The Associations of Area-Level Violent Crime Rates and Self-Reported Violent Crime Exposure with Adolescent Behavioral Health

被引:19
|
作者
Grinshteyn, Erin G. [1 ]
Xu, Haiyong [2 ]
Manteuffel, Brigitte [3 ]
Ettner, Susan L. [4 ]
机构
[1] Univ San Francisco, Sch Nursing & Hlth Profess, Populat Hlth Sci, San Francisco, CA 94117 USA
[2] Univ Calif Los Angeles, David Geffen Sch Med, Div Gen Internal Med & Hlth Serv Res, 911 Broxton Plaza,Box 951736, Los Angeles, CA 90095 USA
[3] Amer Inst Res, Hlth & Social Dev, 2801 Buford Highway,Suite 180, Atlanta, GA 30329 USA
[4] Univ Calif Los Angeles, David Geffen Sch Med, Dept Hlth Policy & Management, Div Gen Internal Med & Hlth Serv Res,Jonathan & K, 911 Broxton Plaza,Box 951736, Los Angeles, CA 90095 USA
关键词
Adolescent; Mental health; Behavioral health; Crime; Violence; MENTAL-HEALTH; COMMUNITY VIOLENCE; SUBSTANCE USE; PARTNER VIOLENCE; PHYSICAL ABUSE; CHILDHOOD; CHILDREN; SAMPLE;
D O I
10.1007/s10597-017-0159-y
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The effects of witnessing and experiencing crime have seldom been disaggregated. Little research has assessed the effect of multiple exposures to crime. We assess independent contributions of self-reported crime and area-level crime to adolescent behavioral health outcomes. Cross sectional data on 5519 adolescents from the Comprehensive Community Mental Health Services for Children and their Families Program was linked to FBI crime rate data to assess associations of mutually exclusive categories of self-reported crime exposure and area-level crime rates with mental health and substance abuse. Self-reported crime exposure was significantly associated with poorer behavioral health. Violent victimization had the largest association with all outcomes except internalizing scores. All self-reported crime variables were significantly associated with three of the outcomes. Area-level crime rates were associated with one mental health outcome. Providers should assess direct and indirect crime exposure rather than only focusing on violent victimization.
引用
收藏
页码:252 / 258
页数:7
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