May-September from 2005 to 2011 from a statewide administrative ED dataset. The data included 11 719 asthmatic children aged 5-18 years, and the main outcome measure was percentage of excess risk of asthma ED visit based on Cox regression analysis. Stronger ozone-asthma associations were observed for both elevated crime and deprivation (eg, on lag day 2, we found 20.0% (95% CI 10.2% to 30.6 %) and 21.0% (10.5% to 32.5%) increased risk per 10 ppb ozone, for communities in the highest vs lowest quartiles of violent crime and deprivation, respectively). However, in varied models accounting for both modifiers, only violence retained significance. The results suggest stronger spatiotemporal ozone-asthma associations in communities of higher violent crime or deprivation. Notably, violence was the more consistent and significant modifier, potentially mediating a substantial portion of socioeconomic position-related susceptibility.

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11 Record Views
12 citations in Web of Science
13 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#11 Sustainable Cities and Communities
#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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