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1.
J Community Psychol ; 52(1): 198-225, 2024 01.
Artigo em Inglês | MEDLINE | ID: mdl-37792285

RESUMO

Virtual communities of practice (VCoPs) can decrease social, structural, and professional isolation, provide opportunities for knowledge-sharing abilities, and may improve participants' self-reported sense of connectedness to one another and their profession. However, more research is needed to examine measurement of VCoPs effectiveness on participants. In this scoping review our research question was: What is the state of the science for VCoPs and how are these communities measured in current research specific to education and health/health education? Guided by Arksey and O'Malley's five stages for conducting a rigorous scoping review, we identified gaps in the evidence regarding the overall state of the science on measurement of VCoPs inclusive of quantitative and mixed-methods literature describing validated VCoP measurement in both English or Spanish from January 1990 to July 2023, and within the health, education, or health education disciplines. Initial searches yielded 2350 articles. Authors independently screened papers and extracted data. The results of this scoping review (N = 13 articles) highlight the measurement of VCoPs specific to education, healthcare, health education research. We found that measures had been tested in VCoPs within health, education, health education, and professional education information technologies disciplines, with the Community of Inquiry framework being the most common theoretical foundation. The findings provide an understanding of measurement tools and impacts and outcomes of VCoP participation and we make recommendations for future VCoP measurement tool development.


Assuntos
Serviços de Saúde Comunitária , Atenção à Saúde , Humanos
2.
J Urban Health ; 100(1): 88-102, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36574081

RESUMO

Primary healthcare (PHC) is a keystone component of population health. However, inequities in public transportation access hinder equitable usage of PHC services by minoritized populations. Using the multimodal enhanced 2-step floating catchment area method and data in 2018 and 2019 for spatial access to PHC providers (n = 1166) and social vulnerability markers through census block (n = 543) and tract data (n = 226), a generalized linear mixed-effect model (GLMEM) was constructed to test the effects of sociodemographic and community area correlates on both car and bus transit spatial access to PHC in the Albuquerque, New Mexico (NM) metropolitan area. Results for bus spatial access to PHC showed lower access for Hispanics (B = - 0.097 ± 0.029 [- 0.154, - 0.040]) and non-Hispanic Whites (B = - 0.106 ± 0.032 [- 0.169, - 0.043]) and a positive association between single-family households and bus spatial access (B = 1.573 ± 0.349 [0.866, 2.261]). Greater disability vulnerability (B = - 0.569 ± 0.173 [- 0.919, - 0.259]) and language vulnerability (B = - 0.569 ± 0.173 [- 0.919, - 0.259]) were associated with decreased bus spatial access. For car spatial access to PHC, greater SES vulnerability (B = - 0.338 ± 0.021 [- 1.568, -0.143]), disability (B = - 0.721 ± .092 [- 0.862, - 0.50 9]), and language vulnerability (B = - 0.686 ± 0.172 [- 1.044, - 0.362]) were associated with less car spatial access. Results indicate a disproportionate burden of low PHC access among disadvantaged population groups who rely heavily on public transportation. These results necessitate targeted interventions to reduce these disparities in access to PHC.


Assuntos
Sistemas de Informação Geográfica , Vulnerabilidade Social , Humanos , New Mexico , Automóveis , Meios de Transporte , Acessibilidade aos Serviços de Saúde , Atenção Primária à Saúde , Disparidades em Assistência à Saúde
3.
Urban Rev ; 55(3): 393-414, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38463537

RESUMO

Schools in urban neighborhoods receive less funding, have less programming, and have poorer infrastructure. Such disparities may impede academic outcomes among youth. This study used publicly available data to examine the association between school characteristics and surrounding neighborhood environment on educational outcomes across three academic years among 132 schools in Passaic County, New Jersey. Further, we assessed how schools' socioeconomic status could buffer the effects of a school's neighborhood disadvantage on academic outcomes. Results supported compound deprivation theory highlighting that lower-performing schools were located in lower-resourced neighborhoods. Further, school characteristics and neighborhood resource deprivation were associated with lower math, English, and science academic performance. Additionally, we found that associations between neighborhood resources and math and science academic outcomes were strongest in schools with greater economic support. We provide implications for research and practice by identifying multi-faceted approaches to challenge educational disparities addressing school and neighborhood-level disadvantages to improve educational outcomes for youth.

4.
J Trauma Stress ; 35(5): 1472-1483, 2022 10.
Artigo em Inglês | MEDLINE | ID: mdl-35729776

RESUMO

Attention to cultural variability in mental health symptoms could inform intervention targets; however, this is currently a neglected area of study. This study examined whether the associations between common mental health disorder (CMD) symptoms and predictors of CMDs varied cross-culturally. Participants were 290 refugees from three geocultural regions (Afghanistan, Great Lakes region of Africa, and Iraq and Syria) who recently resettled in the United States and completed assessments of CMD symptoms and predictors. Multilevel generalized linear modeling was used to examine the interactions between correlates of depressive, anxiety, and posttraumatic stress disorder (PTSD) symptoms and each of the three cultural reference groups. Relative to refugees from other regions, Iraqi and Syrian participants demonstrated stronger associations between the number of reported traumatic experiences and both depressive, B = 0.01, SE = .003, p = .003, and anxiety symptoms, B = 0.01, SE = .003, p < .001; Afghan participants showed a stronger association between physical quality of life and PTSD symptoms, B = 0.02, SE = .011, p = .037; and African participants demonstrated stronger associations between gender and symptoms of all three CMDs, Bs = 0.11-.020, SEs = .04-.06, ps = .005-.008, and weaker associations between traumatic event exposure and CMD symptoms, Bs = -0.01--0.02, SEs = .003-.006, ps = .000-.002. CMD symptoms likely present differently across cultures, with various predictors more salient depending on cultural backgrounds and differential experiences that vary based on context. These findings have implications for cross-cultural assessment research and mental health.


Assuntos
Angústia Psicológica , Refugiados , Transtornos de Estresse Pós-Traumáticos , Depressão/epidemiologia , Humanos , Qualidade de Vida , Refugiados/psicologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Estados Unidos/epidemiologia
5.
Appetite ; 168: 105667, 2022 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-34464657

RESUMO

Eating behaviors are influenced by many factors including appetitive traits. Few studies have utilized latent profile analysis (LPA) to examine food approach and food avoidance appetitive traits. This study utilized LPA to define cluster profile groups based on appetitive traits in undergraduate and graduate/professional students at a large University in the southwest United States. Students completed a cross-sectional online survey in fall 2020 assessing demographic information, appetitive traits via the Adult Eating Behavior Questionnaire (AEBQ), and anxiety via the Generalized Anxiety Disorder Scale (GAD-7; higher scores indicate more severe anxiety symptoms). Appetitive traits were combined into eight scales (four food approach and four food avoidance traits). Latent profile analyses were conducted to identify homogenous subgroups of participants based on AEBQ scale scores. The final sample included 1243 students (mean age = 26.5 years, 73% female, 59% White, 57% undergraduates). LPA revealed four cluster profile groups: Cluster 1 (moderate eaters: lower than mean scores for food approach and avoidance traits), Cluster 2 (food seekers and avoiders: higher than mean scores for food approach and avoidance traits), Cluster 3 (food seekers: higher than mean scores for food approach traits), and Cluster 4 (food avoiders: higher than mean scores for food avoidance traits). Distribution of age, gender, race/ethnicity, and student status differed significantly between clusters. GAD-7 score was highest in Cluster 2 (food seekers and avoiders) and lowest in Cluster 1 (moderate eaters). Among the four LPA-defined cluster profile groups, students who endorsed both food approach and avoidance traits reported more severe anxiety symptoms compared to moderate eaters, food seekers, and food avoiders. It is useful to consider clusters of appetitive traits instead of individual appetitive traits when examining associations with physical and mental health.


Assuntos
Comportamento Alimentar , Universidades , Adulto , Estudos Transversais , Feminino , Alimentos , Humanos , Masculino , Estudantes , Inquéritos e Questionários
6.
Subst Abus ; 43(1): 1011-1022, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35435801

RESUMO

Background: Epidemiological research has indicated higher polysubstance use among individuals who misuse opioids in the United States. Polysubstance use is also associated with multiple emergency department (ED) engagements in intervention services. Less is known about polysubstance use among individuals who use opioids or were engaged in an ED setting as part of an opioid recovery intervention program. Examining emerging patterns of polysubstance use among individuals who use opioids may help shape policy and practice around developing drug markets and social norms. The objective of this study was to understand subpopulations who demonstrated distinct patterns of polysubstance use among participants in an ED Opioid Overdose Recovery Program (OORP) in New Jersey. Method: This study investigated patterns of polysubstance use among participants in a New Jersey OORP using latent class analysis (LCA; N = 1690; 70.2% male; 84.7% White non-Hispanic; meanage = 35.72 ± 11.95). Multinomial logistic regression analyses examined latent class (LC) membership based on clinically relevant indicators. Results: Five latent classes were identified (Model fit: L2 = 33.76, BIC = 4482.69, AIC = 4245.01, and the bootstrap L2p-value =0.27; standard R2 value of 0.85). Multinomial logistic regression analyses showed that subgroups with the greatest odds of prior OORP engagement related to those participants in subgroups with heroin and polysubstance use. Conclusion: It is critical to examine the heterogeneity among people engaging in prescription opioid use and polysubstance use in the United States. This study represents an important contribution in identifying polysubstance use LC membership groups and associations with clinically relevant indicators among those engaged in an opioid recovery program. Results can be valuable in understanding the nature of the larger epidemic and how it can be addressed.


Assuntos
Overdose de Drogas , Overdose de Opiáceos , Adulto , Analgésicos Opioides/uso terapêutico , Overdose de Drogas/tratamento farmacológico , Overdose de Drogas/epidemiologia , Serviço Hospitalar de Emergência , Feminino , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , New Jersey/epidemiologia , Estados Unidos , Adulto Jovem
7.
J Community Psychol ; 50(2): 857-875, 2022 03.
Artigo em Inglês | MEDLINE | ID: mdl-34402065

RESUMO

Among young adults fof color, both sense of community and ethnic identity, as developmental processes, have been associated with wellness, empowerment, and civic action. Additional research is needed that provides empirical support for the connection between psychological sense of community and ethnic identity on outcomes that relate to human development such as intrapersonal psychological empowerment, civic engagement, and depression symptoms. The current study of young adults of color (N = 243; 70% Hispanic/Chicano(a)/Spanish and 10% American Indian/Native American; 70% female) investigates heterogeneity according to dimensions of psychological sense of community and the ethnic identity construct. Latent profile analyses (LPA) were conducted. Using LPA, five profile groups emerged. Profile group differences were present on reported levels of intrapersonal psychological empowerment, civic engagement, and depression symptoms. Majority of sample participants were classified with moderate to high psychological sense of community and ethnic identity. Findings provide insights for efforts on developing community belongingness based on ethnic group identity and engaging young adults in civic life.


Assuntos
Minorias Étnicas e Raciais , Etnicidade , Feminino , Hispânico ou Latino , Humanos , Masculino , Grupos Minoritários , Sudoeste dos Estados Unidos , Adulto Jovem
8.
J Community Psychol ; 50(1): 409-425, 2022 01.
Artigo em Inglês | MEDLINE | ID: mdl-33938003

RESUMO

Psychological sense of community is defined as feelings of belongingness and a shared belief that community members will meet one another's needs. Psychological sense of community has four dimensions: membership, influence, needs fulfillment, and emotional connection. In this study, multigroup confirmatory factor analysis was used to examine the first and second-order factor structure of the brief sense of community scale (BSCS) between male and female Hispanic/Latinx adolescents from an urban community (N = 947). To help validate the BSCS model, the second-order factor model was tested with regression to predict the measures of intrapersonal psychological empowerment and ethnic identity, as constructs conceptually related to psychological sense of community. Findings support that: (1) psychological sense of community can be measured through the BSCS and as a four-factor model among Hispanic/Latinx youth, supporting McMillan and Chavis's (1986) original theoretical discussions; (2) while no differences between genders were present at the model-level, there was path-specific variation; and (3) intrapersonal psychological empowerment and ethnic identity were associated with psychological sense of community.


Assuntos
Etnicidade , Hispânico ou Latino , Adolescente , Emoções , Empoderamento , Análise Fatorial , Feminino , Humanos , Masculino
9.
J Community Psychol ; 50(3): 1650-1667, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-34780666

RESUMO

The current nativist and ethnocentric policies and rhetoric put forward in the United States have compromised the safety of undocumented Hispanic/Latinx Americans. Many in these communities abstain from overt action toward change. Nonetheless, there are examples of community members who embrace the narrative "undocumented and unafraid." Through in-depth individual interviews and focus groups, we qualitatively examined how undocumented Mexican community coalition members (N = 10), focused on enacting socio-political change on behalf of their predominantly Mexican southwestern community, understood the role of their group as a venue for bridging resources and social action. Findings centered on three specific broad themes: (1) Meeting Community Needs: A Disconnection from Resources; (2) Community Coalition as a Space for Bridging Resources; and (3) Community Coalition as a Space for Activism and Social Change.


Assuntos
Hispânico ou Latino , Mudança Social , Grupos Focais , Humanos , Políticas , Estados Unidos
10.
Youth Soc ; 54(2): 573-592, 2022 May.
Artigo em Inglês | MEDLINE | ID: mdl-35813075

RESUMO

Limited research has examined intrapersonal psychological empowerment (PE) among Black girls solely. This study aims to fill a gap in empowerment literature by examining the factor structure of the Sociopolitical Control Scale for Youth (SPCS-Y) among Black girls (N = 377) between the ages of 14-17 years old. We also examine the association with ethnic identity as a conceptually related variable. Structural equation modeling (SEM) was used to examine the factorial validity of the abbreviated, eight-item SPCS-Y among Black girls. Results support the two-dimensional factor structure of the abbreviated SPCS-Y among Black girls, as well as the association intrapersonal PE has with ethnic identity. Findings provide preliminary support for the empirical and theoretical relationship between intrapersonal PE and ethnic identity among Black girls.

11.
Child Youth Serv Rev ; 1402022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-35910532

RESUMO

Youth of color who have recently been emancipated from foster care are among the most vulnerable group at risk for having poor sexual health outcomes. It is essential for researchers to understand how emancipated foster care youth receive messages about safe sex and HIV/STI prevention in order to tailor health promotion activities for this group. This study presents a strengths-based view of emancipated foster care youth of color who developed an empowering, arts-based campaign to prevent HIV in their community using Youth Participatory Action Research (Y-PAR) methods. The project was led by 10 emancipated foster care youth who participated in two focus groups that centered on understanding their knowledge of HIV. Five major themes emerged from the focus group. Implications for researchers include incorporating safe spaces for youth to develop ideas that can result in empowering activities relating to prevention.

12.
J Ethn Subst Abuse ; 21(3): 886-913, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-32787746

RESUMO

The abbreviated Sociopolitical Control Scale for Youth (SPCS-Y) factor structure, used to measure intrapersonal psychological empowerment, was tested among a sample of Hispanic adolescent girls (N = 490). Confirmatory factor analysis and latent class analyses were conducted, and five distinct cluster groups emerged. Multivariate analysis of covariance was used to examine conceptually related variables and support the two-factor structure and validity of the scale. Participants with higher levels of intrapersonal psychological empowerment also had high social support, ethnic identity, and lower levels of alcohol and drug use. Findings support the use of the scale on Hispanic adolescent girls and contribute to alcohol and drug use prevention research.


Assuntos
Identificação Social , Transtornos Relacionados ao Uso de Substâncias , Adolescente , Etnicidade , Feminino , Hispânico ou Latino , Humanos , Poder Psicológico , Apoio Social
13.
Subst Use Misuse ; 56(10): 1527-1535, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34210249

RESUMO

Background: Community-based research and prevention scholarship has shown a growing interest in examining the impact of the ecological structure of neighborhoods on community violence. Ecological structures such as higher numbers of alcohol outlets and abandoned/vacant properties in geographically dense, poor, and socially isolated communities are critically important to consider. Further, disadvantaged urban communities are burdened by greater police presence with limited or no abatement in crime or violence. Purpose: Using Geographic Information Systems (GIS) mapping, spatial analysis techniques, and a negative binomial regression analyses, this study investigated the relationships between alcohol outlet density consisting of license C (i.e., combined on and off premises establishments) and license D (i.e., off premises establishments such as liquor stores), abandoned properties, and police calls to service on aggravated assault rates in a Northeastern United States urban city. Results: Negative binomial regression analysis results showed that license C alcohol outlet density count (IRR = 1.36, 95% CI = 1.08, 2.11), license D alcohol outlet density count (IRR = 1.13, 95% CI = 1.01, 1.30), abandoned property count (IRR = 1.28, 95% CI = 1.01, 2.01), and police call to service counts (IRR = 1.24, 95% CI = 1.01, 1.50) were positively associated with aggravated assault rates. Analyses controlled for census data characteristics. Conclusions: The link between alcohol outlet density and violent crime has been established in public health research. However, this study represents an important contribution in recognizing the unique relationships between license C and license D alcohol outlet density, abandoned properties, and police calls to service with aggravated assaults in an urban neighborhood. Conclusions are drawn for policy and practice.


Assuntos
Bebidas Alcoólicas , Polícia , Consumo de Bebidas Alcoólicas/epidemiologia , Cidades , Comércio , Humanos , New England/epidemiologia , Características de Residência , Análise Espacial
14.
Am J Community Psychol ; 68(3-4): 471-485, 2021 12.
Artigo em Inglês | MEDLINE | ID: mdl-34237162

RESUMO

Sociopolitical control (SPC) has been identified as a key element of the intrapersonal component of psychological empowerment. The Sociopolitical Control Scale (SPCS) is a widely used measure and has been modified for use among youth (SPCS-Y). In light of the emerging interest in SPC among youth within community-based research, this study applied item response theory (IRT) to examine the psychometric properties of the SPCS-Y and to explore a brief version. Data were collected between 2006 and 2013 from a convenience sample of high school students (N = 1,808), located in a midsized, economically disadvantaged urban community in the northeastern United States. Findings indicate that the two subscales, leadership competence, and policy control, were unidimensional and items functioned well. Most items functioned particularly well at low and moderate levels of the construct, but a few were able to capture higher levels of the construct. Based on our IRT analyses of the performance of items on the subscales, we selected items to create a brief version of the SPCS-Y (BSPCS-Y) and performed structural equation modeling for further examination. Results provide empirical evidence to support the reliability and validity of the SPCS-Y and suggest a brief version based on high-performing items is possible.


Assuntos
Empoderamento , Estudantes , Adolescente , Humanos , Psicometria , Reprodutibilidade dos Testes , Inquéritos e Questionários
15.
J Community Psychol ; 49(2): 547-563, 2021 03.
Artigo em Inglês | MEDLINE | ID: mdl-33225489

RESUMO

Drawing on McMillan and Chavis's psychological sense of community framework among southwestern community coalition members (N = 18), data were examined for narratives of how psychological sense of community and experiences of community manifest among coalition members. We were also interested in knowing how coalition members make meaning of social change. Findings illustrate that dimensions of psychological sense of community (e.g., membership, emotional connection, needs' fulfillment, and influence) are important in how members made meaning of community needs and their own participation in the coalition. Implications are put forward for theory and community programming.


Assuntos
Motivação , Mudança Social , Humanos , Sudoeste dos Estados Unidos
16.
J Community Psychol ; 49(7): 2874-2891, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-33963772

RESUMO

Psychological empowerment (PE) is a multidimensional construct comprised of emotional, cognitive, behavioral, and relational domains. Although context-specific measures of PE exist, no study to date has introduced and tested a measure of the construct that captures all four domains for both women and men in recovery from substance misuse. Furthermore, research has largely neglected the relational dimension, particularly in studies involving people in recovery. In this study, we tested a measure of PE among a diverse sample (n = 200) of people in recovery who participated in a program designed to expand access to medications for opioid use disorder in the northeastern United States. Factor analysis results supported the hypothesized four-factor structure of the scale, and dimensions of PE were found to be associated in expected ways with measures of quality of life, self-reported health, and depression. Implications of the study are described and directions for future research discussed.


Assuntos
Empoderamento , Qualidade de Vida , Cognição , Emoções , Feminino , Humanos , Masculino , Psicometria
17.
J Ment Health ; 30(1): 113-120, 2021 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31364886

RESUMO

BACKGROUND: Mindfulness and vitality are related constructs in the literature; however, mindfulness and vitality have not been fully examined in the literature, specifically with mental health therapists. AIMS: This study aimed to investigate the relationship between mindfulness and vitality among a sample of licensed mental health clinicians. Compassion satisfaction (CS) and psychological wellbeing are further explored as mechanisms by which a therapist may experience vitality and the impact mindfulness may have on these mechanisms. METHODS: Mediation analyses were utilized to understand the relationship between mindfulness and vitality and the indirect paths of psychological wellbeing and CS. RESULTS: Results indicate that therapists with greater mindfulness report more vitality, higher overall psychological wellbeing and higher CS. As expected, the relationship between mindfulness and vitality was mediated by psychological wellbeing and CS. Results support the existing research on the relationship between mindfulness and vitality. CONCLUSIONS: Understanding the importance of psychological wellbeing and CS has implications for addressing the high incidences of the negative impact of therapeutic work.


Assuntos
Atenção Plena , Pessoal Técnico de Saúde , Empatia , Humanos , Saúde Mental , Satisfação Pessoal
18.
Child Youth Serv Rev ; 1272021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34305217

RESUMO

Research on Psychological Sense of Community (SOC) among Black girls are limited due to lack of validated measures for this group. Using confirmatory factor analysis (CFA), the first and second-order factor structure of the Brief Sense of Community Scale (BSCS) used to measure Psychological SOC was examined using a sample of Black girls from an urban community (N = 340). Using a regression-based approach, the second-order five-factor model of the BSCS was also examined with intrapersonal psychological empowerment (PE), social support, and ethnic identity as conceptually related variables. Findings support that: (1) psychological SOC can be conceptualized and measured through four dimensions among Black girls; and (2) intrapersonal PE, social support, and ethnic identity were significantly associated with SOC.

19.
Urban Rev ; 53(3): 403-423, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34483379

RESUMO

There is an emerging interest in studying social action and civic engagement as a part of the developmental process. Studies among youth of color indicate that empowerment has been associated with well-being, a critical perspective, and in combating social oppression. These studies also show that civic involvement and awareness of social justice issues are associated with positive developmental outcomes including empowerment. The range of predictors and outcomes related to empowerment have been insufficiently explored. This study used structural equation modeling path analysis techniques to examine the association community civic participation and psychological sense of community have with intrapersonal and cognitive psychological empowerment, through both ethnic identity and social justice orientation among urban youth of color (N =383; 53.1% Female; 75% Hispanic; 50.6% were 13 and 15 years of age). Findings illustrate that greater community civic participation and psychological sense of community are associated with both intrapersonal and cognitive psychological empowerment, through both ethnic identity and a social justice orientation; however, with some noted variations. Ethnic identity and social justice orientation mediated community civic participation and psychological sense of community and both intrapersonal and cognitive psychological empowerment. Implications put forward for community youth-workers and community programming.

20.
J Community Health ; 45(3): 534-541, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-31691088

RESUMO

Alcohol outlet density (AOD) and abandoned or vacant properties in under-served urban communities has received increased attention and has been linked to community violence. While previous research has examined the AOD and violent crime association, less research has investigated the relationship between abandoned properties and violent crime. Those studies that are present examining the AOD-abandoned properties-violent crime link have been plagued by flaws that include statistical weaknesses and aggregated datasets that investigated larger units such as states or countries. The present study, using Geographic Information Systems (GIS) mapping, spatial analysis techniques, and a regression-based approach examines the association between AOD and abandoned properties on violent crime, controlling for demographic characteristics, in Paterson, New Jersey. Results provide some evidence on the association between AOD and abandoned properties on violent crime, drawing conclusions for policy and practice.


Assuntos
Consumo de Bebidas Alcoólicas , Crime , Violência , Etanol , Feminino , Humanos , New Jersey , Características de Residência , Análise Espacial
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