Bernadette C. Hohl ( bernadette. hohl@rutgers. edu ) is an assistant professor in the Department of Biostatistics and Epidemiology, Rutgers School of Public Health, in Piscataway, New Jersey.
Michelle C. Kondo is a research social scientist at the Northern Research Station, Forest Service, Department of Agriculture, in Philadelphia, Pennsylvania.
Health Aff (Millwood). 2019 Oct;38(10):1687-1694. doi: 10.1377/hlthaff.2019.00707.
Violence is a leading cause of death and disability in the United States and abroad, with far-reaching consequences for individuals and communities. Interventions that address environmental and social contexts have the potential for greater populationwide effects, yet research has been slow to identify and rigorously evaluate these types of interventions to reduce violence. Several urban communities across the US are conducting experimental and quasi-experimental community-based research to examine the effect of place-based interventions on violence. Using examples from Philadelphia, Pennsylvania; Flint, Michigan; Youngstown, Ohio; and New Orleans, Louisiana, we describe how place-based interventions that remediate vacant land and abandoned buildings work to reduce violence. These examples support the potential for place-based interventions to create far-reaching and sustainable improvements in the health and safety of communities that experience significant disadvantage. These interventions warrant the attention of community stakeholders, funders, and policy makers.
暴力是美国和国外导致死亡和残疾的主要原因,对个人和社区都有深远的影响。干预措施可以解决环境和社会背景问题,从而对更广泛的人群产生更大的影响,但研究一直缓慢,难以确定和严格评估这些类型的干预措施,以减少暴力。美国的几个城市社区正在进行实验性和准实验性的基于社区的研究,以研究基于地点的干预措施对暴力的影响。我们以宾夕法尼亚州费城、密歇根州弗林特、俄亥俄州扬斯敦和路易斯安那州新奥尔良为例,描述了如何修复空地和废弃建筑物的基于地点的干预措施来减少暴力。这些例子支持基于地点的干预措施有潜力为经历重大不利因素的社区的健康和安全带来深远和可持续的改善。这些干预措施值得社区利益相关者、资助者和政策制定者关注。