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- W3128352017 abstract "See Related Article on p.370Each year, over 500,000 youth seek care in U.S. emergency departments for assault-related injuries [[1]Centers for Disease Control and PreventionWeb-based injury statistics query and reporting system (WISQARS) [online].www.cdc.gov/injury/wisqarsDate: 2020Date accessed: October 21, 2020Google Scholar]. Middle school-age males in urban environments both witness and directly experience violence at an elevated rate in comparison to their peers, with one national survey showing that 19% had witnessed a shooting or stabbing, and 13% had a weapon pulled on them in the past year [[2]McDonald C.C. Deatrick J.A. Kassam-Adams N. et al.Community violence exposure and positive youth development in urban youth.J Community Health. 2011; 36: 925-932Crossref PubMed Scopus (36) Google Scholar,[3]Kann L. McManus T. Harris W.A. et al.Youth risk behavior surveillance — United States, 2015.MMWR Surveill Summ. 2016; 65: 1-174Crossref Scopus (789) Google Scholar]. Alongside this burden of violence, significant disparities exist in the U.S., with African American and Latino communities experiencing rates of violence and injury far above non-Latino, White peers [[1]Centers for Disease Control and PreventionWeb-based injury statistics query and reporting system (WISQARS) [online].www.cdc.gov/injury/wisqarsDate: 2020Date accessed: October 21, 2020Google Scholar]. The need to focus on primary prevention is incontrovertible. However, it is safe to say that a multitude of challenges confronts the effective implementation of community-supported youth violence prevention programs. See Related Article on p.370 Oscós-Sánchez et al. [[4]Oscós-Sánchez M.A. Lesser J. Oscós-Flores L.D. et al.The effects of two CBPR programs on violence outside of and in school among adolescents and young adults in a Latino community.J Adolesc Health. 2021; 68: 370-377Abstract Full Text Full Text PDF Scopus (1) Google Scholar] present meaningful insight into how to build primary youth violence prevention programs, with a focus on engaging Latino communities. The use of a community-based research approach, engagement through the social-ecological framework to access multiple levels of youth violence prevention, and leveraging novel technology that can reach a wider and youth-focused audience created a study that is both innovative and compelling. The study involved a community-based, randomized intervention trial with the primary outcomes of self-reported violence outside of and in school through self-administered surveys. The results showed that a Violence Prevention Program had positive effects by decreasing reported violence outside of school at 12 months, and a Positive Youth Development Program had an effect by decreasing reported violence in school at 6 months. In this time of the COVID-19 pandemic, it has become clear that longstanding public health issues like youth violence impact communities of color disproportionately, and studies like this are critical to finding public health solutions that will lead to not only behavior and policy changes but also sustainable improvements in health equity. Central to this study was their use of community-based participatory research (CBPR) [[4]Oscós-Sánchez M.A. Lesser J. Oscós-Flores L.D. et al.The effects of two CBPR programs on violence outside of and in school among adolescents and young adults in a Latino community.J Adolesc Health. 2021; 68: 370-377Abstract Full Text Full Text PDF Scopus (1) Google Scholar]. CBPR is an approach to research that allows those most affected by a health issue to be equitably engaged in research. This can have a significant impact, particularly when addressing public health problems in which traditional approaches have had only limited success, and especially in which a clear health disparity exists, such as youth violence [[5]Cacari-Stone L. Wallerstein N. Garcia A.P. et al.The promise of community-based participatory research for health equity: A conceptual model for bridging evidence with policy.Am J Public Health. 2014; 104: 1615-1623Crossref PubMed Scopus (140) Google Scholar,[6]Elgar F.J. McKinnon B. Walsh S.D. et al.Structural determinants of youth bullying and fighting in 79 countries.J Adolesc Health. 2015; 57: 643-650Abstract Full Text Full Text PDF PubMed Scopus (74) Google Scholar]. Moreover, engagement of youth in the co-creation of study materials and the programmatic infrastructure, as was done in this study, is even more important to the desired outcome of a sustainable intervention [7Jacquez F. Vaughn L.M. Wagner E. Youth as partners, participants or passive recipients: A review of children and adolescents in community-based participatory research (CBPR).Am J Community Psychol. 2013; 51: 176-189Crossref PubMed Scopus (180) Google Scholar, 8Gibson J.E. Flaspohler P.D. Watts V. Engaging youth in bullying prevention through community-based participatory research.Fam Community Health. 2015; 38: 120-130Crossref Scopus (15) Google Scholar, 9Kulbok P.A. Meszaros P.S. Bond D.C. et al.Youths as partners in a community participatory project for substance use prevention.Fam Community Health. 2015; 38: 3-11Crossref PubMed Scopus (13) Google Scholar]. Most strikingly, Oscós-Sánchez et al. [[4]Oscós-Sánchez M.A. Lesser J. Oscós-Flores L.D. et al.The effects of two CBPR programs on violence outside of and in school among adolescents and young adults in a Latino community.J Adolesc Health. 2021; 68: 370-377Abstract Full Text Full Text PDF Scopus (1) Google Scholar] detail the process they undertook in “19 community meetings over the course of 17 months ” to develop the program platform. Researchers need to acknowledge the extensive time investment undertaken by a CBPR study of this kind, knowing that through collaboration, the eventual research product is more likely to be adopted and sustained. Moreover, to build the trust that is critical to a genuine community-academic partnership, one often needs to accept an extended research timeline that can significantly impact a researcher’s ability to generate/disseminate study findings and keep pace with pressing funding cycles. The overall approach of this study is grounded by the social-ecological framework. This approach is informed by Bronfenbrenner’s ecological systems theory, in which interactions between youth/young adults, caregivers, peers, and social contexts influence behavior [[10]Bronfenbrenner U. The ecology of human development : Experiments by nature and design. Harvard University Press, Cambridge, MA1979Google Scholar]. This model emphasizes the individual at the center of the framework with their individual risk, and then emphasizes relationships with peers, family, and other close adults as the next level of risk influence on a violence-related injury, and others have shown how risk across the levels impacts violent behaviors [[11]Taliaferro L.A. Doty J.L. Gower A.L. et al.Profiles of risk and protection for violence and bullying perpetration among adolescent boys.J Sch Health. 2020; 90: 212-223Crossref Scopus (7) Google Scholar]. Oscós-Sánchez et al. developed two programs to approach violence prevention from multiple levels of the framework with at least two fundamental orientations as foci in the prevention of youth violence (i.e., risk and protection). First, they developed a Violence Prevention Program focused on risk factors for violence at the community level, and then, they created a Positive Youth Development Program focused on protective factors on the individual level. Inherent to their design was the concept that activities performed during each program would influence the young person in levels of overlap, consistent with approaches to youth violence prevention advocated by the CDC [[12]Centers for Disease Control and PreventionThe social ecological model.https://www.cdc.gov/violenceprevention/publichealthissue/social-ecologicalmodel.htmlDate: 2020Google Scholar]. Finally, the use of an Internet-based program for youth violence prevention is both innovative and timely, given a global need for online programming for social services that now struggle to provide care to those most impacted by the COVID-19 pandemic. Prior studies have shown the promise of internet-based violence prevention programming and especially the gamification of adolescent health messaging on topics from tobacco cessation to HIV/AIDS awareness and reducing health-risk behaviors [[13]Walton M. Cunningham R. Xue Y. et al.Internet referrals for adolescent violence prevention: An innovative mechanism for inner-city emergency departments.J Adolesc Health. 2008; 43: 309-312Abstract Full Text Full Text PDF PubMed Scopus (9) Google Scholar,[14]Fiellin L.E. Hieftje K.D. Duncan L.R. Videogames, here for good.Pediatrics. 2014; 134: 849-851Crossref Scopus (11) Google Scholar]. Notably, this study undertook an elaborate plan to support program development that would ensure that the activities included in the online platform were based on themes that community partners had embraced. It is important to contextualize this study in the broader spectrum of public health efforts around violence prevention and efforts to provide effective strategies to communities who have endured longstanding health disparities. The COVID-19 pandemic has brought into stark view the health disparities facing Latino communities, with one recent study pointing to staggering rates of infection and poor outcomes, not by the nature of some intrinsic aspect of the virus, but instead by the nature of societal structures in place that put communities at elevated risk, much in the same way we have seen in youth violence [[15]Misa N.Y. Perez B. Basham K. et al.Racial/ethnic disparities in COVID-19 disease burden & mortality among emergency department patients in a safety net health system.Am J Emerg Med. 2020; https://doi.org/10.1016/j.ajem.2020.09.053Abstract Full Text Full Text PDF Scopus (7) Google Scholar]. At this moment, we know exposure to violence has a negative impact on physical and mental health, as well as risk-taking behaviors in young people. We also know that the longstanding nature of health disparities that exacerbate these risks make it more important and urgent not only for researchers to advance the science but also for funders to see the clear and growing need to meaningfully support further research in this area. The Effects of Two Community-Based Participatory Action Research Programs on Violence Outside of and in School Among Adolescents and Young Adults in a Latino CommunityJournal of Adolescent HealthVol. 68Issue 2PreviewViolence is the leading cause of death among adolescents and young adults in the Americas. Community-Based Participatory Action Research engaged youth and parents to develop and implement two interventions. A Violence Prevention Program (VPP) focused on risk factors for violence, and a Positive Youth Development Program (PYDP) focused on protective factors. Program effects on violence outside of and in school were assessed at 6 and 12 months. Full-Text PDF" @default.
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- W3128352017 title "Why We Need Primary Youth Violence Prevention Through Community-Based Participatory Research" @default.
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