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Identifying Risk Factors and Advancing Services for Violently Injured Low-Income Black Youth.

Laura A Voith1, Meghan Salas Atwell2, Alena Sorensen2

  • 1Jack, Joseph, and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH, USA. lav41@case.edu.

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Black youth face high rates of violence. Integrated data analysis reveals that early adversity, trauma, and poverty are key risk factors, highlighting the need for systemic solutions to prevent youth violence.

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Area of Science:

  • Public Health
  • Sociology
  • Criminology

Background:

  • Violent exposure is a critical issue for low-income Black youth.
  • Addressing this requires understanding risk factors through equitable data analysis.

Purpose of the Study:

  • To identify risk factors for violent injuries in Black youth using a racial equity lens.
  • To compare characteristics of youth with gunshot wounds (GSW) versus assault injuries.

Main Methods:

  • A case-control study linked medical records to a county-level integrated data system.
  • Statistical analyses included Chi-square tests, T-tests, and logistic regression.
  • Compared injured youth (N=429) to non-injured peers (N=5000) and GSW youth (N=71) to assault-injured youth (N=358).

Main Results:

  • Injured youth experienced greater early adversity, trauma, and prolonged poverty than non-injured peers.
  • Youth with GSW injuries showed distinct differences compared to those with assault injuries.

Conclusions:

  • Systemic racism and poverty significantly contribute to severe violence exposure in Black youth.
  • An integrated 'ecosystem of care' approach, informed by racial equity, is essential for prevention.