Lee Daniel B, Zimmerman Marc A, Stallworth Philip, Cunningham Rebecca, Walton Maureen, Carter Patrick M
University of Michigan Institute for Firearm Injury Prevention.
University of Michigan School of Public Health, Department of Health Behavior and Health Education.
Youth Soc. 2024 Nov;56(8):1468-1490. doi: 10.1177/0044118x241256367. Epub 2024 May 30.
Youth interpersonal firearm violence (e.g., homicides) disproportionately affects Black youth and contributes to racial health disparities. Institutional racial discrimination - in particular, residential racial segregation - is a determinant of racial disparities in firearm violence. Residential racial segregation, which is enforced to limit racially minoritized members to undesirable residential areas (e.g., fewer educational and employment opportunities), is associated with the socioecological risk factors of youth firearm violence (e.g., exposure to violence [ETV], neighborhood disadvantage). The socioecological mechanisms underlying the link between, however, remains unclear. Therefore, we tested the mediating role of neighborhood disadvantage (mediator 1) and ETV (mediator 2) in the association between residential racial segregation and youth firearm violence. Participants consisted of 338 Black youth who used illicit drugs in the past year and sought care in an urban emergency department. Using serial mediation analysis, residential racial segregation was indirectly associated with youth firearm violence via neighborhood disadvantage and then exposure to violence. Identifying the downstream socioecological consequences of residential segregation can inform the development of firearm violence prevention programs that address the socioecological consequences of racism.
青少年人际间枪支暴力（例如杀人）对黑人青少年的影响尤为严重，并加剧了种族健康差距。制度性种族歧视——尤其是居住种族隔离——是枪支暴力中种族差距的一个决定因素。居住种族隔离被强制实施，将少数族裔成员限制在不理想的居住区（例如教育和就业机会较少），这与青少年枪支暴力的社会生态风险因素（例如接触暴力[ETV]、邻里劣势）相关。然而，两者之间联系的社会生态机制仍不清楚。因此，我们测试了邻里劣势（中介变量1）和接触暴力（中介变量2）在居住种族隔离与青少年枪支暴力之间关联中的中介作用。参与者包括338名过去一年使用过非法药物并在城市急诊科寻求治疗的黑人青少年。通过系列中介分析，居住种族隔离通过邻里劣势，进而通过接触暴力与青少年枪支暴力间接相关。确定居住隔离的下游社会生态后果可为制定解决种族主义社会生态后果的枪支暴力预防计划提供参考。
