Lane Sandra D, Rubinstein Robert A, Bergen-Cico Dessa, Jennings-Bey Timothy, Fish Linda Stone, Larsen David A, Fullilove Mindy Thompson, Schimpff Tracey Reichert, Ducre Kishi Animashaun, Robinson Jonnell Allen
J Health Care Poor Underserved. 2017;28(1):446-462. doi: 10.1353/hpu.2017.0033.
In Syracuse, New York the social determinants of trauma from neighborhood violence are rooted in historical processes, including urban renewal, the Rockefeller drug laws, and de-industrialization. These contributed to destabilizing Syracuse communities of color, resulting in disproportionate incarceration, family disruption, and economic devastation. Community violence, clustering in densely populated neighborhoods, creates unmanageable stress for the families who live in them. A map of gunshots and gun fatalities (2009 to 2014) illustrates the continuing onslaught of bullets being fired, often in close proximity to elementary schools. A community survey indicated that over half of respondents personally knew more than 10 murder victims. Half the respondents scored positive on the Civilian PTSD Checklist; there thus is a great deal of unaddressed traumatic stress in the community. This analysis, conducted to prepare for planning future interventions to reduce the community trauma and violence, is part of an ongoing university-community collaboration.
在纽约州锡拉丘兹市，邻里暴力造成创伤的社会决定因素植根于历史进程，包括城市更新、洛克菲勒毒品法和去工业化。这些因素导致锡拉丘兹有色人种社区不稳定，造成监禁比例过高、家庭破裂和经济破坏。社区暴力集中在人口密集的社区，给居住在这些社区的家庭带来了难以承受的压力。一张2009年至2014年枪击事件和枪击死亡人数的地图显示，子弹的持续袭击经常发生在小学附近。一项社区调查表明，超过一半的受访者认识10名以上的谋杀受害者。一半的受访者在平民创伤后应激障碍检查表上得分呈阳性；因此，社区中存在大量未得到解决的创伤压力。这项为规划未来减少社区创伤和暴力的干预措施而进行的分析，是正在进行的大学与社区合作的一部分。
