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Violent firearm-related conflicts among high-risk youth: An event-level and daily calendar analysis

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dc.contributor.author Carter, Patrick M. ; Walton, Maureen A. ; Goldstick, Jason ; Epstein-Ngo, Quyen M. ; Zimmerman, Marc A. ; Mercado, Melissa C. ; Williams, Amanda Garcia ; Cunningham, Rebecca M.
dc.date.accessioned 2019-01-10T17:28:39Z
dc.date.available 2019-01-10T17:28:39Z
dc.date.issued 2017
dc.identifier.citation Carter, Patrick M. ; Walton, Maureen A. ; Goldstick, Jason ; Epstein-Ngo, Quyen M. ; Zimmerman, Marc A. ; Mercado, Melissa C. ; Williams, Amanda Garcia ; Cunningham, Rebecca M. (2017). Violent firearm-related conflicts among high-risk youth: An event-level and daily calendar analysis. Preventive Medicine, 102, 112-119. en_US
dc.identifier.uri https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5774663/pdf/nihms894866.pdf  
dc.identifier.uri http://hdl.handle.net/11212/4179
dc.description.abstract Firearm homicide is the leading cause of violence-related youth mortality. To inform prevention efforts, we analyzed event-level data to identify unique precursors to firearm conflicts. Youth (ages:14–24) seeking Emergency Department (ED) treatment for assault or for other reasons and reporting past 6-month drug use were enrolled in a 2-year longitudinal study. Time-line follow-back substance use/aggression modules were administered at baseline and each 6-month follow-up. Violent non-partner conflicts were combined across time-points. Regression analyzed: a)antecedents of firearm-related conflicts (i.e., threats/use) as compared to non-firearm conflicts; and b)substance use on conflict (vs. non-conflict) days for those engaged in firearm conflict. During the 24-months, we found that 421-youth reported involvement in violent non-partner conflict (n=829-conflicts;197-firearm/632-non-firearm). Among firearm conflicts, 24.9% involved aggression and 92.9% involved victimization. Retaliation was the most common motivation for firearm-aggression (51.0%), while “shot for no reason” (29.5%) and conflicts motivated by arguments over “personal belongings” (24.0%) were most common for firearm-victimization. Male sex (AOR=5.14), Black race (AOR=2.75), a ED visit for assault (AOR=3.46), marijuana use before the conflict (AOR=2.02), and conflicts motivated by retaliation (AOR=4.57) or personal belongings (AOR=2.28) increased the odds that a conflict involved firearms. Alcohol (AOR=2.80), marijuana (AOR=1.63), and prescription drugs (AOR=4.06) had a higher association with conflict (vs. non-conflict) days among youth reporting firearm conflict. Overall, we found that firearm conflicts are differentially associated with substance use and violence motivations. Addressing substance use, interrupting the cycle of retaliatory violence, and developing conflict resolution strategies that address escalation over infringement on personal belongings may aid in decreasing and preventing adolescent firearm violence. (Author Abstract en_US
dc.language.iso en en_US
dc.publisher Preventive Medicine en_US
dc.subject child abuse en_US
dc.subject physical violence en_US
dc.subject adolescents en_US
dc.subject teens en_US
dc.subject youth en_US
dc.subject fatalities en_US
dc.subject drugs en_US
dc.subject ethnicity en_US
dc.subject guns en_US
dc.subject shootings en_US
dc.subject research en_US
dc.title Violent firearm-related conflicts among high-risk youth: An event-level and daily calendar analysis en_US
dc.type Article en_US


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