Masho Saba W, Schoeny Michael E, Webster Daniel, Sigel Eric
Division of Epidemiology, Department of Family Medicine and Population Health, Virginia Commonwealth University, P.O. Box 980212, Richmond, VA, 23298, USA.
University of Chicago, Chicago, IL, USA.
J Prim Prev. 2016 Apr;37(2):121-39. doi: 10.1007/s10935-016-0429-4.
Youth violence is a major problem in the United States. It remains the third leading cause of death among youth between the ages of 10 and 24 years and the leading cause of death in Blacks between 10 and 24 years of age. In its effort to prevent youth violence, the Center for Disease Control and Prevention funds six Youth Violence Prevention Centers (YVPCs) to design, implement and evaluate community-based youth violence prevention programs. These Centers rely on surveillance data to monitor youth violence and evaluate the impact of their interventions. In public health, surveillance entails a systematic collection and analysis of data, typically within defined populations. In the case of youth violence, surveillance data may include archival records from medical examiners, death certificates, hospital discharges, emergency room visits, ambulance pickups, juvenile justice system intakes, police incident reports, and school disciplinary incidents and actions. This article illustrates the process the YVPCs used for collecting and utilizing youth violence surveillance data. Specifically, we will describe available surveillance data sources, describe community-level outcomes, illustrate effective utilization of the data, and discuss the benefits and limitations of each data source. Public health professionals should utilize local surveillance data to monitor and describe youth violence in the community. Further, the data can be used to evaluate the impact of interventions in improving community-level outcomes.
青少年暴力是美国的一个主要问题。它仍然是10至24岁青少年的第三大死因,也是10至24岁黑人的主要死因。为了预防青少年暴力,疾病控制与预防中心资助了六个青少年暴力预防中心(YVPCs),以设计、实施和评估基于社区的青少年暴力预防项目。这些中心依靠监测数据来监测青少年暴力,并评估其干预措施的影响。在公共卫生领域,监测需要系统地收集和分析数据,通常是在特定人群中进行。就青少年暴力而言,监测数据可能包括法医档案记录、死亡证明、医院出院记录、急诊室就诊记录、救护车接送记录、少年司法系统受理记录、警方事件报告以及学校纪律事件和行动记录。本文阐述了青少年暴力预防中心用于收集和利用青少年暴力监测数据的过程。具体来说,我们将描述可用的监测数据来源,描述社区层面的结果,说明数据的有效利用,并讨论每个数据来源的优缺点。公共卫生专业人员应利用当地监测数据来监测和描述社区中的青少年暴力情况。此外,这些数据可用于评估干预措施对改善社区层面结果的影响。