Milam Adam J, Buggs Shani A, Furr-Holden C Debra M, Leaf Philip J, Bradshaw Catherine P, Webster Daniel
Department of Mental Health, Center for the Prevention of Youth Violence, Johns Hopkins University, Bloomberg School of Public Health, 624 N. Broadway, 8th floor, Baltimore, MD, 21205, USA.
Department of Health Policy and Management, Johns Hopkins University, Bloomberg School of Public Health, 624 N. Broadway, 5th floor, Baltimore, MD, 21205, USA.
J Urban Health. 2016 Aug;93(4):609-26. doi: 10.1007/s11524-016-0060-y.
Among youth 15 to 24 years of age, homicide and nonfatal shootings are the leading causes of mortality and morbidity. Urban youth's attitudes and perceptions about the use of gun violence to resolve conflict present a major barrier to efforts to reduce gun homicides and nonfatal shootings. The current investigation extends the existing literature on attitudes toward guns and shootings among high-risk youth ages 18 to 24 by measuring perceived norms and viewpoints regarding gun violence in two analogous Baltimore City neighborhoods pre-implementation and 1-year post-implementation of the Safe Streets intervention (adapted from the CeaseFire/Cure Violence intervention). The Safe Streets intervention is designed for communities with high rates of gun violence and utilizes outreach workers to identify and build trusting relationships with youth ages 15 to 24 who are at greatest risk of being involved in gun violence. The outreach workers also position themselves in the community so that they can rapidly intervene in disputes that have the potential to lead to gun violence. Chi-squared tests and exploratory structural equation modeling (ESEM) were used to examine changes in attitudes toward gun violence 1 year after the implementation of the Safe Streets intervention. There was a statistically significantly improvement in 43 % of the attitudes assessed in the intervention community post-intervention compared to 13 % of the attitudes in the control community. There was a statistically significant improvement in the violent attitudes toward personal conflict resolution scale after implementation of the intervention in both the intervention (b = -0.522, p < 0.001) and control community (b = -0.204, p < 0.032). Exposure to the intervention (e.g., seeing stop shooting signs in your neighborhood) was also associated with the nonviolent attitudes toward conflict scale. Overall, the study found greater improvement in attitudes toward violence in the intervention community following the implementation of the Safe Streets program. These findings offer promising insights into future community violence prevention efforts.
在15至24岁的年轻人中,凶杀和非致命枪击是导致死亡和发病的主要原因。城市青年对于使用枪支暴力解决冲突的态度和看法,是减少枪支凶杀和非致命枪击努力的主要障碍。本项调查通过测量在巴尔的摩市两个类似社区实施“安全街道”干预措施(改编自“停火/治愈暴力”干预措施)之前和实施后1年关于枪支暴力的感知规范和观点,扩展了关于18至24岁高危青年对枪支和枪击态度的现有文献。“安全街道”干预措施是为枪支暴力发生率高的社区设计的,利用外展工作人员与15至24岁、最有可能卷入枪支暴力的青年建立信任关系。外展工作人员还在社区中立足,以便能够迅速干预有可能导致枪支暴力的争端。使用卡方检验和探索性结构方程模型(ESEM)来检验“安全街道”干预措施实施1年后对枪支暴力态度的变化。与对照社区13%的态度相比,干预社区在干预后评估的43%的态度有统计学上的显著改善。在干预社区(b = -0.522,p < 0.001)和对照社区(b = -0.204,p < 0.032)实施干预后,对个人冲突解决量表的暴力态度均有统计学上的显著改善。接触干预措施(例如在社区看到“停止枪击”标志)也与对冲突量表的非暴力态度相关。总体而言,研究发现实施“安全街道”计划后,干预社区对暴力的态度有更大改善。这些发现为未来的社区暴力预防工作提供了有希望的见解。