The Relationship of Place to Substance use and Perceptions of Risk and Safety in Urban Adolescents.

Geographic and substance use data were collected from 301 urban adolescents to compare the perceived and observed risk and safety associated with their home and activity space locations (routine locations). The geographic characteristics of the neighborhood surrounding each location was summarized according to features theorized to be risky, such as criminal activity and alcohol sales, and features theorized to be safe, such as recreation centers and churches. Data on socioeconomic status, derived from U.S. Bureau of the Census data, were also used to characterize locations. Adolescents’ homes were typically perceived as safe despite observed measures of risk such as density of crimes and proximity to alcohol outlets. This held for both substance users and non-users. Differences in geographic characteristics for safe and risky activity spaces were observed for both substance users and non-users, with nonusers appearing to be more sensitive to the presence of risky characteristics in the environment than substance users. Results highlight the need and provide a methodology to collect fine-grained activity space data instead of relying only on home residence when attempting to represent place and health behaviors with urban youth. 2009 Elsevier Ltd. All rights reserved.