Understanding the Correlates of Firearm Violence Involvement Among Young Adults Experiencing Homelessness: A 7-City Study.

Understanding the Correlates of Firearm Violence Involvement Among Young Adults Experiencing Homelessness: A 7-City Study.
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DOI:
10.1016/j.amepre.2021.02.016
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发表时间:
2021-10
影响因子:
5.5
通讯作者:
Rice E
Rice E
中科院分区:
医学2区
文献类型:
--
作者:
Hsu HT;Fulginiti A;Petering R;Barman-Adhikari A;Bedell K;Ferguson KM;Narendorf SC;Shelton J;Santa Maria D;Bender K;Rice E

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无家可归的年轻人容易受到枪支暴力的伤害。本研究旨在探讨这一弱势群体参与枪支暴力的相关性,这可能会为减少枪支暴力干预措施的发展提供信息。在2016年至2017年期间,在美国7个城市招募了18-26岁无家可归的年轻人(N= 1,426)。受访者完成了一个自我管理的计算机辅助匿名调查,他们无家可归的经验和暴力参与。在2020年进行了单独的多变量logistic回归模型,以探讨直接枪支暴力受害,枪支暴力目击者和枪支暴力犯罪的相关性。经历无家可归的年轻人中有很高比例参与了枪支暴力(目睹枪支暴力:40%;直接枪支暴力受害:28%;犯罪:18%)。压力的经历,如童年创伤和街头受害,与枪支暴力参与的可能性更大。黑人(OR=2.4,p<0.001)和拉丁裔(OR=2.0,p<0.05)年轻人比白色年轻人经历直接枪支暴力受害的几率更大。黑人(OR=2.0,p<0.01)和拉丁裔(OR=2.4,p<0.001)年轻人目睹枪支暴力的风险也更大。患有精神疾病的年轻人直接受到枪支暴力侵害的几率更大(OR=1.7,p<0.01)。鉴于涉及枪支暴力的相互关联性质,并鉴于暴力的风险因素往往植根于社会和结构背景,有必要采取多管齐下的社区办法,防止无家可归的年轻人中的枪支暴力。可以指出,应作出有针对性的努力,以减轻无家可归的年轻人群体的风险,并提高他们的复原力,因为他们不成比例地受到枪支暴力的影响。
Young adults experiencing homelessness are vulnerable to firearm violence. This study aims to explore the correlates of firearm violence involvement among this vulnerable population, which may inform firearm violence reduction intervention development. Between 2016 and 2017, young adults experiencing homelessness aged 18–26 years (N=1,426) were recruited in 7 U.S. cities. Respondents completed a self-administered computer-assisted anonymous survey regarding their homeless experiences and violence involvement. Separate multivariate logistic regression models were conducted in 2020 to explore the correlates of direct firearm violence victimization, witness of firearm violence, and firearm violence perpetration. A high proportion of young adults experiencing homelessness were involved in firearm violence (witnessing firearm violence: 40%; direct firearm violence victimization: 28%; perpetration: 18%). Stressful experiences, such as childhood trauma and street victimization, were associated with greater odds of firearm violence involvement. Black (OR=2.4, p<0.001) and Latinx (OR=2.0, p<0.05) young adults had greater odds of experiencing direct firearm violence victimization than White young adults. Black (OR=2.0, p<0.01) and Latinx (OR=2.4, p<0.001) young adults were also at greater risk of witnessing firearm violence. Young adults with mental illness had greater odds of being directly victimized by firearm violence (OR=1.7, p<0.01). Given the inter-related nature of firearm violence involvement and given that risk factors for violence are often embedded in social and structural contexts, multipronged community-based approaches to prevent firearm violence among young adults experiencing homelessness are necessary. Targeted efforts may be indicated to attenuate the risk and promote resilience among subgroups of young adults experiencing homelessness who are disproportionately affected by firearm violence.
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