When Dr. Chris Landon looks at the boundaries of
Oxnard's recently imposed gang injunction, he sees the outlines of
a health crisis. Already, the Ventura, Calif., doctor has seen a
high incidence of childhood asthma in the same area mapped by
police as a gang zone. And he suspects that other health threats,
such as childhood obesity, could be lurking there as well. He thinks the problems are linked, at least in
part, to a reluctance by parents to let children go outdoors for
fear of neighborhood violence. Landon sees the gang injunction as a
positive force, one that ultimately could improve the health and
welfare of youngsters in some of Oxnard's poorest and meanest
neighborhoods. "I see this as a blueprint for providing the things
that children need," said Landon, whose pediatric foundation has
launched several health initiatives in the 6.6-square-mile safety
zone established by police last month. Gang members are barred from
meeting in public within the zone. "We need to increase outdoor activity, increase
access to medical care and access to education," Landon added. Physicians and researchers are starting to take a
closer look at the link between community violence and children's
health. A number of studies already point to a connection
between exposure to violence and childhood psychological problems
such as depression and anxiety. And there is ongoing work to
examine the tie between high-crime communities and physical
disease, said Dr. Rosalind J. Wright, an assistant professor at
Harvard Medical School. "Violence exposure, unfortunately, is a pervasive
fact of life in many inner-city communities in this country,"
Wright said. "Living with violence not only impacts mental health
but has now been tied to physical health." Dr. Howard Spivak, director of the Center for
Children at Tufts University and chairman of the Youth Violence
Task Force for the American Academy of Pediatrics, said it's well
known that communities with the highest health risks tend to be
crowded, urban and poor. In that light, he said, it stands to
reason that violence would also play a role. "It wouldn't surprise me in the slightest to find
health issues that are significantly affected by the presence or
prevalence of violence in the community," Spivak said. The stress of living amid violence could by itself
be enough to trigger health problems, physicians said. People in
high-crime areas may fail more often to keep medical appointments
or follow prescribed exercise programs. And the fear of violence
could lead parents to keep children indoors longer, lulling
youngsters into a sedentary lifestyle that increases the risk of
obesity or exposes asthma sufferers to mold and dust.
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Experts say mean streets lead to unhealthy children
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