Neighborhood Safety and Hypertension Risk: A Systematic Review.

Finally, the study that incorporated both perceived and objective measures indicated an unexpected trend where neighborhood violent crime was associated with a lower risk of elevated blood pressure (prevalence ratio, 0.97 [95% CI, 0.92–1.02) and neighborhood safety with a higher risk of elevated blood pressure (prevalence ratio, 1.02 [95% CI, 0.96–1.08). 46 However, the associations were not statistically significant.

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22 , 55 Four studies examined neighborhood characteristics (neighborhood socioeconomic status, neighborhood satisfaction, and citywide crime rates) as potential moderators, all reporting significant or marginally significant interaction effects, 19 , 52 , 55 , 56 indicating a stronger association between neighborhood safety and hypertension risk in advantaged neighborhoods compared with disadvantaged neighborhoods.

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