Caught in the crossfire: The effects of a peer-based intervention program for violently injured youth

Caught in the crossfire: The effects of a peer-based intervention program for violently injured youth
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DOI:
10.1016/j.jadohealth.2003.04.001
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发表时间:
2004-03-01
影响因子:
7.6
通讯作者:
Calhoun, D
Calhoun, D
中科院分区:
医学2区
文献类型:
--
作者:
Becker, MG;Hall, JS;Calhoun, D

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目的:评估以医院为基础的同伴干预计划对因暴力伤害而住院的青少年参与刑事司法系统和出院后暴力再伤害和死亡的影响。方法:共112名在加利福尼亚州奥克兰住院的暴力伤害青少年(年龄12-20岁;80%男性;主要为非裔美国人[60%]和拉丁裔[26%])参加了一项回顾性病例对照研究。患者的年龄和受伤严重程度都是匹配的。治疗和对照青年在他们的个人受伤日期后被跟踪6个月。结果:与对照组相比,干预组因任何犯罪而被捕的可能性降低了70%(优势比[OR]=0.257),参与犯罪的可能性降低了60%(OR=0.356)。结论:在青少年遭受暴力伤害后立即或很快进行干预的基于同伴的计划可以直接减少高危青少年参与刑事司法系统的程度。(C)青少年医学学会,2004年。
Purpose: To assess the effect of a hospital-based peer intervention program serving youth who have been hospitalized for violent injuries on participant involvement in the criminal justice system and violent reinjury and death after hospital discharge.Methods: A total of 112 violently injured youth (ages 12-20 years; 80% male; predominantly African-American [60%] and Latino [26%]) hospitalized in Oakland, California participated in a retrospective case-control study. Clients were matched by age and injury severity. Treatment and control youth were followed for 6 months after their individual dates of injury. The outcome variables of rate of entry/reentry into the criminal justice system, rate of rehospitalization for violent injuries and rate of violence-related deaths were compared for treatment and control groups using an odds ratio analysis.Results: Intervention youth were 70% less likely to be arrested for any offense (odds ratio [OR] = 0.257) and 60% less likely to have any criminal involvement (OR = 0.356) when compared with controls. No statistically significant differences were found for rates of reinjury or death.Conclusion: A peer-based program that intervenes immediately after, or very soon after, youth are violently injured can directly reduce at-risk youth involvement in the criminal justice system. (C) Society for Adolescent Medicine, 2004.