ArticleAmerican journal of hypertension2018
Longitudinal Associations of Neighborhood Crime and Perceived Safety With Blood Pressure: The Multi-Ethnic Study of Atherosclerosis (MESA).
Article in American journal of hypertension, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Neighborhood Safety and Hypertension Risk: A Systematic Review.Journal of the American Heart Association · 2025Pooled it
- Impact of Social Determinants of Health on Hypertension Outcomes: A Systematic Review.Hypertension (Dallas, Tex. : 1979) · 2024Pooled it
- Stress and cardiovascular disease: Testing a vigilance pathway in two contemporary theories.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Article
- The mediating role of social networks and safety perceptions in the frailty-quality of life relationship among older people in rural and urban regions of Ghana.BMC public health · 2026Article
- Closing the Gap: Digital Innovations to Address Hypertension Disparities.Current cardiology reports · 2025Review
- The association between perceived neighborhood safety and cardiovascular disease risk factors.Psychology, health & medicine · 2025Article
- Interplay of race and neighborhood deprivation on resting and ambulatory blood pressure in young adults.American journal of physiology. Heart and circulatory physiology · 2024Article
- The Urban Environment and Cardiometabolic Health.Circulation · 2024Review
- Associations between dimensions of the social environment and cardiometabolic risk factors: Systematic review and meta-analysis.SSM - population health · 2024Review
- 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association.Circulation · 2024Review
- Structural and social determinants of health: The multi-ethnic study of atherosclerosis.PloS one · 2024Article
- Article
- Stressful life events, neighbourhood characteristics, and systolic blood pressure in South Africa.Journal of human hypertension · 2023Article
- Social Determinants, Blood Pressure Control, and Racial Inequities in Childbearing Age Women With Hypertension, 2001 to 2018.Journal of the American Heart Association · 2023Article
- Influence of neighborhood-level social determinants of health on a heart-healthy lifestyle among Black church members: A mixed-methods study.American heart journal plus : cardiology research and practice · 2023Article
- Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association.Circulation · 2023Review
- Neighborhood social organization exposures and racial/ethnic disparities in hypertension risk in Los Angeles.PloS one · 2023Article
- Article
- Effect of Social Environments on Cardiovascular Disease in the United States.Journal of the American Heart Association · 2022Article
- Gestational exposure to neighborhood police-reported crime and early childhood blood pressure in Durham, NC.Health & place · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundHigh neighborhood crime and low perceptions of safety may influence blood pressure (BP) through chronic stress. Few studies have examined these associations using longitudinal data.
methodsWe used longitudinal data from 528 participants of the Multi-Ethnic Study of Atherosclerosis (aged 45-84, nonhypertensive at baseline) who lived in Chicago, Illinois. We examined associations of changes in individual-level perceived safety, aggregated neighborhood-level perceived safety, and past-year rates of police-recorded crime in a 1, ½, or ¼ mile buffer per 1,000 population with changes in systolic and diastolic BPs using fixed-effects linear regression. BP was measured five times between 2000 and 2012 and was adjusted for antihypertensive medication use (+10 mm Hg added to systolic and +5 mm Hg added to diastolic BP for participants on medication). Models were adjusted for time-varying sociodemographic and health-related characteristics and neighborhood socioeconomic status. We assessed differences by sex.
resultsA standard deviation increase in individual-level perceived safety was associated with a 1.54 mm Hg reduction in systolic BP overall (95% confidence interval [CI]: 0.25, 2.83), and with a 1.24 mm Hg reduction in diastolic BP among women only (95% CI: 0.37, 2.12) in adjusted models. Increased neighborhood-level safety was not associated with BP change. An increase in police-recorded crime was associated with a reduction in systolic and diastolic BPs among women only, but results were sensitive to neighborhood buffer size.
conclusionsResults suggest individual perception of neighborhood safety may be particularly salient for systolic BP reduction relative to more objective neighborhood exposures.
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