Medical Sciences College/Department of Medical Specialties, State University of Rio de Janeiro, Vinte e Oito de Setembro Avenue, 77, 4° floor, 432. Vila Isabel, Rio de Janeiro, 20.551-030, Brazil.
Institute of Social Medicine/State University of Rio de Janeiro, São Francisco Xavier Street, 524, Maracanã, 7 floor, Rio de Janeiro, 20.550-013, Brazil.
BMC Psychiatry. 2022 Apr 9;22(1):253. doi: 10.1186/s12888-022-03873-8.
Mental disorders are responsible for 16% of the global burden of disease in adolescents. This review focuses on one contextual factor called community violence that can contribute to the development of mental disorders OBJECTIVE: To evaluate the impact of community violence on internalizing mental health symptoms in adolescents, to investigate whether different proximity to community violence (witness or victim) is associated with different risks and to identify whether gender, age, and race moderate this association.
systematic review of observational studies. The population includes adolescents (10-24 years), exposition involves individuals exposed to community violence and outcomes consist of internalizing mental health symptoms. Selection, extraction and quality assessment were performed independently by two researchers.
A total of 2987 works were identified; after selection and extraction, 42 works remained. Higher exposure to community violence was positively associated with internalizing mental health symptoms. Being a witnessing is less harmful for mental health than being a victim. Age and race did not appear in the results as modifiers, but male gender and family support appear to be protective factors in some studies.
This review confirms the positive relationship between community violence and internalizing mental health symptoms in adolescents and provides relevant information that can direct public efforts to build policies in the prevention of both problems.
精神障碍导致 16%的青少年疾病负担。本综述重点关注一种叫做社区暴力的情境因素，这种因素可能导致精神障碍的发生。
评估社区暴力对青少年内化心理健康症状的影响，调查不同程度的接近社区暴力（目击者或受害者）是否与不同的风险相关，并确定性别、年龄和种族是否调节这种关联。
对观察性研究进行系统综述。该人群包括青少年（10-24 岁），暴露于社区暴力的个体，结果包括内化心理健康症状。两名研究人员独立进行选择、提取和质量评估。
共确定了 2987 篇论文；经过选择和提取，剩下 42 篇论文。更高程度的社区暴力暴露与内化心理健康症状呈正相关。作为目击者对心理健康的危害小于作为受害者。年龄和种族似乎不是结果的修饰因素，但在一些研究中，男性性别和家庭支持似乎是保护因素。
本综述证实了社区暴力与青少年内化心理健康症状之间的正相关关系，并提供了相关信息，可以指导公共努力，制定预防这两个问题的政策。
