Prothrow-Stith D B
Harvard University School of Public Health, Boston, MA 02115, USA.
J Health Care Poor Underserved. 1995;6(2):95-101. doi: 10.1353/hpu.2010.0659.
Violence is exacting an increasingly heavy toll on individuals across the country, causing a marked rise in fear and frustration. However, historical attempts to address violence have been both episodic and inconsistent. There has not been a comprehensive and coordinated, prevention-oriented approach. Many law enforcement experts now agree that violence must be met with solutions from disciplines other than law enforcement, those of public health included. These experts acknowledge that social conditions such as family stability, education, and other societal institutions directly affect the behavior of juveniles and thereby the safety of communities. No single strategy, institution, or discipline can create the changes needed to reduce violence in America. Preventing violence demands not only a long-term commitment but a comprehensive set of strategies and new partnerships. These combined efforts must focus on prevention and not solely on aggressive responses to violence.
暴力正在给全国的个人造成越来越沉重的负担，导致恐惧和挫败感显著上升。然而，过去应对暴力的尝试一直是断断续续且缺乏连贯性的。从未有过一种全面、协调且以预防为导向的方法。现在许多执法专家一致认为，必须通过执法以外的其他学科的解决方案来应对暴力，包括公共卫生学科。这些专家承认，诸如家庭稳定、教育和其他社会机构等社会状况会直接影响青少年的行为，进而影响社区的安全。没有任何单一的策略、机构或学科能够带来减少美国暴力所需的变革。预防暴力不仅需要长期的投入，还需要一套全面的策略和新的伙伴关系。这些共同努力必须聚焦于预防，而不仅仅是对暴力采取激进的应对措施。
