Michigan Youth Violence Prevention Center: Building Evidence for Gun Violence Prevention

摘要 青少年暴力是美国公共卫生的一个重要优先事项，因为杀人是青少年的第三大死亡原因。 青少年（14-20岁）中，90%来自枪支暴力。伤害与长期的严重的- 长期后果，包括重复致命/非致命性攻击伤害，未来的枪支暴力，物质使用 精神障碍、心理健康问题和刑事司法参与。结果存在巨大差异， 居住在城市的黑人青年的枪支杀人，药物使用和监禁率较高 社区.与种族主义和资源分配不公平有关的结构性因素是根源所在 所有形式的暴力，尤其是人际枪支暴力。我们迫切需要 采取干预措施，减少城市青年中的暴力行为，特别是与枪支有关的发病率和死亡率。我们 拟议的中心包括两个研究战略，沿着转化科学连续体，以促进青年 预防火器伤害。首先，我们计划进行混合型3，多站点的有效性 推行试验，以测试现有以实证为基础的青少年实践的社区成效 预防暴力。本研究与研究领域2和#3保持一致。第二，我们正在进行一项混合行动， 现有青少年参与枪支暴力初级预防的1型实施效果研究 程序.我们将使用多案例研究设计来研究个人和社区层面的结果， 同时收集项目实施的数据。社区一级警察事件和伤害数据 将被分析。我们的合作伙伴社区和研究中心是马斯基贡，MI和周边地区， 华盛顿特区。虽然这些地方的背景不同，但它们都有严重的种族隔离历史， 投资减少和经济不平等，正在经历青年枪支暴力危机的升级， 凶案组这项研究将为社区和青年参与枪支暴力预防提供工具包， 翻译成多种语境。我们还将与两个青年咨询委员会（华盛顿特区和密歇根州）合作。 世卫组织将对我们的研究提供反馈，并领导在线和面对面的社区外展活动。我们 拟议的中心还包括与我们的CDC资助的公共卫生领导培训计划合作， 我们的训练核心这一核心旨在建立一个管道，代表性不足的少数民族本科生 和研究生，以获得在预防青少年暴力方面的研究和实践经验， 尤其是枪支暴力。培训核心还包括博士后职位， 该领域的研究人员。我们的研究团队包括来自公共卫生，应急， 医学，精神病学，社区和教育心理学，具有暴力和伤害方面的专业知识 预防，包括在多种情况下预防枪支暴力，以及25年以上的合作经验 与社区居民、组织、机构合作，实施和评估社区一级的暴力行为 预防战略。

Abstract Youth violence is a significant U.S. public health priority as homicide is the third leading cause of death for adolescents (age 14-20), 90% is from firearm violence. Assault injuries are associated with significant long- term consequences, including repeat fatal/non-fatal assault injuries, future firearm violence, substance use disorders, mental health issues, and criminal justice involvement. Substantial disparities exist in outcomes, with firearm homicide, substance use, and incarceration rates higher among Black youth residing in urban communities. Structural factors associated with racism and inequitable distribution of resources are at the root of all forms of violence, and especially interpersonal firearm violence. We have an urgent need for interventions reducing violence especially firearm-related morbidity and mortality among urban youth. Our proposed Center includes two research strategies along the translational science continuum to advance youth firearm injury prevention. First, we plan to conduct a Hybrid Type 3, multi-site effectiveness implementation trial to test the community effectiveness of an existing evidence-based practice for youth violence prevention. This study aligns with Research Area 2 and #3. Second, we are conducting a Hybrid Type 1 implementation-effectiveness study of existing youth engaged gun violence primary prevention programs. We will use a multi-case study design to study individual and community level outcomes while simultaneously gathering data on program implementation. Community level police incidents and injury data will be analyzed. Our partner communities and study sites are Muskegon, MI and surrounding area, and Washington, DC. While these locations differ in context, they share a history of severe racial segregation, disinvestment and economic inequality and are experiencing escalating crises of youth firearm violence and homicide. This study will result in toolkits for community and youth engaged gun violence prevention that can be translated to multiple contexts. We will also work with two youth advisory boards (WashDC and Michigan) who will provide feedback on our research, and lead online and in person community outreach activities. Our proposed Center also includes collaboration with our CDC-funded public health leadership training program for our Training Core. This Core is designed to establish a pipeline of underrepresented minority undergraduate and graduate students to get research and practice experience working in prevention of youth violence in general, and gun violence in particular. The Training Core also includes postdoctoral positions to develop researchers in this field. Our research team includes faculty from the disciplines of public health, emergency medicine, psychiatry, and community and educational psychology, with expertise in violence and injury prevention including firearm violence prevention in multiple settings and 25+ years of experience partnering with community residents, organizations, institutions, to implement and evaluate community level violence prevention strategies.