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Risk factors for recurrent violent injury among black men.

Joseph B Richardson1, Christopher St Vil2, Tanya Sharpe3

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Black men face high rates of repeat violent injury. Key risk factors for trauma recidivism include substance abuse, past violence, perceived disrespect, and prior incarceration.

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Black malesHospital-based violence intervention programsRecurrent violent injuryTraumaTrauma recidivismVictimizationViolent injury

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Area of Science:

  • Public Health
  • Trauma Surgery
  • Criminology

Background:

  • Black men are disproportionately affected by repeat violent injuries.
  • Limited understanding exists regarding risk factors for violent trauma recidivism in this demographic.
  • Previous incarceration, substance abuse, weapon use, and perceived disrespect are hypothesized risk factors.

Purpose of the Study:

  • To identify significant risk factors for violent trauma recidivism among urban, low-income Black men.
  • To compare risk factors between trauma recidivists and non-recidivists.
  • To inform violence intervention strategies.

Main Methods:

  • Secondary data analysis of 191 urban low-income Black men treated for violent injury.
  • Data collected from 1998 to 2011 at a Level I trauma unit in Baltimore.
  • Participants completed a questionnaire assessing exposure to violence, criminal justice involvement, substance abuse, and perceived disrespect.

Main Results:

  • 58% of the sample were identified as trauma recidivists (≥2 hospitalizations for violent injury).
  • Substance abuse, prior fights or weapon use, perceived disrespect, and previous incarceration were associated with higher rates of trauma recidivism.
  • These factors significantly increased the likelihood of multiple hospitalizations for violent injury.

Conclusions:

  • Trauma recidivism among urban Black men is a critical public health concern.
  • Hospital-based violence intervention programs are essential for reducing trauma recidivism.
  • Addressing identified risk factors within intervention programs can mitigate repeat violent injuries.