Department of Anthropology, College of Behavioral and Social Sciences, University of Maryland College Park, 1141 Taliaferro Building, College Park, MD 20742, United States of America.
Department of Surgery, University of Maryland School of Medicine, 655 W. Baltimore Street, Baltimore, MD 21201, United States of America.
Prev Med. 2022 Dec;165(Pt A):107232. doi: 10.1016/j.ypmed.2022.107232. Epub 2022 Sep 6.
National rates of gun violence have risen during the COVID-19 pandemic. There are many contributing factors to this increase, including the compounding consequences of social isolation, unstable housing, decreased economic stability, and ineffective and violent policing of communities of color. The effects of these factors are exacerbated by the pandemic's impact on the provision and availability of psychosocial services for individuals in marginalized communities, particularly those who have been violently injured. Hospital-based violence intervention programs (HVIPs) have been identified as a crucial intervention strategy in reducing repeat violent injury. The ongoing COVID-19 pandemic has engendered, significant barriers in HVIPs' attempts to assist program participants in achieving their health-related and social goals. This research offers insight into the complexities of providing social services during the convergence of two public health crises-COVID-19 and gun violence-at the HVIPs associated with the two busiest trauma centers in the state of Maryland. In considering the effects of inadequate financial support and resources, issues with staffing, and the shift to virtual programming due to restrictions on in-person care, we suggest possible changes to violence prevention programming to increase the quality of care provided to participants in a manner reflective of their unique structural positions.
在 COVID-19 大流行期间，全国范围内的枪支暴力事件有所增加。造成这种情况的原因有很多，包括社会隔离、住房不稳定、经济稳定性下降以及对有色人种社区的无效和暴力执法等因素的综合影响。这些因素的影响因大流行对边缘化社区个人的心理社会服务的提供和可用性的影响而加剧，尤其是那些遭受暴力伤害的人。基于医院的暴力干预计划（HVIP）已被确定为减少重复暴力伤害的关键干预策略。持续的 COVID-19 大流行给 HVIP 试图帮助计划参与者实现与健康相关和社会目标带来了重大障碍。这项研究深入了解了在马里兰州两家最繁忙的创伤中心相关的 HVIP 中，在 COVID-19 和枪支暴力这两种公共卫生危机同时发生的情况下，提供社会服务的复杂性。在考虑到财政支持和资源不足、人员配备问题以及由于限制亲自护理而转向虚拟方案等问题时，我们提出了可能对暴力预防方案进行的更改，以提高参与者获得的护理质量，以反映他们独特的结构地位。
