Grinshteyn Erin G, Xu Haiyong, Manteuffel Brigitte, Ettner Susan L
Population Health Sciences, School of Nursing and Health Professions, University of San Francisco, San Francisco, CA, 94117, USA.
Division of General Internal Medicine & Health Services Research, David Geffen School of Medicine at UCLA, 911 Broxton Plaza, Box 951736, Los Angeles, CA, 90095-1736, USA.
Community Ment Health J. 2018 Apr;54(3):252-258. doi: 10.1007/s10597-017-0159-y. Epub 2017 Aug 31.
The effects of witnessing and experiencing crime have seldom been disaggregated. Little research has assessed the effect of multiple exposures to crime. We assess independent contributions of self-reported crime and area-level crime to adolescent behavioral health outcomes. Cross sectional data on 5519 adolescents from the Comprehensive Community Mental Health Services for Children and their Families Program was linked to FBI crime rate data to assess associations of mutually exclusive categories of self-reported crime exposure and area-level crime rates with mental health and substance abuse. Self-reported crime exposure was significantly associated with poorer behavioral health. Violent victimization had the largest association with all outcomes except internalizing scores. All self-reported crime variables were significantly associated with three of the outcomes. Area-level crime rates were associated with one mental health outcome. Providers should assess direct and indirect crime exposure rather than only focusing on violent victimization.
目睹和经历犯罪行为的影响很少被区分开来。很少有研究评估多次接触犯罪行为的影响。我们评估了自我报告的犯罪行为和社区层面犯罪行为对青少年行为健康结果的独立影响。来自儿童及其家庭综合社区心理健康服务项目的5519名青少年的横断面数据与联邦调查局的犯罪率数据相关联，以评估自我报告的犯罪暴露和社区层面犯罪率的相互排斥类别与心理健康和药物滥用之间的关联。自我报告的犯罪暴露与较差的行为健康显著相关。暴力受害与除内化分数外的所有结果关联最大。所有自我报告的犯罪变量与其中三个结果显著相关。社区层面的犯罪率与一种心理健康结果相关。提供者应评估直接和间接的犯罪暴露，而不是只关注暴力受害情况。
