The impact of neighborhood disorganization on neighborhood exposure to violence, trauma symptoms, and social relationships among at-risk youth
The impact of neighborhood disorganization on neighborhood exposure to violence, trauma symptoms, and social relationships among at-risk youth
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DOI：
10.1016/j.socscimed.2015.10.013
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发表时间：
2015-12-01
影响因子：
5.4
通讯作者：
Flannery, Daniel J.
中科院分区：
文献类型：
--
作者：
Butcher, Fredrick;Galanek, Joseph D.;Flannery, Daniel J.
以前的研究表明，暴露于暴力（ETV）是南北社会经济鸿沟的一个严重问题。虽然研究发现，社会支持是青少年暴露于暴力和创伤的一个保护因素，但人们对创伤症状对形成和维持社会关系的影响知之甚少，而社会关系是获得重要社会资源的关键，可以促进经历创伤的青少年的复原力。建立在以前的模型，研究社区对接触暴力和创伤的影响，目前的研究探讨了社区解体对ETV青年和ETV的创伤症状和社会关系的影响。数据收集了2242青少年司法参与青少年行为健康问题的11个城市和农村县在美国中西部。使用结构方程模型（SEM），我们的数据表明，生活在高度混乱的社区与ETV水平较高，ETV与创伤症状呈正相关。中介分析表明，创伤症状强烈介导的ETV社会关系的影响。自由估计结构路径的性别发现，这些变量之间的假设关联强于男性的女性。这里的调查结果强调需要提供创伤知情的护理，以帮助青年建立和维持社会关系。识别和治疗创伤症状是文化上知情的关键的第一步，以确保在当地环境中确定的保护因素，如社会关系和社会支持，有机会尽量减少教育电视对整个北方和南方国家的青年的影响。(C)2015爱思唯尔有限公司版权所有。
Previous research has demonstrated that exposure to violence (ETV) is a serious concern across the north-south socioeconomic divide. While studies have found that social support is a protective factor for youth exposed to violence and trauma, little is known about the impact of trauma symptoms on forming and maintaining social relationships which are key to accessing a vital social resource that fosters resilience in youth experiencing trauma symptomatology. Building on previous models that examine the impact of neighborhoods on exposure to violence and trauma, the current study examines the impact of neighborhood disorganization on ETV among youth and ETV's effects on trauma symptoms and social relationships. Data were collected on 2242 juvenile justice-involved youth with behavioral health issues in 11 urban and rural counties in the Midwestern United States. Using structural equation modeling (SEM), our data demonstrated that living in highly disorganized neighborhoods was associated with higher levels of ETV and that ETV was positively associated with trauma symptoms. Mediational analysis showed that trauma symptoms strongly mediated the effect of ETV on social relationships. Freely estimating structural paths by gender revealed that hypothesized associations between these variables were stronger for females than males. Findings here highlight the need to provide trauma-informed care to help youth to build and maintain social relationships. Identification and treatment of trauma symptoms that is culturally informed is a critical first step in ensuring that identified protective factors in local contexts, such as social relations and social support, have opportunities to minimize the impact of ETV among youth across northern and southern nations. (C) 2015 Elsevier Ltd. All rights reserved.