Center for Child and Community Health Research, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, MD, USA.
Departments of Epidemiology and Pediatrics, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, #W6501, Baltimore, MD, 21205, USA.
J Community Health. 2020 Oct;45(5):987-996. doi: 10.1007/s10900-020-00817-9.
Experiencing violence has been associated with negative health outcomes. The objectives of this study were to determine whether experiencing violence is associated increased support service needs and suboptimal general health indicators. In addition, we explore the relationship between these and perceived social support among a select sample of urban predominantly male adults in Baltimore City. A cross-sectional survey was conducted among 187 adults being seen in one of seven urban partner agencies participating in a parent HIV prevention and treatment demonstration project. Associations were examined using a multivariable logistic regression model, adjusting for the clinic site at which the client was being seen as well as age and gender identity. There was a significant amount of violence experienced by this population; 131 (72%) reported having seen someone be physically assaulted, and 89 (49%) had been physically assaulted without a weapon. Direct victimization from violence was associated with a threefold increased odds of needing housing and mental health/substance use services. Exposure to violence was associated with a threefold increase in needing housing and mental health/substance use services, and with sub-optimal health status. Perceived social support was associated with 30% decreased reports of experiencing violence. In conclusion, our select sample of urban adults report having experienced high rates of violence, and this is associated with increased support service needs as well as suboptimal perceived health status. Incorporating care for the effects of experiencing violence as well as social service needs are important in optimizing the health of urban populations.
经历暴力与负面健康结果有关。本研究的目的是确定经历暴力是否与增加的支持服务需求和不理想的一般健康指标有关。此外，我们还探讨了在巴尔的摩市的一个选定的城市主要男性成年人样本中，这些因素与感知社会支持之间的关系。在参与父母艾滋病毒预防和治疗示范项目的七个城市合作伙伴机构之一就诊的 187 名成年人中进行了横断面调查。使用多变量逻辑回归模型检查关联，调整了客户就诊的诊所地点以及年龄和性别认同。该人群经历了大量的暴力事件；131 人（72%）报告看到有人被人身攻击，89 人（49%）在没有武器的情况下被人身攻击。直接遭受暴力侵害与需要住房和心理健康/药物使用服务的几率增加三倍有关。接触暴力与需要住房和心理健康/药物使用服务的几率增加三倍以及健康状况不理想有关。感知到的社会支持与经历暴力的报告减少 30%有关。总之，我们选择的城市成年人样本报告经历了高比率的暴力事件，这与增加的支持服务需求以及不理想的感知健康状况有关。将经历暴力的影响和社会服务需求纳入护理中对于优化城市人群的健康非常重要。
