Risk Factors for Community Violence Exposure in Adolescence

Community violence is recognized a significant public health problem. However, only a paucity of research has examined risk factors for community violence exposure across domains relevant to adolescents or using longitudinal data. This study examined youth aggressive behavior in relation to community violence exposure among a community epidemiologically defined sample of 582 (45% female) urban adolescents. Internalizing behaviors, deviant peer affiliation, and parental monitoring were examined as moderators of the association between aggressive behavior and exposure to community violence. For males with aggressive behavior problems and deviant peer affiliation or low parental monitoring, co-occurring anxiety symptoms protected against subsequent witnessing community violence. In contrast, males with aggressive behavior problems and co-occurring depressive symptoms were at increased risk for witnessing community violence. Implications of the findings for preventive interventions and future research are discussed.     

First time gun carrying and the primary prevention of youth gun violence for African American youth living in extreme poverty

First time gun carrying is specified as a logical starting point for the primary prevention of youth gun violence, which is also consistent with the public health approach to the prevention of firearm injuries for at risk African American youth. However, it is difficult to disentangle youth gun violence from other aspects of violence that are concentrated in high poverty settings. Insights from developmental life-course criminology (DLC) are used to: (1) categorize first time gun carrying as a critical inflection point in the development of youth violence; and (2) categorize exposure to violence in the community as a developmental pathway for first time gun carrying for youth attempting to prevent and/or deter future violent victimization. The ecological-transactional model of community violence provides a more nuanced breakdown of the impact of exposure to violence in the community on first time gun carrying given the embeddedness of contexts that shape child and adolescent development in high poverty settings. Finally, several areas for future research are outlined that include a need to better integrate gun carrying into existing theories as well as future longitudinal studies of high risk African American youth.     

At Both Ends of the Gun: Testing the Relationship Between Community Violence Exposure and Youth Violent Behavior

Much psychological inquiry has focused on understanding the contribution that exposure to urban violence makes to violent behavior among youth. However, other ways in which these variables may be related have been largely overlooked. This study compared four alternative social–ecological models of the link between community violence exposure and violent behavior to determine the degree to which (1) community violence exposure contributes to violent behavior, (2) violent behavior contributes to community violence exposure, (3) both are consequences of common antecedents, and (4) both are manifestations of the same higher order construct. Two hundred and seventy-seven adolescent offenders were interviewed about family, neighborhood, cognitive, and peer characteristics, in addition to violent behavior and community violence exposure. Results suggest that a plausible way to understand the association between community violence exposure and youth violent behavior is to consider both as representations of a general involvement in violence.     

Specifying the Interrelationship Between Exposure to Violence and Parental Monitoring for Younger Versus Older Adolescents: A Five Year Longitudinal Test

Five waves of longitudinal data collected from 349 African American youth living in extreme poverty were used to examine the interrelationship between exposure to violence and parenting during adolescence. Semi-parametric group based modeling was used to identify trajectories of parental monitoring and exposure to violence from T1 to T5. Results from these analyses revealed: (1) a trajectory of declining parental monitoring for 48% of youth; and (2) four distinct trajectories of exposure to violence. Multivariate findings were largely consistent with the ecological-transactional model of community violence. Youth with stable and/or increasing trajectories of exposure to violence were more likely than youth with stable-low exposure to violence to have declining parental monitoring, but additional analyses revealed a similar pattern of findings for younger adolescents (age 9–11 T1), but no evidence of linkages between trajectories of exposure to violence and parental monitoring for older adolescents (age 12–16 T1). The theoretical and policy implications of these findings as well as areas for future research are also discussed.     

Early Predictors of Urban Adolescents’ Community Violence Exposure

This study examined the extent to which individual, peer, and family factors predicted the onset of community violence exposure in middle and high school, as well as the indirect effects of early factors. We were particularly interested in the timing of exposure to community violence during adolescence, and thus conducted survival analyses on data from 632 urban youth, followed from first grade through high school. Early aggressive behavior and poor academic readiness were associated with an earlier onset of community violence exposure in adolescence. The effects of early aggression on community violence exposure and victimization were accounted for, in part, by peer rejection and deviant peer affiliation; there was no evidence of moderation by gender or parental monitoring. Findings highlight potential targets for preventive interventions with youth at risk of community violence exposure.     

Community Violence and Youth: Affect, Behavior, Substance Use, and Academics

Community violence is recognized as a major public health problem (WHO, World Report on Violence and Health, 2002) that Americans increasingly understand has adverse implications beyond inner-cities. However, the majority of research on chronic community violence exposure focuses on ethnic minority, impoverished, and/or crime-ridden communities while treatment and prevention focuses on the perpetrators of the violence, not on the youth who are its direct or indirect victims. School-based treatment and preventive interventions are needed for children at elevated risk for exposure to community violence. In preparation, a longitudinal, community epidemiological study, The Multiple Opportunities to Reach Excellence (MORE) Project, is being fielded to address some of the methodological weaknesses presented in previous studies. This study was designed to better understand the impact of children’s chronic exposure to community violence on their emotional, behavioral, substance use, and academic functioning with an overarching goal to identify malleable risk and protective factors which can be targeted in preventive and intervention programs. This paper describes the MORE Project, its conceptual underpinnings, goals, and methodology, as well as implications for treatment and preventive interventions and future research.     

Does Parental Monitoring Moderate the Impact of Community Violence Exposure on Probation Youth’s Substance Use and Sexual Risk Behavior?

The present study examined whether parental monitoring buffers the negative effects of communtity violence exposure on probation youth’s substance use and sexual risk behaviors. Among a sample of 347 Chicago youth on probation, ages 13–17 years, parental monitoring did not moderate the relationship between community violence exposure and probation youth’s sexual risk and substance use. However, parental monitoring was independently associated with less engagement in sexual risk and substance use, and community violence exposure was independently associated with more risk behavior among probation youth. The present study contributes to the growing literature on the impact of community violence exposure and parenting on adjudicated youth risk.     

Exposure to violence and suicide risk in adolescents: a community study

The prevalence of violence exposure is relatively unexplored in adolescents in European communities, and reports on the association between exposure to community violence and suicidal behavior are rare. The aim of this study was to investigate (1) the prevalence of community violence in a European urban adolescent sample, (2) the relationship between exposure to community violence and suicidal ideation/deliberate self-harm, and (3) the influence of depressive symptoms and aggressive behavior on this relationship. Self-report surveys were administered to a representative school-based sample of 1509 adolescents in Antwerp (Belgium). The prevalence rate of violence exposure was still high but lower than that reported in U.S. communities. Suicidal ideation and deliberate self-harm were both related to violence exposure. The gender-specific influence of depressive symptomatology and aggressive behavior on the association between exposure to violence and suicidal behavior suggests the need for further research.     

The Role of Family and Teacher Support in Post-traumatic Stress Symptoms Among Palestinian Adolescents Exposed to Community Violence

Extensive research has been conducted in recent decades on the mental health consequences of Palestinians’ exposure to military and political violence. Despite the alarming rates of Palestinian youth exposure to community violence (ECV), there is a serious dearth of research on the effects of this pattern of exposure. The current study focused on the development of post-traumatic stress disorder (PTSD) symptoms among Palestinian adolescents as a result of their ECV. The study also examines the ability of perceived support from family and teachers to moderate the relationship between ECV and PTSD symptoms, and the involvement of demographic and socioeconomic variables in explaining this development. A sample of 1930 Palestinian secondary school students, aged 12–19, from the West Bank and East Jerusalem, answered questionnaires. Data analysis used univariate, bivariate, and multivariate methods, including SEM. The prevalence of PTSD symptoms was predicted by past year ECV, family support, teacher support, residential density, parents’ education, age, and gender. SEM analysis validated additional relationship paths between variables. Results are discussed, suggesting future research with theoretical and practical implications.     

Youth Exposed to Violence: Stability, Co-occurrence, and Context

With considerable literature establishing how separate types of violence disrupt the lives of children, there is emerging interest in examining violence across multiple interpersonal domains. This article examines four commonly occurring and frequently researched domains of violence exposure: marital physical aggression, mother-to-youth aggression, father-to-youth aggression, and community violence. A community-based sample of 103 parents and youth provided three waves of data at annual intervals beginning when the youth were aged 9–10. We explored stability of exposure, co-occurrence across different types of violence exposure, and associations with co-occurring risk factors. Approximately 30–45% of youth reported intermittent exposure over the 3 years. In addition to overlap among types of violence exposure within the family, we found overlap between parent-to-youth aggression and community violence, an association that was exacerbated in families where fathers reported high levels of global distress symptoms. Mother-to-youth, father-to-youth, and community violence related to youth behavior problems beyond the contextual risk factors of low income, stressful life events, and parents’ global distress symptoms. These results highlight the importance of examining violence longitudinally, across multiple types, and with attention to contextual factors.     

Emotional and behavioral impact of exposure to community violence in inner-city adolescents

Used multiple methods and measures (i.e., youth report, psychiatric interviews, psychophysiological assessment) to investigate the emotional and behavioral impacts of exposure to community violence. Participants were 185 inner-city high school students (M age = 15.4 years; 42% female; 90% African American). Youth with high levels of community violence exposure reported more fears, anxiety, internalizing behavior, and negative life experiences than those with low exposure. No depression or externalizing behavior differences were observed. In a psychophysiological assessment in which adolescents watched a montage of media violence, youth exposed to high levels of community violence had lower baseline heart rates than those with low exposure. There were no between-group differences in physiologic reactivity. Regression analyses revealed that community violence exposure predicted posttraumatic stress and separation anxiety symptoms. The results suggest a significant link between community violence exposure and anxiety symptomatology. Clinical implications are discussed.     

Oppression and empowerment: perceptions of violence among urban youth

Youth violence in the United States has emerged as a major concern for communities, policymakers and community researchers. This paper reports on the efforts of a child mental health clinic to build a community consensus around addressing violence that affects youth and all members of the community. We describe and give case examples regarding our approach to acquiring the perspectives of the community, particularly that of youth, discuss key themes and implications that emerged from our work, and offer preliminary recommendations for designing a youth violence prevention initiative in a disenfranchised community. Copyright © 2007 John Wiley & Sons, Ltd.     

The Role of Deviant Lifestyles on Violent Victimization in Multiple Contexts

Little research utilizing lifestyles theory (Hindelang, Gottfredson, and Garofalo 1978) has examined the role that deviant lifestyles have on the likelihood of witnessing violence among ethnic-minority youth across various contexts. Therefore, we examined the effects of indicators of a deviant lifestyle (delinquent behavior and deviant peers) on exposure to both direct and indirect forms of violence across three contexts (home, school, and community) among 233 11th graders. Findings indicated that the effects of deviant lifestyle indicators on violence vary by context. Results suggest that lifestyles theory may be applicable for predicting the likelihood of witnessing violence among minority youth across contexts.     

Toward an integrative and collaborative approach to Asian American and Pacific Islander youth violence research, practice, and policy

Research into the prevalence of violence and delinquency among Asian American and Pacific Islander (AAPI) youth has proliferated in the last several years, as a result of federal funding. Consequently, this article reviews the literature on AAPI youth violence and delinquency published from 2001 to 2008. The findings demonstrate the frequency of AAPI youth violence and delinquency, provide a sense of the involvement of these youth in the juvenile justice system, reveal ethnic group differences in violence and delinquency, and explore the effects of immigration and acculturation on these phenomena. This article ends with a discussion on AAPI youth violence and delinquency prevention programs, with suggestions for future directions that incorporate a developmental and life-course approach in research and collaboration among researchers, practitioners, and policymakers.     

Exposure to Community Violence: Defining the Problem and Understanding the Consequences

Exposure to community violence has emerged as a major risk factor for the development of emotional and behavioral problems in children and adolescents. In the past decade, there has been a proliferation of research within the fields of medicine, sociology, and psychology documenting the rates and consequences of exposure to community violence. This interdisciplinary growth has led to a great deal of variability within the field of exposure to community violence, making it difficult to glean general conclusions regarding rates and impact of exposure. This review advances the current understanding of exposure to community violence by integrating findings across disciplines as well as reviewing the few studies that have provided initial explanatory information regarding mediators and moderators of the relationship between exposure to community violence and its associated outcomes.     

Gender Differences in the Effects of Community Violence on Mental Health Outcomes in a Sample of Low-Income Youth Receiving Psychiatric Care

Previous research suggests that community violence impacts mental health outcomes, but much of this research has not (a) distinguished between different types of community violence, (b) examined gender differences, and (c) focused on youth living in urban poverty. The current study addresses these questions. Participants were 306 youth (23 % girls) and one parent/guardian receiving outpatient psychiatric services for disruptive behavior disorders in a large urban city. Youth and parents reported on youth’s experience of different types of community violence (being a direct victim, hearing reports, and witnessing violence), and whether violence was directed toward a stranger or familiar. Outcomes included youth externalizing, internalizing, and posttraumatic stress symptoms assessed via parent and youth reports. Being a direct victim of violence accords risk for all mental health outcomes similarly for both boys and girls. However, gender differences emerged with respect to indirect violence, such that girls who hear reports of violence against people they know are at increased risk for all assessed mental health outcomes, and girls who witness violence against familiars are at increased risk for externalizing mental health symptoms in particular. There are gender differences in violence-related mental health etiology, with implications for intervention assessment and design.     

Impact of Maternal Support and Involvement on Coping in Adolescent Males of Color

The current study examined maternal support and maternal involvement as moderators of the association between exposure to community violence (ECV) and both violence-related and non-violence related stressors in adolescent males of color. The current study included 250 African American (61%) and Latino (39%) male adolescents from the Chicago Youth Development Study to examine the cross-sectional and longitudinal associations between community violence exposure, maternal support and involvement, and youth coping strategies. Neither maternal support nor maternal involvement were moderators of the association between ECV and coping, cross-sectionally or longitudinally. However, higher levels of both maternal support and involvement predicted lower levels of maladaptive coping with non-violence related stressors both cross-sectionally and longitudinally. Maternal support and involvement were unrelated to coping with violence-related stressors. It was expected that these parenting variables would show a protective effect on the relationship with violence exposure and coping, but the results suggest that these parenting attributes have direct ameliorative effect on coping with non-violence-related stressors. However, this finding did not extend to coping with violence-related stressors, underscoring the traumatic nature of violence exposure and importance of specificity frameworks for conducting research on the impact of violence exposure.     

Violence Exposure, Sleep Disturbance, and Poor Academic Performance in Middle School

Violence has been linked to poor academic outcomes in youth, but there is little understanding of the mechanisms underlying this relation. This longitudinal survey study investigated whether sleep disturbance potentially mediates the associations between academic achievement and two forms of violence exposure--community violence and peer victimization-- in 498 seventh-grade youth. Structural equation models showed that community violence was associated with lower grade point average (GPA) directly and indirectly via sleep problems, whereas peer victimization was associated with lower GPA just indirectly via sleep problems. The structural models controlled for potential confounds, including depressive symptoms, intrusive thoughts and absenteeism. The findings suggest that failing grades and sleepiness in school may be signs that youth are exposed to violence. Interventions to improve sleep hygiene and reduce violence exposure may help to improve academic outcomes for youth.     

Community violence exposure and callous–unemotional traits in adolescents: Testing parental support as a promotive versus protective factor

Although callous–unemotional (CU) traits are associated with maladjustment in youth, literature predicting CU using prospective designs is rare. In the present study we examine associations between exposure to community violence, supportive relationships with caregivers, and CU in a sample of 236 low-income youth (M age = 13.00 years, SD = 1.56 years; 43% male; 92% African American) participating in a 3-wave longitudinal study of violence exposure and adjustment. Both promotive and protective models of linkages between exposure to community violence, support, and CU were investigated. Given known sex differences in CU, sex was explored as a moderator. Regression analysis revealed that witnessing and hearing about community violence, aggregated over 2 waves, were positively associated with CU at the final study wave. Supportive relationships with caregivers, aggregated over 2 waves, were negatively associated with CU but did not interact with violence exposure, suggesting that supportive relationships with caregivers has a promotive but not a protective association with CU in the context of exposure to violence. The pattern of associations did not vary by sex. This study informs our understanding of factors that contribute to the development of CU.     

The Role of Families and Care Givers as Risk and Protective Factors in Preventing Youth Violence

This paper reviews research which discusses the risk and protective functions that families and other caregivers provide in influencing the development of aggressive behavior in youth. Currently, there is an emphasis on providing violence prevention programs in the school environment, typically with little parental or caregiver involvement. By enhancing the role of families and caregivers in youth violence prevention programs, we assert that an unique opportunity exists to both address specific risk factors for violence while enhancing the protective features of the family. Relatedly, the risk literature on youth violence indicates that the most influential risk factors (i.e., the family, community, and peers) have their principle impact on youth aggression outside the school. We suggest a shift in the focus of violence prevention programming that is more inclusive of families as both a risk and protective agent. In support of this position, relevant theory and reviews of exemplary family-involved programs are offered. Challenges to involving youth caregivers are identified and recommendations for overcoming those challenges suggested. Last, recommendations for future research and public policy in the prevention of youth violence are offered.