Lee Esther, Semenza Daniel C, Geronimus Arline T, Heinze Justin
Health Behavior and Health Equity, University of Michigan School of Public Health, Ann Arbor, MI, United States; Population Studies Center, Institute for Social Research, University of Michigan, Ann Arbor, MI, United States.
Sociology, Anthropology, and Criminal Justice, Rutgers University-Camden, Camden, NJ, United States.
Soc Sci Med. 2025 Sep;381:118236. doi: 10.1016/j.socscimed.2025.118236. Epub 2025 May 21.
Adolescent exposure to weapon-related violence is linked to adverse mental health outcomes, yet its long-term physical health impacts remain understudied. Using four waves of data from the National Longitudinal Study of Adolescent to Adult Health, this study examined the direct and indirect associations between adolescent weapon victimization and overall cardiovascular disease (CVD) risk in adulthood. Weapon victimization was associated with a 55.7 % increase in 10-year CVD risk (direct) and a 10.6 % increase in 30-year risk (indirect), with mental distress, smoking, and allostatic load accounting for 76 % of the total indirect effect. Given that firearm injury and CVD are the leading causes of death among adolescents and adults in the U.S., respectively, these findings reflect the potential value of integrating violence prevention into broader public health and chronic disease strategies.
青少年接触与武器相关的暴力与不良心理健康结果有关，但其对长期身体健康的影响仍未得到充分研究。本研究利用来自青少年到成人健康全国纵向研究的四轮数据，考察了青少年武器受害经历与成年后患心血管疾病（CVD）总体风险之间的直接和间接关联。武器受害经历与10年CVD风险增加55.7%（直接关联）以及30年风险增加10.6%（间接关联）相关，心理困扰、吸烟和应激负荷占总间接效应的76%。鉴于在美国青少年和成年人中，火器伤害和CVD分别是主要死因，这些发现反映了将暴力预防纳入更广泛的公共卫生和慢性病战略的潜在价值。
