ArticleEpidemiology (Cambridge, Mass.)2018
Acute Changes in Community Violence and Increases in Hospital Visits and Deaths From Stress-responsive Diseases.
Article in Epidemiology (Cambridge, Mass.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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20 citing papers in PubMed, 39 citations in OpenAlex.
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- Measuring the hidden burden of violence: use of explicit and proxy codes in Minnesota injury hospitalizations, 2004-2014.Injury epidemiology · 2021Article
- Resting-State Functional Connectivity of the Central Executive Network Moderates the Relationship Between Neighborhood Violence and Proinflammatory Phenotype in Children.Biological psychiatry · 2021Article
- Association Between Structural Housing Repairs for Low-Income Homeowners and Neighborhood Crime.JAMA network open · 2021Article
- Washington's liquor license system and alcohol-related adverse health outcomes.Addiction (Abingdon, England) · 2021Article
- A longitudinal analysis of violence and healthcare service utilization in Mexico.International journal for equity in health · 2021Article
- Mediation of Firearm Violence and Preterm Birth by Pregnancy Complications and Health Behaviors: Addressing Structural and Postexposure Confounding.American journal of epidemiology · 2020Article
- U.S. county "food swamp" severity and hospitalization rates among adults with diabetes: A nonlinear relationship.Social science & medicine (1982) · 2020Article
- Racial and ethnic differences in associations of community violence with self-harm: a population-based case-control study.Annals of epidemiology · 2019Article
- Within-community Variation in Violence and Risk of Self-harm in California: A Population-based Case-crossover Study.Epidemiology (Cambridge, Mass.) · 2019Article
- Exposure to Community Violence and Self-harm in California: A Multilevel, Population-based, Case-Control Study.Epidemiology (Cambridge, Mass.) · 2018Article
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5 authors at 2 institutions in 3 countries.
Funding
Abstract
backgroundCommunity violence may affect a broad range of health outcomes through physiologic stress responses and changes in health behaviors among residents. However, existing research on the health impacts of community violence suffers from problems with bias.
methodsWe examined the relations of acute changes in community violence with hospital visits and deaths due to stress-responsive diseases (mental, respiratory, and cardiac conditions) in statewide data from California 2005-2013. The community violence exposure was measured as both binary spikes and continuous acute changes. We applied a combined fixed-effects and time-series design that separates the effects of violence from those of community- and individual-level confounders more effectively than past research. Temporal patterning was removed from community violence rates and disease rates in each place using a Kalman smoother, resulting in residual rates. We used linear regression with place fixed-effects to examine within-place associations of acute changes in community violence with residual rates of each outcome, controlling for local time-varying covariates.
resultsWe found acute increases in hospital visits and deaths due to anxiety disorders (0.31 per 100,000; 95% confidence interval [CI] = 0.02, 0.59), substance use (0.47 per 100,000; 95% CI = 0.14, 0.80), asthma (0.56 per 100,000; 95% CI = 0.16, 0.95), and fatal acute myocardial infarction (0.09 per 100,000; 95% CI = 0.00, 0.18) co-occurring with violence spikes. The pattern of findings was similar for the exposure of continuous acute violence changes.
conclusionsAlthough the associations were small, the identified increases in stress-responsive conditions suggest the possibility of health impacts of acute changes in community violence.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.