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Published in: BMC Public Health 1/2018

Open Access 01-12-2018 | Research article

Are perceptions of community safety associated with respiratory illness among a low-income, minority adult population?

Authors: Kristen N. Arthur, Rhonda Spencer-Hwang, Synnøve F. Knutsen, David Shavlik, Samuel Soret, Susanne Montgomery

Published in: BMC Public Health | Issue 1/2018

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Abstract

Background

Growing evidence suggests social disadvantage magnifies the harmful health effects of environmental hazards; however, there is limited research related to perceptions of risk among individuals who live near such environmental hazard sites. We explored the association between individual-level perception of community safety and respiratory illness among low-income, minority adults who live in a region with routine poor air quality exacerbated by the emissions of a nearby freight railyard.

Methods

Interview-administered household surveys were collected (87% response rate; n = 965) in English/Spanish from varying distances surrounding a freight railyard (analytic total n = 792: nearest region n = 215, middle n = 289, farthest n = 288). Illness outcome was an affirmative response to doctor-diagnosed asthma, bronchial condition, emphysema, COPD, or prescribed-inhaler usage. Respiratory symptoms outcome was an affirmative response to chronic cough, chronic mucus, or wheezing. The independent variable was perceived community safety.

Results

Outcome prevalences were similar across environmental hazard regions; 205 (25.9%) were diagnosed-illness cases and 166 (21.0%) diagnosis-free participants reported symptoms. Nearly half (47.5%) of participants reported lack of perceived community safety, which was associated with environmental hazard region (p <  0.0001). In multivariable log-binomial regression models adjusting for covariables (age, gender, race/ethnicity, smoking status, smoke exposure, residential duration, and distance from the railyard) respiratory illness diagnosis was associated with lack of perceived community safety (PR = 1.39; 95% CI 1.09, 1.76). Sensitivity analyses showed a non-significant but increasing trend in the strength of association between safety perceptions and illness diagnoses with closer proximity to the railyard.

Conclusions

Our findings contribute to the literature that individuals’ perceptions of community safety are associated with adverse respiratory health among a population living in high air pollution exposure areas.
Appendix
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Literature
1.
Cushing L, Faust J, August LM, Cendak R, Wieland W, Alexeeff G. Racial/ethnic disparities in cumulative environmental health impacts in California: evidence from a statewide environmental justice screening tool (CalEnviroScreen 1.1). Am J Public Health. 2015;105(11):2341–8.CrossRefPubMedPubMedCentral
2.
Hipp JR, Lakon CM. Social disparities in health: disproportionate toxicity proximity in minority communities over a decade. Health Place. 2010;16(4):674–83.CrossRefPubMed
3.
IOM. Toward Environmental Justice: Research, Education, and Health Policy Needs. Washington: Institutue of Medicine, Committee on Environmental Justice, Health Sciences Policy Program, Health Sciences Section; 1999.
4.
O'Neill MS, Jerrett M, Kawachi I, Levy JI, Cohen AJ, Gouveia N, Wilkinson P, Fletcher T, Cifuentes L, Schwartz J. Health, wealth, and air pollution: advancing theory and methods. Environ Health Perspect. 2003;111(16):1861–70.CrossRefPubMedPubMedCentral
5.
Su JG, Morello-Frosch R, Jesdale BM, Kyle AD, Shamasunder B, Jerrett M. An index for assessing demographic inequalities in cumulative environmental hazards with application to Los Angeles. California Environ Sci Technol. 2009;43(20):7626–34.CrossRefPubMed
6.
Hirsch JA, Grengs J, Schulz A, Adar SD, Rodriguez DA, Brines SJ, Diez Roux AV. How much are built environments changing, and where?: Patterns of change by neighborhood sociodemographic characteristics across seven U.S. metropolitan areas. Soc Sci Med (1982). 2016;169:97–105.CrossRef
7.
Hricko A, Rowland G, Eckel S, Logan A, Taher M, Wilson J. Global trade, local impacts: lessons from California on health impacts and environmental justice concerns for residents living near freight rail yards. Int J Environ Res Public Health. 2014;11(2):1914–41.CrossRefPubMedPubMedCentral
8.
Clougherty JE, Kubzansky LD. A framework for examining social stress and susceptibility to air pollution in respiratory health. Cien Saude Colet. 2010;15(4):2059–74.CrossRefPubMed
9.
Hicken MT, Adar SD, Diez Roux AV, O'Neill MS, Magzamen S, Auchincloss AH, Kaufman JD. Do psychosocial stress and social disadvantage modify the association between air pollution and blood pressure?: the multi-ethnic study of atherosclerosis. Am J Epidemiol. 2013;178(10):1550–62.CrossRefPubMedPubMedCentral
10.
Shmool JL, Kubzansky LD, Newman OD, Spengler J, Shepard P, Clougherty JE. Social stressors and air pollution across new York City communities: a spatial approach for assessing correlations among multiple exposures. Environ Health. 2014;13:91.CrossRefPubMedPubMedCentral
11.
Clougherty JE, Levy JI, Kubzansky LD, Ryan PB, Suglia SF, Canner MJ, Wright RJ. Synergistic effects of traffic-related air pollution and exposure to violence on urban asthma etiology. Environ Health Perspect. 2007;115(8):1140–6.CrossRefPubMedPubMedCentral
12.
Shankardass K, McConnell R, Jerrett M, Milam J, Richardson J, Berhane K. Parental stress increases the effect of traffic-related air pollution on childhood asthma incidence. Proc Natl Acad Sci U S A. 2009;106(30):12406–11.CrossRefPubMedPubMedCentral
13.
Islam T, Urman R, Gauderman WJ, Milam J, Lurmann F, Shankardass K, Avol E, Gilliland F, McConnell R. Parental stress increases the detrimental effect of traffic exposure on children's lung function. Am J Respir Crit Care Med. 2011;184(7):822–7.CrossRefPubMedPubMedCentral
14.
Sadd JL, Pastor M, Morello-Frosch R, Scoggins J, Jesdale B. Playing it safe: assessing cumulative impact and social vulnerability through an environmental justice screening method in the south coast Air Basin, California. Int J Environ Res Public Health. 2011;8(5):1441–59.CrossRefPubMedPubMedCentral
15.
16.
McGovern L, Miller G, Hughes-Cromwick P: Health Policy Brief: The Relative Contribution of Multiple Determinants to Health Outcomes. In: Health Affairs. Edited by Mays G, Lantz P, Lott R: Health Affairs - Robert Wood Johnson Foundation; 2014.
17.
Clougherty JE, Rossi CA, Lawrence J, Long MS, Diaz EA, Lim RH, McEwen B, Koutrakis P, Godleski JJ. Chronic social stress and susceptibility to concentrated ambient fine particles in rats. Environ Health Perspect. 2010;118(6):769–75.CrossRefPubMedPubMedCentral
18.
Chen E, Schreier HM, Strunk RC, Brauer M. Chronic traffic-related air pollution and stress interact to predict biologic and clinical outcomes in asthma. Environ Health Perspect. 2008;116(7):970–5.CrossRefPubMedPubMedCentral
19.
Chi GC, Hajat A, Bird CE, Cullen MR, Griffin BA, Miller KA, Shih RA, Stefanick ML, Vedal S, Whitsel EA, et al. Individual and neighborhood socioeconomic status and the association between air pollution and cardiovascular disease. Environ Health Perspect. 2016;
20.
21.
Wright RJ. Health effects of socially toxic neighborhoods: the violence and urban asthma paradigm. Clin Chest Med. 2006;27(3):413–21.CrossRefPubMed
22.
Ilmarinen P, Tuomisto LE, Kankaanranta H. Phenotypes, risk factors, and mechanisms of adult-onset asthma. Mediat Inflamm. 2015;2015:514868.CrossRef
23.
Wisnivesky JP, Lorenzo J, Feldman JM, Leventhal H, Halm EA. The relationship between perceived stress and morbidity among adult inner-city asthmatics. J Asthma. 2010;47(1):100–4.CrossRefPubMed
24.
Wright RJ, Mitchell H, Visness CM, Cohen S, Stout J, Evans R, Gold DR. Community violence and asthma morbidity: the Inner-City asthma study. Am J Public Health. 2004;94(4):625–32.CrossRefPubMedPubMedCentral
25.
Apter AJ. Communities and health: the case of inner-city violence and asthma. LDI Issue Brief. 2010;16(1):1–4.PubMed
26.
Shankardass K, Jerrett M, Milam J, Richardson J, Berhane K, McConnell R. Social environment and asthma: associations with crime and no child left behind programmes. J Epidemiol Community Health. 2011;65(10):859–65.CrossRefPubMed
27.
Fagan J, Galea S, Ahern J, Bonner S, Vlahov D. Relationship of self-reported asthma severity and urgent health care utilization to psychological sequelae of the September 11, 2001 terrorist attacks on the world trade center among new York City area residents. Psychosom Med. 2003;65(6):993–6.CrossRefPubMed
28.
Apter AJ, Garcia LA, Boyd RC, Wang X, Bogen DK, Ten Have T. Exposure to community violence is associated with asthma hospitalizations and emergency department visits. J Allergy Clin Immunol. 2010;126(3):552–7.CrossRefPubMedPubMedCentral
29.
Anda RF, Brown DW, Dube SR, Bremner JD, Felitti VJ, Giles WH. Adverse childhood experiences and chronic obstructive pulmonary disease in adults. Am J Prev Med. 2008;34(5):396–403.CrossRefPubMed
30.
Anderson HR, Favarato G, Atkinson RW. Long-term exposure to air pollution and the incidence of asthma: meta-analysis of cohort studies. Air Qual Atmos Health. 2013;6(1):47–56.CrossRef
31.
32.
33.
Castaneda H, et al. Health risk assessment for the BNSF san Bernardino railyard. In. Sacramento: California Air Resources Board; 2008.
34.
35.
Soret S, Montgomery S, Spencer-Hwang R. Project ENRRICH: a public health assessment of residential proximity to a goods movement railyard in. Loma Linda: Loma Linda University; 2014.
36.
37.
38.
39.
Spencer-Hwang R, Montgomery S, Dougherty M, Valladares J, Rangel S, Gleason P, Soret S. Experiences of a rail yard community: life is hard. J Environ Health. 2014;77(2):8–17.PubMedPubMedCentral
40.
Spencer-Hwang R, Soret S, Halstead L, Dougherty M, Valladares J, Rangel S, Youssef C, Maldonado-Gamboa T, Montgomery S. Making human subject protection training community responsive: experiences delivering on the community-based participatory research promise. Prog Community Health Partnersh. 2014;8(2):215–24.CrossRefPubMed
41.
McNutt LA, Wu C, Xue X, Hafner JP. Estimating the relative risk in cohort studies and clinical trials of common outcomes. Am J Epidemiol. 2003;157(10):940–3.CrossRefPubMed
42.
CDC. Asthma Facts - CDC’s National Asthma Control Program Grantees. In: U.S. Department of Health and Human Services CfDCaP. Atlanta; 2013.
43.
USDHHS. The health consequences of smoking: 50 years of progress. A report of the surgeon general. In. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2014.
44.
45.
46.
Bhan N, Glymour MM, Kawachi I, Subramanian SV. Childhood adversity and asthma prevalence: evidence from 10 US states (2009-2011). BMJ Open Respir Res. 2014;1(1):e000016.CrossRefPubMedPubMedCentral
47.
48.
Wright RJ, Finn P, Contreras JP, Cohen S, Wright RO, Staudenmayer J, Wand M, Perkins D, Weiss ST, Gold DR. Chronic caregiver stress and IgE expression, allergen-induced proliferation, and cytokine profiles in a birth cohort predisposed to atopy. J Allergy Clin Immunol. 2004;113(6):1051–7.CrossRefPubMed
49.
Braveman P, Gottlieb L. The social determinants of health: it's time to consider the causes of the causes. Public Health Rep. 2014;129(Suppl 2):19–31.CrossRefPubMedPubMedCentral
50.
Llabre MM, Schneiderman N, Gallo LC, Arguelles W, Daviglus ML, Gonzalez F 2nd, Isasi CR, Perreira KM, Penedo FJ. Childhood trauma and adult risk factors and disease in Hispanics/Latinos in the US: results from the Hispanic community health study/study of Latinos (HCHS/SOL) sociocultural ancillary study. Psychosom Med. 2017;79(2):172–80.PubMedPubMedCentral
51.
Remigio-Baker RA, Hayes DK, Reyes-Salvail F. Adverse childhood events are related to the prevalence of asthma and chronic obstructive pulmonary disorder among adult women in Hawaii. Lung. 2015;193(6):885–91.CrossRefPubMedPubMedCentral
52.
Jordan HT, Stellman SD, Reibman J, Farfel MR, Brackbill RM, Friedman SM, Li J, Cone JE. Factors associated with poor control of 9/11-related asthma 10-11 years after the 2001 world trade center terrorist attacks. J Asthma. 2015;52(6):630–7.CrossRefPubMedPubMedCentral
53.
Morello-Frosch R, Lopez R. The riskscape and the color line: examining the role of segregation in environmental health disparities. Environ Res. 2006;102(2):181–96.CrossRefPubMed
54.
Celedon JC, Roman J, Schraufnagel DE, Thomas A, Samet J. Respiratory health equality in the United States. The American thoracic society perspective. Ann Am Thorac Soc. 2014;11(4):473–9.CrossRefPubMedPubMedCentral
55.
Steptoe A, Feldman PJ. Neighborhood problems as sources of chronic stress: development of a measure of neighborhood problems, and associations with socioeconomic status and health. Ann Behav Med. 2001;23(3):177–85.CrossRefPubMed
56.
Schulz AJ, Zenk SN, Israel BA, Mentz G, Stokes C, Galea S. Do neighborhood economic characteristics, racial composition, and residential stability predict perceptions of stress associated with the physical and social environment? Findings from a multilevel analysis in Detroit. J Urban Health. 2008;85(5):642–61.CrossRefPubMedPubMedCentral
57.
58.
Yen IH, Yelin EH, Katz P, Eisner MD, Blanc PD. Perceived neighborhood problems and quality of life, physical functioning, and depressive symptoms among adults with asthma. Am J Public Health. 2006;96(5):873–9.CrossRefPubMedPubMedCentral
59.
Thoits PA. Stress and health: major findings and policy implications. J Health Soc Behav. 2010;51(Suppl):S41–53.CrossRefPubMed
60.
Mair C, Kaplan GA, Everson-Rose SA. Are there hopeless neighborhoods? An exploration of environmental associations between individual-level feelings of hopelessness and neighborhood characteristics. Health Place. 2012;18(2):434–9.CrossRefPubMedPubMedCentral
61.
Keller A, Litzelman K, Wisk LE, Maddox T, Cheng ER, Creswell PD, Witt WP. Does the perception that stress affects health matter? The association with health and mortality. Health Psychol. 2012;31(5):677–84.CrossRefPubMed
62.
Atkinson RW, Kang S, Anderson HR, Mills IC, Walton HA. Epidemiological time series studies of PM2.5 and daily mortality and hospital admissions: a systematic review and meta-analysis. Thorax. 2014;69(7):660–5.CrossRefPubMedPubMedCentral
63.
Hsu HH, Chiu YH, Coull BA, Kloog I, Schwartz J, Lee A, Wright RO, Wright RJ. Prenatal particulate air pollution and asthma onset in urban children. Identifying sensitive windows and sex differences. Am J Respir Crit Care Med. 2015;192(9):1052–9.CrossRefPubMed
64.
Penman-Aguilar A, Talih M, Huang D, Moonesinghe R, Bouye K, Beckles G. Measurement of health disparities, health inequities, and social determinants of health to support the advancement of health equity. J Public health manag Pract. 2016;22(Suppl 1):S33–42.CrossRefPubMedPubMedCentral
65.
Murgia N, Brisman J, Claesson A, Muzi G, Olin AC, Toren K. Validity of a questionnaire-based diagnosis of chronic obstructive pulmonary disease in a general population-based study. BMC Pulmon Med. 2014;14:49.CrossRef
66.
Bell J, Rubin V. Why place matters: building a movement for healthy communities in. Oakland: Policy Link - The California Endowment; 2007.
67.
Morello-Frosch R, Zuk M, Jerrett M, Shamasunder B, Kyle AD. Understanding the cumulative impacts of inequalities in environmental health: implications for policy. Health Aff (Millwood). 2011;30(5):879–87.CrossRef
Metadata
Title
Are perceptions of community safety associated with respiratory illness among a low-income, minority adult population?
Authors
Kristen N. Arthur
Rhonda Spencer-Hwang
Synnøve F. Knutsen
David Shavlik
Samuel Soret
Susanne Montgomery
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-018-5933-4

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