Gang involvement among street-involved youth in a Canadian setting: a gender-based analysis.

OBJECTIVES

Evidence suggests that gang involvement is associated with adverse health outcomes among high-risk youth. However, few studies have investigated the prevalence and correlates of gang affiliation among this population, particularly in Canada. We examined the relationship between self-reported gang involvement and early childhood traumatic experiences, social factors, and other behaviors in a study of drug-using, street-involved youth.

STUDY DESIGN

Cross-Sectional Study

METHODS

Data were derived from the At-Risk Youth Study (ARYS), a prospective study of street-involved youth in Vancouver, Canada. Between June 2009 and May 2011, participants were asked questions ascertaining lifetime gang involvement and gang affiliation in one’s social network. We examined the gender-specific correlates of gang involvement using stratified log-binomial regression analyses.

RESULTS

Among 435 eligible participants, 94 (21.6%) reported gang involvement and 206 (47.4%) reported having friends in a gang. In gender-stratified models, males involved in gangs were more likely to be of Aboriginal ancestry (prevalence ratio [PR] = 1.63, 95% confidence interval [CI]: 1.09 – 2.44), have grown up in government care (PR = 2.03, 95%CI: 1.32 – 3.12), dealt drugs (PR = 2.52, 95%CI: 1.66 – 3.85), and been incarcerated (PR = 1.40, 95%CI: 1.29 – 2.80). Women involved in gangs were more likely to have reported a history of childhood sexual abuse (PR = 3.08, 95%CI: 1.15 – 8.27).

CONCLUSIONS

These results suggest that a variety of adverse experiences in early life are associated with an increased risk of gang affiliation among street-involved youth. Primary prevention strategies aiming to avert gang initiation among high-risk youth should seek to address childhood abuse and other traumatic experiences commonly experienced by this population.