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1.
Subst Abuse Treat Prev Policy ; 19(1): 38, 2024 Aug 10.
Article in English | MEDLINE | ID: mdl-39127741

ABSTRACT

The prevalence and influence of gangs on adolescents and young adults remain a concern in Western Cape, South Africa-particularly as they have one of the largest gang presence. While less attention has been focused on young women, there is a need to elucidate the relationship between gang exposure and health behaviors, such substance use, in addition to understanding whether becoming a caregiver impacts this relationship. This study uses baseline data from 496 participants enrolled in a NIDA-funded R01 trial that recruited young women aged 16 to 19 who were out of school and reported recent alcohol or other drug use and sexual risk behavior. At enrollment, a risk behavior survey was administered, and urine drug screening was conducted. Multivariable logistic regression analyses were conducted to examine baseline associations between childbirth, a gang exposure index based on eight items, and positive drug screens of the most prevalent drugs in the Western Cape (marijuana, methaqualone, and methamphetamine). At enrollment, approximately 39% of the sample had a positive urine screen for marijuana, 17% for methaqualone, and 11% for methamphetamine. Additionally, 28% had ever given birth. While only 6% reported ever being a member of a gang, most reported exposure to gangs through their physical and social environments. For all three drugs, gang exposure was associated with statistically significantly higher odds of a positive screen. Every one-point increase in the gang exposure index was associated with a 31% increase in the odds of a positive marijuana screen (p < .001), a 26% increase for methaqualone (p = 0.005) and a 37% increase in the odds of a positive methamphetamine screen (p < .001). Ever given birth was associated with lower odds of marijuana use (adjusted odds ratio [AOR]: 0.63; 95% CI: 0.42-0.96), but it was not associated with methaqualone or methamphetamine use. The findings suggest that exposure to gangs through young women's social and physical environment is positively associated with drug use. Childbirth was also protective for marijuana use, indicating there may be something unique about this type of drug, such as one's ability to more easily stop use. Although very few young women reported gang membership, a majority reported some exposure, indicating the need to address how pervasive this exposure is and the potential risk.


Subject(s)
Substance-Related Disorders , Humans , Female , South Africa/epidemiology , Young Adult , Adolescent , Substance-Related Disorders/epidemiology , Parturition , Methamphetamine/urine , Risk-Taking , Peer Group , Pregnancy , Prevalence
2.
Violence Against Women ; : 10778012241233005, 2024 Feb 14.
Article in English | MEDLINE | ID: mdl-38356304

ABSTRACT

Presenting data from the first phase of a U.K.-based 5-year mixed-methods study, we restart a decade-long conversation into Girls and Gangs and Violence Against Women and Girls (VAWG). The relationship between the two is not mutually exclusive and coupled with the recent optics surrounding youth violence and gendered violence, we discuss how the needs of women are being somewhat hindered as a result of U.K. governmental vacillation. We therefore consider the serious impact of VAWG and the concomitancy with youth violence/gangs. By drawing on contemporary feminist criminological theorizing, we aim to galvanize governmental responses to prioritize the needs of women at a time when policymakers are arguably poised to listen.

3.
Pilot Feasibility Stud ; 9(1): 193, 2023 Nov 27.
Article in English | MEDLINE | ID: mdl-38012747

ABSTRACT

BACKGROUND: Child criminal exploitation is a form of child abuse that poses a serious risk to the welfare, safety, and wellbeing of young people. Multisystemic therapy (MST) is an intensive family and community-based intervention for young people with anti-social behavioral problems, many of whom will be at risk of criminal exploitation. This protocol describes a pilot feasibility study and process evaluation, designed to examine MST for children at risk of criminal exploitation. METHODS: This pilot feasibility study and process evaluation involves two phases with associated subphases: phase 1.1 involved the collaborative refinement of the logic model adapting MST for children at risk of criminal exploitation; phase 1.2 involved pre-pilot interviews with MST therapists, families, and young people; phase 2.1 is a pilot modeling study of MST for children at risk of criminal exploitation, and; Phase 2.2 is a process evaluation that will involve interviewing stakeholders, MST therapists and employees, families, and young people. The dataset for the process evaluation will include questionnaires completed by parents and young people at baseline, mid-treatment, end of treatment, and 6 months after treatment. We will supplement these data with participant-level data linkage from MST sites and services. RESULTS: Accrual to the pilot stage of this project opened on 6th August 2021 and is due to close on 31st May 2022. We aim to publish the results of this feasibility study and process evaluation in 2023. CONCLUSIONS: The results of this feasibility study and process evaluation will inform the decision as to whether it is advisable to progress to a pilot clinical trial of MST for children at risk of criminal exploitation. TRIAL REGISTRATION: Trial registration: ISRCTN registry, ISRCTN16164816 on 25th January 2021- https://doi.org/10.1186/ISRCTN16164816 .

4.
Contemp Clin Trials ; 129: 107186, 2023 06.
Article in English | MEDLINE | ID: mdl-37059262

ABSTRACT

BACKGROUND: This study will evaluate Functional Family Therapy-Gangs (FFT-G), an extension of a family-based therapeutic intervention-Functional Family Therapy (FFT)-designed to help troubled youth exhibiting mild to severe behavior problems overcome delinquency, substance abuse, and violence. FFT-G, however, addresses risk factors that are typically more salient among gang than delinquent populations. A randomized control trial with adjudicated youth in Philadelphia revealed reductions in recidivism over an 18-month period. The purposes of this paper are to outline the protocol for replicating FFT-G in the Denver metropolitan area, document the design and challenges of the prospective research, and promote transparency. METHODS: As a condition of pre-trial or probation supervision, 400 youth/caregiver dyads will be randomly assigned to FFT-G or a treatment-as-usual control group. Preregistered confirmatory outcomes include recidivism (i.e., criminal/delinquent charges and adjudications/convictions) measured using official records (Open Science Framework: https://osf.io/abyfs). Secondary outcomes include measures of gang embeddedness, non-violent and violent recidivism, and substance use measured using interview-based surveys and arrest, revocation, incarceration, and crime type indicators of recidivism from official records. Exploratory mediation and moderation analyses are also planned. Intent-to-treat regression analyses will estimate intervention effects 18 months post-randomization. CONCLUSION: This study will contribute to advancing high-quality evidence-based knowledge on gang interventions for which there are few known effective responses.


Subject(s)
Juvenile Delinquency , Substance-Related Disorders , Humans , Adolescent , Family Therapy , Prospective Studies , Crime/prevention & control , Violence/prevention & control , Substance-Related Disorders/therapy , Randomized Controlled Trials as Topic
5.
Addict Behav ; 143: 107693, 2023 08.
Article in English | MEDLINE | ID: mdl-37003109

ABSTRACT

High risk substance misuse, trauma and gang involvement are prevalent in adolescents and often occur with youth involved with the youth punishment system. Evidence suggests that system involvement is related to trauma histories, substance misuse, as well as gang involvement. This study investigated the associations between individual and peer factors and their relationship to problem drug and alcohol use among Black girls involved with the youth punishment system. Data were collected from 188 Black girls in detention at baseline, as well as 3 and 6 month follow up periods. Measures assessed were abuse history, trauma history, sex while using drugs and alcohol, age, government assistance, and drug use. Significant findings from the multiple regression analyses indicated that younger girls were more likely to have a higher prevalence of having a drug problem than older girls at baseline. Having sex while on drugs and alcohol at the 3 month follow up period was correlated with drug use. These findings highlight how individual and peer factors can influence problem substance misuse, their behavior and peer relationships among Black girls in detention.


Subject(s)
Adverse Childhood Experiences , Black or African American , Peer Group , Prisoners , Sexual Behavior , Substance-Related Disorders , Adolescent , Female , Humans , Adverse Childhood Experiences/ethnology , Adverse Childhood Experiences/psychology , Alcohol Drinking/ethnology , Alcohol Drinking/psychology , Black or African American/psychology , Prisoners/psychology , Sexual Behavior/ethnology , Sexual Behavior/psychology , Substance-Related Disorders/ethnology , Substance-Related Disorders/psychology , Age Factors , Social Group , Social Problems/ethnology , Social Problems/psychology , Group Processes
6.
Article in Spanish | LILACS-Express | LILACS | ID: biblio-1536523

ABSTRACT

(analítico) Se presentan los resultados de una investigación de corte cualitativo que, a través de historias de vida, tuvo como propósito conocer las experiencias de mujeres jóvenes vinculadas a pandillas salvadoreñas. Las jóvenes participantes fueron seleccionadas de un proyecto sociocultural conocido como la Orquesta de Cuerdas del Centro para la Inserción Social. A partir de entrevistas a profundidad y un trabajo de relato autobiográfico, las jóvenes reconstruyeron sus historias permitiendo identificar cuatro resultados relevantes: los contextos de violencia en los cuales viven sus infancias, las motivaciones y significados de la pandilla para las jóvenes, la violencia y los roles de género que experimentan continuamente y el encuentro con el arte como una práctica de re-existencia que les permite resignificar su vida.


(analytical) This article describes the results of qualitative research focused on the life stories of a group of young women with the objective of learning about their experiences as members of Salvadoran gangs. The participants were selected from a sociocultural project known as the Center for Social Insertion String Orchestra. The young women created their life stories through in-depth interviews and autobiographical narrative work, which facilitated the identification of four relevant results: the contexts of violence that defined their childhood; the motivations and meanings of gang membership for young women; the violence and gender roles they experience; and their artistic practice as a re-existence that allows them to resignify their lives.


(analítico) Este artigo contém os resultados de uma pesquisa qualitativa através das histórias de vida desse grupo de mulheres jovens com o objetivo de conhecer suas experiências ligadas às gangues salvadorenhas. As jovens participantes foram selecionadas a partir de um projeto sociocultural conhecido como Centro de Inserção Social Orquestra de Cordas. A partir de entrevistas em profundidade e trabalho de narrativa autobiográfica, as jovens reconstruíram suas histórias, permitindo a identificação de quatro resultados relevantes: os contextos de violência em que vivem suas infâncias, as motivações e significados da gangue para as jovens, a violência e os papéis de gênero que vivenciam como um continuum e o encontro com a arte como prática de re-existência que lhes permite ressignificar suas vidas.

7.
Prev Sci ; 24(4): 774-784, 2023 05.
Article in English | MEDLINE | ID: mdl-36729350

ABSTRACT

Violence is a significant social problem in many cities throughout the world. In seeking to prevent or control violence, communities have put in place a variety of interventions. Many of these rely on the formal criminal justice process to arrest, prosecute, and imprison offenders. However, formal social control is well known to be an incomplete solution to violence. As a result, some communities have experimented with community-based solutions. One such approach is Cure Violence, an initiative that treats violence as a public health issue. Based on methods used to prevent the spread of infectious disease, Cure Violence seeks to stop the spread of violence within communities. This study presents qualitative results on the implementation of Cure Violence in Trinidad and Tobago, a two-island nation in the southeastern Caribbean near Venezuela. We conducted 36 in-depth semi-structured interviews and two focus groups with a variety of stakeholders, including program staff, residents, family members of victims, and police. Our findings suggest that the implementation of Cure Violence in Trinidad and Tobago led to educational and employment support for community members and a reduction in violence, particularly retaliation killings in the target communities. Our results are useful for understanding the factors that shape the implementation of community-based violence reduction initiatives like Cure Violence.


Subject(s)
Law Enforcement , Violence , Humans , Trinidad and Tobago , Violence/prevention & control , Police , Cities
8.
F1000Res ; 12: 138, 2023.
Article in English | MEDLINE | ID: mdl-36785664

ABSTRACT

Our understanding of the key players in evolution and of the development of all organisms in all domains of life has been aided by current knowledge about RNA stem-loop groups, their proposed interaction motifs in an early RNA world and their regulative roles in all steps and substeps of nearly all cellular processes, such as replication, transcription, translation, repair, immunity and epigenetic marking. Cooperative evolution was enabled by promiscuous interactions between single-stranded regions in the loops of naturally forming stem-loop structures in RNAs. It was also shown that cooperative RNA stem-loops outcompete selfish ones and provide foundational self-constructive groups (ribosome, editosome, spliceosome, etc.). Self-empowerment from abiotic matter to biological behavior does not just occur at the beginning of biological evolution; it is also essential for all levels of socially interacting RNAs, cells and viruses.


Subject(s)
RNA , Viruses , RNA/genetics , RNA/chemistry , Nucleic Acid Conformation , Ribosomes
9.
Child Abuse Negl ; 135: 105989, 2023 01.
Article in English | MEDLINE | ID: mdl-36528935

ABSTRACT

BACKGROUND: The relationship between child maltreatment and later delinquency is an enduring concern worldwide. However, the maltreatment-delinquency relationship is relatively underexplored in youth gang populations. Consequently, to date, studies have not examined typologies of maltreatment and their associations with violent delinquency, non-violent delinquency, and gang organizational structures. OBJECTIVE: First, to identify the characteristics of subgroups of youth gang members who varied in abuse type and severity within type. Second, to determine in what ways the profiles differed in terms of gang organizational structures, violent delinquency, and non-violent delinquency. PARTICIPANTS AND SETTINGS: A sample of 161 youth gang members (mean age: 16.8; range: 12-24) were recruited and surveyed by outreach social workers in Hong Kong. METHODS: Latent profile analysis was first used to examine heterogeneity in victimization experiences (physical abuse, sexual abuse, emotional abuse, and neglect). Thereafter, non-parametric tests and post-hoc analyses were conducted to examine associations between the yielded typologies of maltreatment and gang organizational structures, violent delinquency, and non-violent delinquency. RESULTS: Poly-victimization was prevalent in the sample, with 148 respondents (91.9 %) reporting at least two types of past abuses. Three profiles of maltreatment emerged, varying in abuse types and severity within types: 'Minimally maltreated', 'Moderately maltreated, except sexual abuse', and 'Severely maltreated'. In comparison to the 'Minimal' maltreatment profile, the 'Moderate' and 'Severe' profiles were associated with greater delinquent behaviors and being in gangs that encouraged congregate illegal behaviors. CONCLUSIONS: There was a relationship between typologies of maltreatment and gang organizational structures, violent delinquency, and non-violent delinquency in the sample of youth gang members. Implications for practice and future research are discussed.


Subject(s)
Child Abuse , Juvenile Delinquency , Adolescent , Child , Humans , Aggression , Child Abuse/psychology , Criminal Behavior , Juvenile Delinquency/psychology , Peer Group , Young Adult
10.
Crime Law Soc Change ; 79(2): 175-194, 2023.
Article in English | MEDLINE | ID: mdl-35813310

ABSTRACT

This article evaluates the factors impacting support for tough on crime policies in El Salvador. Examining theoretical and empirical scholarly work, we look at how fear, together with social and political contexts drive public appetite for punitive policies towards criminals. We show that President Nayib Bukele is responding to public opinion and has implemented tough on crime policies at the expense of human rights violations and democratic institutions. Society favors candidates who are the "toughest" against criminal actors. Political candidates from all sides of the ideological spectrum tap into the fear of the populace to win votes, leading to punitive Darwinism. We provide an empirical assessment of which theoretically relevant factors are statistically associated with punitivism in the Salvadoran context, using multiple regression analysis of high-quality public opinion survey data from LAPOP.

11.
Disasters ; 47(3): 700-724, 2023 Jul.
Article in English | MEDLINE | ID: mdl-36379913

ABSTRACT

Humanitarian and development agencies intervening in Latin American cities increasingly face the challenge posed by criminal armed groups (CAGs). Yet, there is a need for evidence-based comparative studies on how international agencies deal with them. Drawing on data collected in Colombia, El Salvador, Haiti, Honduras, and Mexico, this paper presents a novel typology of humanitarian organisations' access strategies that distinguishes between different levels of interaction with CAGs. The paper shows how humanitarian agencies assess a variety of risks and balance the potential consequences of their engagement with CAGs with the need to maintain constructive and trustful relationships with the state and the community with which they work. It finds that indirect dialogue or negotiation with CAGs via community leaders who act as intermediaries might provide a low-risk alternative to direct negotiation with CAG leaders, provided that 'do no harm' and humanitarian protection considerations vis-à-vis communities and intermediaries play a central role.


Subject(s)
Criminals , Negotiating , Humans , Latin America , Mexico , Honduras
12.
Deviant Behav ; 43(9): 1103-1119, 2022.
Article in English | MEDLINE | ID: mdl-36172626

ABSTRACT

Studies comparing gang members to similarly situated non-gang members find youth gang involvement is positively associated with experiencing simple and aggravated assault (i.e., violent victimization). This study expands on those studies by using data on gang dynamics from the Denver Youth Survey and bringing theory and concepts directly related to street gangs to the analysis of the relationship between gang membership and different forms of victimization. We focus on specific mechanisms-such as gang organization, centrality, leadership roles, identity, and tenure-that inform gang member behaviors while controlling for risky behaviors and personal histories. Findings indicate (1) gang organization is positively associated with both simple and aggravated assault victimization; (2) gang centrality is positively associated with aggravated assault victimization; and (3) being the leader of a gang is negatively associated with aggravated assault victimization. We discuss the implications of these results using a gang-informed framework.

13.
Int J Offender Ther Comp Criminol ; : 306624X221124830, 2022 Sep 29.
Article in English | MEDLINE | ID: mdl-36172743

ABSTRACT

Datasets of offender attributes, both pre-custody and in-custody, were provided by the Correctional Service of Canada with the goal of exploring whether Security Threat Group (STG) offenders (informally, gang members of various kinds) differ in any systematic way from other offenders. For pre-custody attributes, we show that the entire offender population varies along two almost independent axes, one associated with affinity for violence, and the other with affinity for substance abuse. Within this structure, STG offenders are characteristically less extreme, in either direction, than the general offender population. For approximately two dozen attributes, STG offenders, as a group, tend to have higher values; for a few, they tend to have lower values. For in-custody attributes, the entire offender population forms a triangular structure whose vertices represent: passivity; violence and troublemaking; and involvement in programs leading to partial release. The differences between the STG offender population and the general offender population are small. An offender who is placed at the high end of the propensity for violence axis and/or the high end of the substance abuse axis based on pre-custody attributes is much more likely to be involved in incidents, grievances, and violence while in custody. This may have implications for risk stratification of incoming offenders.

14.
Scand J Psychol ; 63(5): 536-544, 2022 Oct.
Article in English | MEDLINE | ID: mdl-35604004

ABSTRACT

In this paper, we build on a robust literature on push and pull factors to focus on the personality traits and values of individuals involved in organized crime. We distinguish organized crime from other kinds of criminal activity and recruit a unique sample of non-incarcerated individuals verified by the Danish National Police to be involved in organized crime. We use comprehensive standardized psychological assessments of their big five personality traits, maladaptive dark traits and core values and drivers to compare them to an adult norm group. Danish individuals involved in organized crime are much less emotionally stable (d = 1.84), ambitious and self-confident (d = 1.50), agreeable (d = 0.87) and conscientious (d = 0.65) than the norm group. At the same time, they have substantially higher scores on all but one of the 11 dark traits (Cohen's d ranging from 0.39 to 3.10). They are characterized by a high need for security (d = 1.14) as well as material (d = 0.96) and financial success (d = 0.81). While these patterns fit results previously found in the criminological literature, a latent class analysis reveals two separate groups. A subset of one third of our sample had somewhat less depressed scores on the big five and more moderate scores on the dark traits, indicating more adaptive personality structures. We consider this novel finding in terms of potential exits from a milieu of organized crime.


Subject(s)
Criminals , Personality , Adult , Crime/psychology , Criminals/psychology , Denmark , Humans , Personality Disorders
15.
Soc Sci Res ; 103: 102657, 2022 03.
Article in English | MEDLINE | ID: mdl-35183314

ABSTRACT

In this study we investigate organized crime by studying the degree of criminal organization. We use population-level register data on criminal suspicions between 2011 and 2016 to analyze the territoriality of Swedish street gangs in terms of geographical mobility, their collaboration in crime through their co-offending network's clustering and community structure, and their crime versatility. Although Swedish street gangs exhibit varying degrees of geographical mobility and criminal collaboration, overall, they have limited reach along these dimensions, characterized by low clustering and limited crime specialization. Violence seems to become a necessary tool only when a gang reaches a certain degree of organization. By unbraiding criminal mobility and its association with other organizational elements such as criminal collaboration in different settings, we provide insights into the structure and dynamics of criminal organizations and contribute to a richer understanding and conceptualization of how crime is organized.


Subject(s)
Criminals , Crime , Humans , Peer Group , Sweden , Violence
16.
Punishm Soc ; 24(1): 26-45, 2022 Jan 01.
Article in English | MEDLINE | ID: mdl-35002533

ABSTRACT

Through the case study of Kyrgyzstan this paper argues that a rapidly increasing availability of drugs in prison is not necessarily deleterious to solidarity and inmate codes. Instead, the fragmentary effect of drugs depends on the forms of prisoner control over drug sale and use. In Kyrgyzstan, prisoners co-opted heroin and reorganized its distribution and consumption through non-market mechanisms. State provision of opioid maintenance therapy incentivized powerful prisoners to move to distributing heroin through a mutual aid fund and according to need. Collectivist prison accommodation, high levels of prisoner mobility and monitoring within and across prisons enabled prisoners to enforce informal bans on drug dealing and on gang formation outside of traditional hierarchies. We argue that in these conditions prisoners organized as consumption-oriented budgetary units rather than profit-driven gangs.

17.
J Community Psychol ; 50(5): 2198-2213, 2022 07.
Article in English | MEDLINE | ID: mdl-34913169

ABSTRACT

This study examined the perceived determinants of street gang-related antisocial behavior (ASB) and crime of young people (YP) in a deprived and ethnically diverse community in London. Twenty-six participants were recruited from two youth centers (one sport and one art-based program) from the borough of Tower Hamlets. Participants took part in four focus groups (FGs) organized into two youth (N = 14) and two adults (N = 12) subgroups. The FG questions explored participants' understanding of their community and social environment, their social interaction with the local YP and youth gangs. Data were analyzed using a thematic approach and key factors associated with youth gang membership, ASB, and crime were identified. Participants highlighted a series of determinants, which were centered on social predispositions and psychological factors. Associated risk factors were heavily embedded in the racial and religious tensions within the borough. Therefore, context-specific to the individual communities' risk factors should be identified before the development and implementation of intervention strategies to enhance their potential for impact.


Subject(s)
Peer Group , Violence , Adolescent , Adult , Crime/psychology , Humans , London , Risk Factors , Violence/psychology
18.
J Immigr Minor Health ; 24(4): 918-927, 2022 Aug.
Article in English | MEDLINE | ID: mdl-34935087

ABSTRACT

Survivors of domestic violence (DV) and of violence perpetrated by organized gangs (GV) face barriers to legal protection under U.S. asylum law. We abstracted data from 132 affidavits based on forensic medical evaluations of asylum seekers granted legal protection in the U.S. on the basis of DV and/or GV. We described claimants' trauma exposures and resilience factors and used multiple logistic regression to quantify associations with Diagnostic and Statistical Manual-5 (DSM-5) diagnoses and improvement in mental health. People seeking asylum based on DV and/or GV have endured multiple types of trauma with significant impacts on their mental health. New experiences of trauma following migration to the U.S. were common and associated with DSM-5 diagnoses. Conversely, resilience factors were associated with improved mental health. Policies that aim to reduce ongoing trauma in the U.S. and to bolster resilience factors may promote asylee mental health and well-being.


Subject(s)
Domestic Violence , Refugees , Humans , Mental Health , Outcome Assessment, Health Care , Refugees/psychology , Survivors
19.
J Interpers Violence ; 37(7-8): NP3703-NP3727, 2022 04.
Article in English | MEDLINE | ID: mdl-32448050

ABSTRACT

Adult gang involvement attracts little empirical attention, so little is known about how they compare to nongang violent men in social harms beyond gang contexts. This study, based on unpublished data of 1,539 adult males, aged 19 to 34, from the Coid et al. national survey, compared gang members' (embedded in a gang; n = 108), affiliates' (less embedded in a gang; n = 119), and violent men's (no gang association; n = 1,312) perpetration of social harms by assessing their violence-related dispositions and beliefs, victim types, and locations of violence. Results showed that compared with violent men, gang members and affiliates were equally more likely to: cause social harms to a wider range of victims, including family and friends; seek violence; be excited by violence; and carry weapons. Gang members and affiliates were equally more likely than violent men to be violent at home, in friends' homes, and at work; they also thought about hurting people, but felt regret for some of their violence. A decreasing gradient was identified in gang members' (highest), affiliates' (next highest) and violent men's (lowest) beliefs in violent retaliation when disrespected, the use of violence instrumentally and when angry, and worry about being violently victimized. Implications of findings are that interventions need to address anger issues across all levels of adult gang membership. Importantly, adult gang members' regrets regarding violence and anxiety about being violently victimized could be key factors that interventions could use to help them relinquish their gang involvement.


Subject(s)
Peer Group , Violence , Adult , Aggression , Anxiety , Humans , Male , Weapons , Young Adult
20.
Glob Public Health ; 17(2): 223-234, 2022 02.
Article in English | MEDLINE | ID: mdl-33472544

ABSTRACT

South Africa is burdened by twin epidemics of HIV and tuberculosis (TB) in which men are less likely than their female counterparts to engage with prevention, treatment and care. In some Cape Flats communities in Cape Town, South Africa, the challenge to men is compounded by high levels of gang violence. This study investigates the role of gang violence as a barrier to men's entry and retention in the HIV/TB care cascade. Data for this study drew from six weeks of participant observation and eleven in-depth interviews in Hanover Park, a largely Coloured township of Cape Town. Key findings concerned men's restricted mobility due to gang violence as a result of conflict over gang territory. Men both inside and outside gangs are affected by this violence, with men in gangs, in most cases, being totally cut off from healthcare services. Men in gangs are a key risk population group for both HIV and TB programming. Community-based interventions that address the effects of violence on health services should be designed for the communities on the Cape Flats. Findings could potentially be extrapolated to other settings affected by gang violence, both within South Africa and abroad.


Subject(s)
HIV Infections , Tuberculosis , Female , HIV Infections/epidemiology , HIV Infections/prevention & control , Health Services Accessibility , Heterosexuality , Humans , Male , South Africa/epidemiology , Violence
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