Joel and Kim Feller Professor of African-American Studies and Anthropology, Department of African-American Studies and the Department of Anthropology, College of Behavioral and Social Sciences, University of Maryland College Park, College Park, MD, USA.
Department of Anthropology and the Department of African-American Studies, Transformative Research and Applied Violence Intervention Lab (TRAVAIL), College of Behavioral and Social Sciences, University of Maryland College Park, College Park, MD, USA.
Am J Mens Health. 2020 Nov-Dec;14(6):1557988320982181. doi: 10.1177/1557988320982181.
Violent injury is a leading cause of death and disability among young Black men, with the highest rates occurring in low-income urban populations. Hospital-based violence intervention programs (HVIPs) offer a promising opportunity to address the biopsychosocial factors that adversely affect this population. However, there are major gaps between the needs of young Black male survivors of violent injury and the forms of care provided by HVIPs. Patient-centered outcomes research provides a useful mode of inquiry to develop strategies to decrease these differences. Care for survivors, including treatment for traumatic stress disorders, must be reconceptualized to center the lived experiences of young Black men. This paper qualitatively explores how these survivors of gun violence express symptoms of traumatic stress and the ways in which their narratives can inform the implementation of the biopsychosocial model in HVIPs. A phenomenological variant ecological systems theory framework was used to analyze participant narratives to aid in understanding their symptoms of traumatic stress and post-injury affective changes as both psychologically and socially important experiences. Such insight may inform changes to HVIP practice to address persistent health disparities related to violence.
暴力伤害是导致年轻黑人男性死亡和残疾的主要原因，其中低收入城市人口的发生率最高。基于医院的暴力干预项目（HVIP）为解决影响这一人群的生物心理社会因素提供了一个有希望的机会。然而，年轻的黑人男性暴力伤害幸存者的需求与 HVIP 提供的护理形式之间存在很大差距。以患者为中心的结果研究为制定减少这些差异的策略提供了一种有用的探究模式。对幸存者的护理，包括创伤后应激障碍的治疗，必须重新构想，将年轻黑人男性的生活经历放在中心位置。本文定性探讨了这些枪支暴力幸存者如何表达创伤后应激的症状，以及他们的叙述如何为 HVIP 中生物心理社会模型的实施提供信息。采用现象学变体生态系统理论框架分析参与者的叙述，以帮助理解他们的创伤后应激症状和受伤后的情感变化，因为这些既是心理上的重要经历，也是社会上的重要经历。这种洞察力可能会为 HVIP 的实践改变提供信息，以解决与暴力有关的持续存在的健康差距。
