An emergency department-based program to change attitudes of youth toward violence.
Interpersonal violence continues to be a problem in the United States with a recurrence rate for repeat violence of 6 to 44%, with a 5-year mortality of 20%. This study describes the attitudinal changes of youth enrolled in a program to reduce violence risk. Patients aged 10 to 24 years at a community, teaching Level 1 trauma center who were victims of interpersonal violence (excluding child abuse, sexual assault, and domestic violence) were randomly enrolled in the study. The control group was simply provided a list of available services, whereas the treatment group received an assessment and case management for 6 months. The study examined the change in attitude and behavior of the youths in the treatment and control groups over time, using a combination of chi-square and ANCOVA. A total of 188 victims, 96 subjects in the treatment group and the 92 in the control group, had an average age of 18.6 years and were mostly (82.5%) males. A majority were African-Americans (65.4%), followed by Hispanic (31.4%). There was no significant difference found in mother involvement, father involvement, mother support, father support, peer support or peer delinquency. There was a decrease in support from both parents over time, which was not affected by the program. There was a decrease in peer delinquency for both the treatment group (67 to.41) and the control group (63 to.50). The results of this study demonstrate a lack of attitudinal changes. This may be attributed to limitations of study design and an inherent difficulty in dealing with high-risk inner city youth.
Zun
Leslie S
LS
Department of Related Health Sciences, Finch University/Chicago Medical School, Chicago, Illinois, USA.
Downey
LaVonne
L
Rosen
Jodi
J
D000293:Adolescent; D000294:Adolescent Behavior; D000328:Adult; D002648:Child; D004632:Emergency Medical Services / Q000379:methods* / Q000458:organization & administration; D005006:Ethnicity; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007087:Illinois; D008297:Male; D017063:Outcome Assessment, Health Care; D010287:Parent-Child Relations; D012017:Referral and Consultation / Q000458:organization & administration; D012947:Social Work / Q000458:organization & administration; D014754:Violence / Q000517:prevention & control*; D014947:Wounds and Injuries / Q000628:therapy