Emily M. D'Agostino, Eric Hansen, Hersila H. Patel, Zafar Ahmed, Deirdre Okeke, and Maria I. Nardi are with Miami-Dade Parks, Recreation, and Open Spaces Department, Miami, FL. Stacy L. Frazier is with Florida International University, Department of Psychology, Miami. At the time of the study, Sarah E. Messiah was with University of Miami, Department of Pediatrics and Public Health Sciences, Miami.
Am J Public Health. 2019 Jun;109(S3):S214-S220. doi: 10.2105/AJPH.2019.305050.
To examine the association of Fit2Lead, an afterschool park-based youth mental health promotion program, and neighborhood juvenile arrests (2015-2017) in Miami-Dade County, Florida. We tracked juvenile (ages 12-17 years) arrest rates over 2 years of program implementation across zip codes matched by (1) park and (2) baseline sociodemographics and youth arrests. Fit2Lead mental and physical health, meditation, resilience, and life skills activities were offered in 12 high-need areas for youths (n = 501) aged 12 to 17 years. We tested the association of Fit2Lead implementation (binary variable) and change in juvenile arrest rates by zip code, adjusting for area-level gender, age, race/ethnicity, single-parent households, and poverty. Fit2Lead was offered in areas composed of 48% male youths, 60% Hispanics, 29% non-Hispanic Blacks, 33% single-parent households, and 33% of residents living in poverty. After covariate adjustment, zip codes with Fit2Lead implementation showed a significant mean reduction ( < .001) in youth arrests per 10 000 youths aged 12 to 17 years per year compared with zip codes without program implementation (b = -6.9; 95% confidence interval = -9.21, -4.65). Park-based programs may have the potential to promote mental health and resilience, and also to prevent violence among at-risk youths.
为了探究 Fit2Lead(一个基于公园的青少年心理健康促进项目)与佛罗里达州迈阿密戴德县青少年犯罪(2015-2017 年)之间的关联。我们跟踪了在项目实施的 2 年内,各个邮政编码区域内青少年(12-17 岁)的逮捕率,这些区域通过以下两种方式进行匹配:(1)公园和(2)基线社会人口统计学和青少年犯罪情况。Fit2Lead 提供了心理健康和身体健康、冥想、韧性和生活技能活动,这些活动面向 12 个高需求青少年区域(n=501),年龄在 12 至 17 岁之间。我们测试了 Fit2Lead 实施情况(二项变量)和邮政编码区域内青少年逮捕率变化之间的关联,调整了区域层面的性别、年龄、种族/族裔、单亲家庭和贫困状况。Fit2Lead 在由 48%男性青少年、60%西班牙裔、29%非西班牙裔黑人、33%单亲家庭和 33%居民生活在贫困中的区域提供服务。在调整协变量后,实施 Fit2Lead 的邮政编码区域与未实施项目的邮政编码区域相比,每 10000 名 12 至 17 岁的青少年每年的逮捕率显著降低( < .001)(b=-6.9;95%置信区间 = -9.21,-4.65)。基于公园的项目可能具有促进心理健康和韧性的潜力,同时也可能预防高危青少年的暴力行为。