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How Gun Violence Exposure Influences Racial Health Disparities among Adults in the United States
Daniel C Semenza1,2,3, Sultan Altikriti4, Kimberly Burke4
1Department of Sociology, Anthropology, and Criminal Justice, Rutgers University, 405-7 Cooper Street, Camden, NJ, 08102, USA. daniel.semenza@rutgers.edu.
Gun violence exposure (GVE) worsens health disparities for Black and Hispanic adults in the US. Reducing GVE can significantly decrease these racial health inequities, highlighting its role in socioeconomic disadvantage.
Area of Science:
- Public Health
- Sociology
- Health Disparities Research
Background:
- Gun violence is a major public health issue in the US.
- Racial and ethnic minorities disproportionately experience gun violence exposure (GVE).
- Socioeconomic disadvantage is linked to poorer health outcomes.
Purpose of the Study:
- To investigate the role of GVE in connecting socioeconomic disadvantage to racial health disparities.
- To examine how GVE influences self-rated health and chronic conditions.
Main Methods:
- Utilized data from a 2024 national survey of 7,066 US adults (Black, Hispanic, White).
- Measured individual and community disadvantage, and GVE using a five-item variety index.
- Employed structural equation models and counterfactual analysis to assess associations and simulate disparity reduction.
Main Results:
- Black and Hispanic adults reported higher GVE and community disadvantage than White adults.
- GVE was consistently linked to poorer self-rated health and increased chronic conditions across all racial groups.
- Community disadvantage impacted health indirectly via GVE, and adjusting GVE levels reduced racial health disparities.
Conclusions:
- GVE acts as a structural pathway linking community disadvantage to racial health inequities.
- Interventions targeting GVE reduction are crucial for mitigating health disparities.
- Addressing GVE is essential for achieving health equity in the United States.
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