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The relationship between neighborhood safety and children's asthma
An integrative review
DePriest, K., Butz, A., & Thorpe, R. J. (2018). The relationship between neighborhood safety and children's asthma: An integrative review. Journal of Pediatric Health Care, 32(6), 600-611. https://doi.org/10.1016/j.pedhc.2018.05.005
Introduction There is a growing body of research analyzing the relationships between neighborhood safety and children's asthma prevalence and control. There are several inconsistencies in concepts and methods that have led to mixed results. The purpose of this review is to critically evaluate the current evidence analyzing neighborhood safety and childhood asthma and identify nursing research and policy implications.
Method An integrative review was conducted by searching the PubMed, CINAHL, EMBASE, and PsychINFO databases to identify peer-reviewed articles published between 2010-2017. Fourteen studies met inclusion criteria.
Results Overall, there was evidence pointing to associations among neighborhoods being unsafe and higher asthma prevalence and/or poorer asthma control.
Discussion The association between neighborhood safety and children's asthma warrants further research with universal definitions for neighborhood safety and multi-level modelling. The review also supports the “Health in All Policies” approach as safety is one of several social determinants of health that influence children's asthma.
