通过使用行政数据,检查不良童年经历和黑人青年参与医院暴力干预计划的情况
Laura A Voith1,2, Meghan Salas Atwell3, Alena Sorensen D'Alessio4
1Jack, Joseph and Morton Mandel School of Applied Social Sciences, Case Western Reserve University, Cleveland, Ohio, USA.
概括
不良童年经历 (ACE) 并没有预测黑人青年参与医院暴力干预计划 (HVIP). 应对系统性种族主义和历史性伤害,以提高暴力暴露的年轻人的参与度.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 创伤研究 创伤研究
背景情况:
- 黑人青年面临不成比例的暴力暴露,导致在医院暴力干预计划 (HVIPs) 中的代表性更高.
- 在城市环境中,HVIP对于降低重伤率至关重要,但由于入学率和参与度较低,特别是黑人年轻人中,HVIP面临困难.
- 有限的研究存在于影响黑人青年HVIP参与的因素.
研究的目的:
- 检查暴力受伤的黑人年轻人中不良童年经历 (ACE) 和参与HVIP之间的联系.
- 探索黑人青年参与HVIP的潜在障碍,考虑创伤理论和关键种族理论.
主要方法:
- 使用回顾性队列设计来比较HVIP中的参与和非参与的年轻人.
- 奇方位和逻辑回归分析被用来检查ACE的群体间差异.
- 通过使用一种新的行政数据方法,近似计算了ACE.
主要成果:
- 在HVIP中,ACE的总得分与参与状态没有显著的关联.
- 对不同年龄组的个人ACE进行了分析,没有发现与参与度有显著的预测关系.
结论:
- 这项研究引入了一种新的方法,用于在难以接触的人群中评估ACE,揭示了暴力暴露的黑人青年中ACE的高患病率.
- 系统性种族主义和对社会服务的历史不信任可能导致黑人家庭不愿参与.
- 黑人青年中心应采用创伤知情和治愈为中心的方法,承认历史上的伤害,以加强黑人青年的参与.
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