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Children's Exposure to Violence in an Urban Setting FREE

Karen Sheehan, MD, MPH; Joseph A. DiCara, MD, MPH; Susan LeBailly, PhD; Katherine Kaufer Christoffel, MD, MPH
Arch Pediatr Adolesc Med. 1997;151(5):502-504. doi:10.1001/archpedi.1997.02170420072012.
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Objective:  To assess the exposure to violence of a representative sample of children living in an inner-city public housing development.

Design:  Self-report survey.

Setting:  Chicago public housing development that covers 4 census tracts; population, 95% African American, 75% below the poverty level.

Participants:  One hundred forty-six African American youth, aged 7 through 13 years, completed the survey; 53% were male; mean and median ages, 11 years. Seventy-two children (case subjects) are involved in a community-based health and recreation program. They completed the survey prior to participating in a peer-mentoring violence prevention curriculum. The other 74 children (control subjects) were recruited by a community member going door to door. Control subjects were matched to case subjects for age, sex, and census tract.

Results:  The case and control subjects were similar in their exposure to violence and so were grouped for analysis. Of the 146 children, 42% had seen someone shot and 37% had seen someone stabbed; 21% lived with someone who had been shot and 16% lived with someone who had been stabbed. Forty-seven percent of the girls and 55% of the boys had witnessed violence (P>.25). Almost all subjects (90%) felt safe at home. Two thirds (65%) of the children were not afraid to play outside, but almost half (43%) worried about getting hurt at school.

Conclusions:  These data, which describe a representative sample of children from an inner-city housing project, confirm the results from older clinic- and school-based convenience samples. In this low-income community, children are frequently exposed to deadly violence. In contrast with other reports, girls here are not spared.Arch Pediatr Adolesc Med. 1997;151:502-504

REFERENCES

Koop CE, Lundberg GD.  Violence in America . JAMA . 1992;;267:3075-3076.
National Center for Health Statistics.  Trend C, Table 292A, Death rates for 282 selected causes by 5-year age groups, color, and sex: United States, 1979-1992 . In: Children's Defense Fund. Progress and Peril: Black Children in America . Washington, DC: Children's Defense Fund; 1993;:102.
Schwarz DF, Grisso JA, Miles CG, et al.  A longitudinal study of injury morbidity and mortality in an African-American population . JAMA . 1994;;271:755-760.
Powell EC, Tanz RR.  Assaulting our urban children . Arch Pediatr Adolesc Med . 1994;;148( (suppl) ):61.
Taylor L, Zuckerman B, Harik V, Groves B.  Witnessing violence by young children and their mothers . Dev Behav Pediatr . 1994;;15:120-123.
Shakoor BH, Chalmers D.  Co-victimization of African-American children who witness violence . J Natl Med Assoc . 1991;;83:233-238.
Garbarino J, Dubrow N, Kostenly K, Pardo C. Children in Danger: Coping With the Consequences of Community Violence . San Francisco, Calif: Jossey Bass; 1992;.
Collins JW, David RJ, Wall SN.  The influence of urban violence on African-American pregnancy outcome . Pediatr Res . 1994;;35( (suppl) ):112A.
US Bureau of the Census. 1990 Census of Population and Housing: Summary Tapes 1A and 3A.
Shelton R, Kelly J. EMS Stress: An Emergency Responder's Handbook for Living Well . Carlsbad, Calif: Jems Communications; 1995;.
National Center for Education in Maternal and Child Health. Emergency Medical Services for Children: Abstracts of Active Projects FY 1996 . Arlington, Va: National Center for Education in Maternal and Child Health; 1996;.

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References

Koop CE, Lundberg GD.  Violence in America . JAMA . 1992;;267:3075-3076.
National Center for Health Statistics.  Trend C, Table 292A, Death rates for 282 selected causes by 5-year age groups, color, and sex: United States, 1979-1992 . In: Children's Defense Fund. Progress and Peril: Black Children in America . Washington, DC: Children's Defense Fund; 1993;:102.
Schwarz DF, Grisso JA, Miles CG, et al.  A longitudinal study of injury morbidity and mortality in an African-American population . JAMA . 1994;;271:755-760.
Powell EC, Tanz RR.  Assaulting our urban children . Arch Pediatr Adolesc Med . 1994;;148( (suppl) ):61.
Taylor L, Zuckerman B, Harik V, Groves B.  Witnessing violence by young children and their mothers . Dev Behav Pediatr . 1994;;15:120-123.
Shakoor BH, Chalmers D.  Co-victimization of African-American children who witness violence . J Natl Med Assoc . 1991;;83:233-238.
Garbarino J, Dubrow N, Kostenly K, Pardo C. Children in Danger: Coping With the Consequences of Community Violence . San Francisco, Calif: Jossey Bass; 1992;.
Collins JW, David RJ, Wall SN.  The influence of urban violence on African-American pregnancy outcome . Pediatr Res . 1994;;35( (suppl) ):112A.
US Bureau of the Census. 1990 Census of Population and Housing: Summary Tapes 1A and 3A.
Shelton R, Kelly J. EMS Stress: An Emergency Responder's Handbook for Living Well . Carlsbad, Calif: Jems Communications; 1995;.
National Center for Education in Maternal and Child Health. Emergency Medical Services for Children: Abstracts of Active Projects FY 1996 . Arlington, Va: National Center for Education in Maternal and Child Health; 1996;.

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