Community violence

社区暴力
  • 文章类型: Journal Article
    联邦政府和民间社会组织的数据都表明,加拿大各地的反犹太叙事和行为事件一直在上升。尽管如此,反犹太仇恨犯罪并不是这里任何学术研究的焦点,有些人会争辩说,因为犹太人通常不被认为是一个危险的社区。相反,犹太社区被认为在社会中占据相对特权的位置,这使他们免受偏见动机的攻击。反驳这个叙述,我们的研究,总部设在安大略省和魁北克,揭示了犹太人的个人和机构极易受到话语的影响,物理,和侵犯财产。我们与之交谈的许多人感到四面楚歌的叙事攻击使社区容易受到随之而来的人身攻击。特别重要的是使犹太人的形象,将“犹太特权”等同于过度的权力和控制。我们探索这些主题,最后呼吁采取旨在反对仇恨叙事的策略。
    Both federal government and civil society organization data point to consistently rising incidents of antisemitic narratives and acts across Canada. In spite of this, antisemitic hate crime has not been the focus of any academic research here, some would argue because Jews are not typically thought to be an at-risk community. Rather, the Jewish community is thought to occupy a relatively privileged place in society which shields them from bias motivated attacks. Countering this narrative, our study, based in Ontario and Quebec, reveals that Jewish individuals and institutions are highly vulnerable to discursive, physical, and property violations. Many of those we spoke with felt embattled by the narrative attacks that rendered the community vulnerable to corollary physical attacks. Of particular significance are the enabling images of Jews that equate \"Jewish privilege\" with excessive power and control. We explore these themes, concluding with calls for strategies intended to counter hateful narratives.
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  • 文章类型: Journal Article
    越来越多的研究记录了枪支暴力如何影响成年人的身心健康结果。同样,文献也开始揭示与痛苦和过度警惕有关的负面心理影响,以及围绕社区参与和经济机会减少的社会学影响。然而,仍然有必要充分探索与枪支暴力经验相关的恐惧的作用。通过由社区居民焦点小组和社区负责人访谈组成的定性调查,这项研究调查了参与者对恐惧的感知与他们对枪支暴力的暴露和经历是如何相关的。这些发现凸显了普遍存在的情感体验,心疼,和/或某些社区内的焦虑状态,以及公民如何脱离接触,邻居断开连接,和经济剥夺公民权存在于不成比例地经历暴力的社区。
    A growing body of research has documented how gun violence can affect mental and physical health outcomes among adults. Likewise, the literature is also beginning to reveal negative psychological effects related to distress and hypervigilance and sociological implications around diminished community engagement and economic opportunity. However, there remains a need to fully explore the role of fear related to the experience of gun violence. Through a qualitative inquiry consisting of community resident focus groups and community leader interviews, this study examined how participants\' perceptions of fear related to their exposures to and experiences of gun violence. The findings highlight the pervasive emotional experience of existing in a fearful, distressed, and/or anxious state within certain communities, and how civic disengagement, neighborhood disconnection, and economic disenfranchisement exist in communities that disproportionately experience violence.
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  • 文章类型: Journal Article
    在美国,生活在贫困城市地区的人和某些少数族裔群体的人经常遭受暴力并患有哮喘,流行病学研究表明,在整个生命周期中,暴力(ETV)与哮喘之间存在联系。的确,ETV在个人,家庭内和社区水平与儿童和成人的哮喘有关.在这次审查中,我们讨论ETV和哮喘之间因果关系的证据,强调过去五年发表的调查结果。对现有证据的解释受到ETV或哮喘评估的可变质量的限制,潜在的召回和选择偏差,无法估计各种类型的暴力对观察到的协会的相对贡献,缺乏哮喘或哮喘基因型的客观生物标志物,以及对ETV-哮喘联系的潜在混杂因素或修饰因素的考虑不一致。尽管有这些限制,在不同地点和人群进行的研究的综合证据表明,ETV影响哮喘和哮喘的结果,这可以通过暴力相关痛苦的直接生理影响和间接影响来解释(例如,通过危险的健康行为或合并症)。因此,大型前瞻性研究,仔细评估特定类型的ETV,关键协变量和合并症(包括精神疾病),需要哮喘来推进这一领域。此类研究工作不应排除筛查青少年和成人哮喘患儿的哮喘和ETV相关抑郁和焦虑的虐待。Further,需要强有力的政策来遏制暴力,因为这些政策可以使哮喘患者受益,同时挽救生命。
    In the United States, people living in deprived urban areas and persons in certain minoritized groups are often exposed to violence and affected with asthma, and epidemiologic studies have shown a link between exposure to violence (ETV) and asthma throughout the lifespan. Indeed, ETV at the individual, intrafamilial and community levels has been linked to asthma in children and adults. In this review, we discuss the evidence for a causal relation between ETV and asthma, emphasizing findings published in the last five years. Interpretation of the available evidence is limited by variable quality of the assessment of ETV or asthma, potential recall and selection bias, inability to estimate the relative contribution of various types of violence to the observed associations, lack of objective biomarkers of asthma or asthma endotypes, and inconsistent consideration of potential confounders or modifiers of the ETV-asthma link. Despite such limitations, the aggregate evidence from studies conducted in different locations and populations suggests that ETV affects asthma and asthma outcomes, and that this is explained by direct physiologic effects of violence-related distress and indirect effects (e.g., through risky health behaviors or co-morbidities). Thus, large prospective studies with careful assessment of specific types of ETV, key covariates and comorbidities (including mental illness), and asthma are needed to advance this field. Such research efforts should not preclude screening for maltreatment in children with asthma and ETV-related depression and anxiety in adolescents and adults with asthma. Further, vigorous policies are needed to curtail violence, as such policies could benefit patients with asthma while saving lives.
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  • 文章类型: Journal Article
    男性通常被确定为与刀有关的犯罪的受害者和肇事者。解释通常分为两类:害怕进一步受害(即,需要保护)和男性性别规范(例如,显示“韧性”)。然而,这两部文学作品还没有结合起来,为我们提供了一个富有成效的理论理解,为什么一些年轻人从事与刀有关的犯罪。本系统综述的目的是巩固和综合有关恐惧和男子气概的现有研究,以解释与刀有关的犯罪。总之,23项研究被确定为符合纳入标准。审查的研究结果强调了在年轻男性参与与刀有关的犯罪的决定中考虑对风险的认知分析和对风险的看法的重要性。这些对风险的看法是由先前通过传染效应受害而形成的,并有助于发展为行为辩护的积极男性气质。然而,人们对恐惧传染的作用还不是很了解,以及在参与与刀有关的犯罪的年轻人群体中塑造男性理想的受害者。需要更多的研究来探索这些发现,并阐明这些因素之间复杂的相互作用,为从事与刀有关的犯罪的年轻人提供可行的治疗选择。
    Males are routinely identified as both the victims and perpetrators of knife-related crime. Explanations have typically fallen into two categories: fear of further victimization (i.e., need for protection) and masculine gender norms (e.g., a display of \"toughness\"). However, these two works of literature have not yet been brought together to provide us with a fruitful theoretical understanding of why some young men engage in knife-related crime. The purpose of this systematic review is to consolidate and synthesize the available research on fear and masculinity as explanations for knife-related crime. In all, 23 studies were identified as meeting the inclusion criteria. The findings of the studies reviewed highlight the importance of considering the cognitive analysis of risk and perceptions of risk in young males\' decisions to engage in knife-related crime. These perceptions of risk are shaped by previous victimization through a contagion effect and contribute to the development of an aggressive masculinity that justifies the behavior. However, it is not very well understood the role of fear contagion, and victimization in the shaping of masculine ideals within groups of young men involved in knife-related crimes. Additional research is needed to explore these findings and shed light on the complex interplay between these factors to inform viable treatment options for young men engaged in knife-related crime.
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  • 文章类型: Journal Article
    社区暴力和犯罪是重大的公共卫生问题,对年轻人产生严重和持久的影响,家庭,和社区。这种暴力和犯罪有很大的连锁反应,影响的不仅仅是那些身体直接受伤的人,还有那些目睹暴力事件的人,那些有朋友或亲人死亡或受伤的人,以及那些每天必须在他们知道的街道上航行的人经常发生严重的暴力和犯罪。当前的研究提供了数据驱动的影响的证据,集体影响方法-关心预防系统的社区-可以对大城市内的暴力和犯罪结果产生影响,高负担社区。成立为由疾病控制和预防中心资助的国家青年暴力预防中心(YVPC)之一,芝加哥青年暴力预防中心是最早在大型组织中实施反恐委员会方法的机构之一,城市社区。当前研究的结果显示暴力减少(即,严重的袭击和抢劫)在布朗兹维尔社区,与芝加哥的类似社区相比。
    Community violence and crime are significant public health problems with serious and lasting effects on young people, families, and communities. This violence and crime have significant ripple effects, affecting not just those who are directly physically injured, but also those who witness violent episodes, those who have friends or loved ones killed or injured, and those who must everyday navigate streets that they know have been frequent sites of serious violence and crime. The current study presents evidence of the impact that a data-driven, collective impact approach - the Communities that Care prevention system - can have on violence and crime outcomes within a large urban, high-burden community. Established as one of the national Youth Violence Prevention Centers (YVPC) funded by the Centers for Disease Control and Prevention, the Chicago Center for Youth Violence Prevention is among the first to implement the CTC approach in a large, urban community. The current study\'s findings show reductions in violence (i.e., aggravated assaults and robberies) in the Bronzeville community, compared to similar communities in Chicago.
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  • 文章类型: Journal Article
    这项研究检查并描述了来自美国东南部I级儿科创伤中心的儿科人群中涉及非致命枪支伤害的情况,研究人员分析了从144名儿童和青少年收集的枪支伤害问卷(FIQ)数据,2-17岁,在急诊科接受治疗和/或因非致命性火器伤入院。提供了有关参与者人口统计和FIQ响应的描述性统计数据,例如护理人员信息,心理健康史,不良童年经历(ACE)暴露,枪支通道,伤害意图,和射手的关系,使用的枪支类型,和受伤的背景。大多数患者被确定为黑人(82%)和男性(75%),大多数伤害分为故意(72%)和无意(24%)。ACEs的平均得分为0.60,只有37%的患者报告有任何ACE经历;然而,近一半(47%)的患者报告经历了超过确定的ACE的创伤性事件.社区暴力是最常见的背景,归因于患者的攻击(56%)。随着美国儿科枪支伤害和死亡趋势的增加,这项研究提供了有关儿童枪支伤害和社区暴力暴露的及时数据.这些发现强调了向经历非致命性火器损伤的儿科患者提供综合卫生服务的必要性。研究人员讨论了公共卫生对综合精神卫生保健服务的影响,以医院和学校为基础的暴力干预计划,政策建议,以及未来研究的方向。
    在线版本包含补充材料,可在10.1007/s40653-023-00568-4获得。
    This study examines and describes circumstances involving non-fatal firearm injuries in a pediatric population from a Level I Pediatric Trauma Center in the southeastern U.S. Researchers analyzed Firearm Injury Questionnaire (FIQ) data collected from 144 children and adolescents, aged 2-17 years, who were treated in the emergency department and/or admitted to the hospital for non-fatal firearm injuries. Descriptive statistics are presented regarding participant demographics and FIQ responses, such as caregiver information, mental health history, adverse childhood experience (ACE) exposure, firearm access, injury intent, relationship to shooter, type of firearm used, and context of injury. Most patients identified as Black (82%) and male (75%), with most injuries categorized as intentional (72%) versus unintentional (24%) assaults. The average ACEs score was .60, with only 37% of patients\' reporting any ACE experience; however, nearly half (47%) of patients reported experiencing a traumatic event beyond an identified ACE. Community violence was the most common context that attributed to patients\' assaults (56%). As U.S. pediatric gun injury and fatality trends are increasing, this study provides timely data regarding pediatric firearm injuries and exposure to community violence. These findings highlight the need to provide integrated health services to pediatric patients experiencing non-fatal firearm injuries. Researchers discuss public health implications for integrated mental health care services, hospital- and school-based violence intervention programs, policy recommendations, and directions for future research.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s40653-023-00568-4.
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  • 文章类型: Journal Article
    儿童创伤事件是少数可识别的,在某种程度上可以预防的精神疾病原因。暴露于严重应激事件的儿童可能会对创伤后应激障碍(PTSD)做出反应,这可能会影响他们在日常生活中的功能水平。他们的未来发展和心理健康。创伤应激模型表明家庭中的创伤应激,社区暴力,和其他创伤被认为是额外的环境因素,可以超过保护性补偿因素,从而与个人脆弱性相互作用。这项研究基于前瞻性面板数据,包括1984年至1994年在丹麦出生的儿童的全部人口,在2001年至2012年的窗口中从7岁到18岁(N=679,000)。通过离散时间对数奇数模型分析了首次诊断PTSD的危险因素。我们发现学龄儿童的终生PTSD患病率为2.3%(n=15,636)。按照模型,家庭创伤压力的指标,家庭解体,社区暴力,和个别漏洞预测后诊断与创伤后应激障碍。个体神经发育障碍-尤其是自闭症(调整赔率比(OR7.1)和ADHD(OR10.7)-是PTSD的预测因素。结果与创伤应激模型合作。有些结果与创伤应激模型不一致,例如,经其他危险因素校正后,在学龄儿童中,父母药物滥用与PTSD低于预期相关.这表明PTSD在这些群体中可能被低估。行政记录中的PTSD诊断低估了患病率,系统地。增加PTSD筛查的努力可能有助于更好的管理。
    Traumatic childhood events are some of the few identifiable and to some extent preventable causes of psychiatric illness. Children exposed to severely stressful events may react with post-traumatic stress disorder (PTSD) and this may impact their level of function in daily life, their future development and mental health. The traumatic stress model suggests that traumatic stress in the family, community violence, and other traumas are regarded as additive environmental factors that can outweigh protective compensatory factors and thus interact with individual vulnerabilities. This study is based on prospective panel data including the whole population of children born in Denmark from 1984 to 1994, who are followed from age 7 to age 18 (N = 679,000) in the window between 2001 and 2012. Risk factors for first-time diagnose with PTSD are analyzed by the discrete time log-odd model. We found a lifetime prevalence of 2.3% PTSD in school-age children (n = 15,636). In accordance with the model, indicators of traumatic stress in the family, family disintegration, community violence, and individual vulnerabilities predicted later diagnose with PTSD. Individual neurodevelopmental disorder - especially autism (adjusted Odds Ratio (OR 7.1) and ADHD (OR 10.7) - were predicative of PTSD. The results cooperated the traumatic stress model. Some results were inconsistent with the traumatic stress model e.g., parental substance abuse were associated with less than expected PTSD in school-age children when adjusted for other risk factors. This indicates that PTSD may be underestimated in these groups. PTSD diagnoses in administrative records underestimate the prevalence, systematically. Efforts to increase PTSD screening may allow for better management.
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  • 文章类型: Journal Article
    与白人男性相比,非洲裔美国男性由于疾病的严重程度和对慢性病的控制不佳而在生命早期和死亡早期面临慢性病。暴露前和暴露后预防PrEP和PREP提高了HIV感染者的生存率。然而,抗逆转录病毒治疗,虽然有效,仅与早期预防和检测以及患者可以坚持治疗方案的情况一样有效。参与者的平均年龄(N=11)为56.44(SD=5.175,范围=47-63)。当前的研究采用定性方法提出了一个生态系统驱动的交叉模型,以确定韧性和个人的影响,社会,和社会力量塑造了感染艾滋病毒的非洲裔美国老年男性的生活。调查结果决定了耻辱,社区暴力,和结构性障碍作为关键的压力领域。与会者讨论了自我倡导和家庭作为复原力的构成要素。出现了对实践和研究的几点启示。实践必须设计和部署评估工具,以包括遭受种族主义和暴力的情况,包括情感和结构性暴力。实践必须包括微观倡导,meso,宏观层面。评估也必须是自我反省的。组织评估应涉及对满足客户偏好的障碍的内部和结构审查。
    African American men face chronic illness earlier in life and earlier death due to higher severity of illness and poor control of chronic diseases than their white male counterparts. Preexposure and post-exposure prophylaxis PrEP and PREP have improved the odds of survival among those living with HIV. However, the anti-retroviral treatments, though effective, are only as effective as early prevention and detection and in cases where patients can adhere to treatment regimens. The mean age of participants (N = 11) was 56.44 (SD = 5.175, range = 47-63). The current study employs qualitative methodology to propose an ecosystems-driven intersectional model to identify resilience and the influence of personal, social, and societal forces shaping the lives of older African American men living with HIV. Findings determine stigma, community violence, and structural barriers to care as crucial stress areas. Participants discussed self-advocacy and family as constituent elements of resilience. Several implications for practice and research emerged. Practice must design and deploy assessment instruments to include exposure to racism and violence, including emotional and structural violence. Practice must include advocacy at the micro, meso, and macro levels. Assessment must also be self-reflexive. Organizational assessment should involve internal and structural reviews of barriers to meeting client preferences.
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  • 文章类型: Journal Article
    在暴露于社区暴力后的创伤后应激障碍(PTSD)中,睡眠质量的作用尚未完全理解。因此,这项研究的主要目的是研究睡眠质量在社区暴力暴露与创伤后应激症状之间的中介作用。
    利用对2023年美国成年人(年龄≥18岁)的在线选择小组进行的横断面调查(N=342),受访者报告了他们遭受社区暴力的情况,睡眠质量,和创伤后应激症状。使用协变量调整回归来检验这些关系。
    直接经历社区暴力与睡眠质量较差相关(β=0.11,95%CI[0.02,0.20],p=0.022)和创伤后应激症状(β=0.33,95%CI[0.17,0.48],p=<0.001),睡眠质量越差,创伤后应激症状越大(β=0.74,95%CI[0.58,0.91],p=0<.001)。Further,睡眠质量是部分介质(β=0.24,95%CI[0.04,0.50],p=0.028),占关系的24%。
    这项研究的发现有助于加深对PTSD发展过程的理解,并为可能的干预措施提供见解,包括治疗暴力暴露后的睡眠问题,作为减轻社区暴力的心理健康负担的手段。
    UNASSIGNED: The role of sleep quality is not yet fully understood in the context of posttraumatic stress disorder (PTSD) following exposure to community violence. Thus, the primary aim of this study is to examine the mediating effect of sleep quality in the relationship between community violence exposure and posttraumatic stress symptoms.
    UNASSIGNED: Utilizing a cross-sectional survey administered to an online opt-in panel of adults in the United States in 2023 (age ≥ 18 years) (N = 342), respondents reported on their exposure to community violence, sleep quality, and posttraumatic stress symptoms. Covariate-adjusted regressions were used to test these relationships.
    UNASSIGNED: Directly experiencing community violence was associated with poorer sleep quality (β = 0.11, 95 % CI [0.02, 0.20], p = 0.022) and posttraumatic stress symptoms (β = 0.33, 95 % CI [0.17, 0.48], p = < 0.001), and poorer sleep quality predicted greater posttraumatic stress symptoms (β = 0.74, 95 % CI [0.58, 0.91], p = 0<.001). Further, sleep quality was a partial mediator (β = 0.24, 95 % CI [0.04, 0.50], p = 0.028), accounting for 24 % of the relationship.
    UNASSIGNED: Findings from this study help deepen understanding of the processes that contribute to the development of PTSD and provide insights into possible interventions, including treatment for sleep problems in the aftermath of violence exposure as a means for lessening the mental health burdens of community violence.
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  • 文章类型: Journal Article
    与移民有关的问题和压力源在拉丁裔和亚裔美国学龄青年中普遍存在和紧迫的问题。与家庭驱逐有关的青少年恐惧与不良的心理健康结果有关。这项研究使用了生态框架来研究移民压力以及学校和社区层面的资源以及保护因素对拉丁裔和亚裔美国青年内化症状的影响。样本包括1309名亚裔美国人和701名拉丁裔学生(N=2010),他们参加了常规的学校心理健康需求评估调查。多层次回归分析显示,第一代青年,拉丁青年,女性青年更容易遇到与移民有关的问题和担忧。学生对负面学校气氛和社区暴力的看法与更大的内在化症状有关,无论移民担忧如何。适度分析显示,与移民相关的问题和担忧与内在化症状呈正相关,并且这种关系因种族/种族而异。然而,对于那些认为自己的社区安全的学生来说,移民担忧是一个特别的风险因素。研究结果强调,播下与移民有关的挑战的社会政治气候加剧了青年的困扰,学生对社区环境的体验可以作为心理资源发挥重要作用。
    Immigration-related problems and stressors are prevalent and pressing concerns among Latinx and Asian American school-age youth. Youth fears related to family deportation have been associated with adverse mental health outcomes. This study used an ecological framework to examine the impact of immigration stress and school- and community-level resources and protective factors on Latinx and Asian American youth internalizing symptoms. The sample included 1309 Asian American and 701 Latinx students (N = 2010) who participated in a routine school-based mental health needs assessment survey. Multilevel regressions analyses revealed that first-generation youth, Latinx youth, and female youth were more vulnerable to experiencing immigration-related problems and worry. Student perceptions of negative school climate and community violence were associated with greater internalizing symptoms regardless of immigration worry. Moderation analyses revealed that immigration-related problems and worry were positively associated with internalizing symptoms and that this relationship did not differ by race/ethnicity. However, immigration worry was a particular risk factor for students who perceived their neighborhood community as safe. Findings highlight that a sociopolitical climate that sows immigration-related challenges fuels youth distress and that students\' experiences of their community environment can play an essential role as a psychological resource.
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