A Conceptual Model of Help-Seeking by Black Americans After Violent Injury: Implications for Reducing Inequities in Access to Care.

Many inequities exist in serving and supporting Black survivors of violent crime. A key question in reducing inequities in care after victimization is whether police first responders and other formal system providers identify the victim as an "offender" and/or someone who is "undeserving" of supports. These labels and associated biases can directly reduce access to supports through a variety of mechanisms that include police withholding information about one's rights as a victim, among other direct and indirect barriers to social and health services. Unaddressed financial, mental, and physical health consequences of victimization contribute to poorer health outcomes later in life. This paper seeks to bring together the extant research on help-seeking, discrimination in criminal legal system functioning, and barriers to victim services by synthesizing these discrete threads into a theoretically and empirically informed conceptual model that captures the range of factors that shape Black Americans' decision to report their victimization to the police and subsequent help-seeking. Qualitative and quantitative data from a purposive sample of 91 Black victims of community violence is used to ground the developing model. The conceptual model can help lay the foundation for research that seeks to remedy the marked mismatch between the prevalence of violent victimization and help-seeking among Black Americans. Research findings can be applied to guide policies and programming to reduce inequities in care for victims of violence.

Community correlates of change: A mixed-effects assessment of shooting dynamics during COVID-19.

This study examines changes in gun violence at the census tract level in Philadelphia, PA before and after the onset of the COVID-19 pandemic. Piecewise generalized linear mixed effects models are used to test the relative impacts of social-structural and demographic factors, police activity, the presence of and proximity to drug markets, and physical incivilities on shooting changes between 2017 and June, 2021. Model results revealed that neighborhood structural characteristics like concentrated disadvantage and racial makeup, as well as proximity to drug markets and police activity were associated with higher shooting rates. Neighborhood drug market activity and police activity significantly predicted changes in shooting rates over time after the onset of COVID-19. This work demonstrates the importance of understanding whether there are unique factors that impact the susceptibility to exogenous shocks like the COVID-19 pandemic. The increasing risk of being in a neighborhood with an active drug market during the pandemic suggests efforts related to disrupting drug organizations, or otherwise curbing violence stemming from drug markets, may go a long way towards quelling citywide increases in gun violence.

Postinjury Engagement With the Police and Access to Care Among Victims of Violent Street Crime: Does Criminal History Matter?

This study examines whether victims of violent street crimes who are known to the police as past offenders, when compared with victims with no arrest history, have different outcomes related to receipt of victim and health-related services, while taking into consideration whether or not police responded to the victimization incident. The sample is comprised of 103 men and women between the age of 18 and 40 living in one Mid-Atlantic city who were victims of street violence within the year before study recruitment. Logistic regression was used to assess the impact of police response to the victimization incident on receipt of victim services, and receipt of victim services on engagement with counseling and mental health services. The results show that prior arrests were not associated with receipt of services. However, having police officers respond to the victimization was associated with higher odds of receiving victim services, and in turn, victim services were associated with receiving mental health treatment. Police response appears to set victims on a path to accessing services. Although the number of arrests was not associated with service receipt, a small percentage of victims who did not receive services stated they were reluctant to cooperate with the police, thus limiting their opportunity for victim services. Because most victims who did not access victim services did not know that they existed, policies that promote more knowledge of and initial engagement with victim services could improve access to needed health and mental health services.

Crime and physical activity measures from the SAFE and Fit Environments Study (SAFE): Psychometric properties across age groups.

Valid and reliable measures are needed to better understand the relationship between physical activity and crime. This paper provides a comprehensive psychometric evaluation of measures developed in the Safe and Fit Environments (SAFE) Study to assess a crime-PA conceptual framework. In addition to assessing the basic psychometric properties of each measure (e.g., variable distributions [item/scale level], internal consistency reliability), this study formally examined the measurement validity and invariance of measures across four age groups using confirmatory factor analysis. The sample (n = 2173) included 336 Adolescents (aged 12-17), 532 Young adults (aged 18-39), 838 Middle Age Adults, and 467 Older Adults (aged 66+). The psychometric evaluation of (sub)scales showed consistent factorial validity and internal consistency reliability across the majority of the measures and across the four age groups. Specifically, 14 of the 17 measures displayed statistically and practically significant factor loadings and internal consistency values in the overall sample and across the age groups. The pattern of correlations for each (sub)scale with other (sub)scales/indexes largely did not exhibit redundancy across measures. The findings expanded upon the test-retest reliability evaluation reported in Patch et al. (2019), and clarified key aspects of the construct validity of these indicators. The latter bodes well for potential utility of these indicators in future predictive models.

Crime and Physical Activity: Development of a Conceptual Framework and Measures.

BACKGROUND: A common hypothesis is that crime is a major barrier to physical activity, but research does not consistently support this assumption. This article advances research on crime-related safety and physical activity by developing a multilevel conceptual framework and reliable measures applicable across age groups. METHODS: Criminologists and physical activity researchers collaborated to develop a conceptual framework. Survey development involved qualitative data collection and resulted in 155 items and 26 scales. Intraclass correlation coefficients (ICCs) were computed to assess test-retest reliability in a subsample of participants (N = 176). Analyses were conducted separately by age groups. RESULTS: Test-retest reliability for most scales (63 of 104 ICCs across 4 age groups) was "excellent" or "good" (ICC ≥ .60) and only 18 ICCs were "poor" (ICC < .40). Reliability varied by age group. Adolescents (aged 12-17 y) had ICCs above the .40 threshold for 21 of 26 scales (81%). Young adults (aged 18-39 y) and middle-aged adults (aged 40-65 y) had ICCs above .40 for 24 (92%) and 23 (88%) scales, respectively. Older adults (aged 66 y and older) had ICCs above .40 for 18 of 26 scales (69%). CONCLUSIONS: The conceptual framework and reliable measures can be used to clarify the inconclusive relationships between crime-related safety and physical activity.

Parental and Adolescent Perceptions of Neighborhood Safety Related to Adolescents' Physical Activity in Their Neighborhood.

PURPOSE: The purpose of this study was to examine the association between adolescent and parental perceptions of neighborhood safety and adolescents' physical activity in multiple locations and to investigate the moderating effect of sex within this association. METHOD: This cross-sectional study was conducted with 928 adolescents aged 12 to 16 years old and 1 of their parents. Adolescents and parents reported their perceptions of neighborhood safety (traffic safety, pedestrian safety, crime safety, and stranger danger safety). Adolescents reported how often they were physically active in multiple locations (physical activity in the neighborhood, in parks, and for active transport). Mixed-effects linear regression models were used to investigate these associations while controlling for demographics and the Walkability Index. RESULTS: Parent-perceived crime safety was positively associated with adolescents' physical activity in parks (B = .094, p = .024). Parent-perceived traffic safety was positively associated with adolescents' reported physical activity in the neighborhood (B = .186, p = .014). Adolescents' physical activity for active transport was positively associated with parent-perceived traffic safety (B = .179, p = .001), stranger danger safety (B = .110, p = .013), and crime safety (B = .077, p = .035). There were 2 interactions by sex on the relation between adolescent traffic safety perception and parent pedestrian safety perception in the neighborhood and adolescents' physical activity in parks (i.e., statistically significant only for boys). CONCLUSIONS: Parents' perceptions of traffic, stranger danger, and crime safety were all related to adolescents' active transportation. Multiple safety concerns may be motivating parents to restrict adolescent mobility by walking and bicycling.

Evaluating and Quantifying the Specific Deterrent Effects of DNA Databases.

BACKGROUND: Today, the ability of deoxyribonucleic acid (DNA) evidence to place persons at crime scenes with near certainty is broadly accepted by criminal investigators, courts, policy makers, and the public. However, the public safety benefits of investments in DNA databases are largely unknown and research attempting to quantify these benefits is only gradually emerging. Given the inherent difficulty in randomly assigning offenders to treatment and comparison groups for the purpose of inferring specific deterrence and probative effects (PREs) of DNA databases, this study developed an alternate strategy for extracting these effects from transactional data. RESEARCH DESIGN: Reoffending patterns of a large cohort of offenders released from the Florida Department of Corrections custody between 1996 and 2004 were analyzed across a range of criminal offense categories. First, an identification strategy using multiple clock models was developed that linked the two simultaneous effects of DNA databases to different clocks measuring the same events. Then, a semiparametric approach was developed for estimating the models. RESULTS: The estimation models yielded mixed results. Small deterrent effects-2-3% reductions in recidivism risk attributable to deterrence-were found only for robbery and burglary. However, strong PREs-20-30% increase in recidivism risk attributable to PREs-were uncovered for most offense categories. CONCLUSION: The probative and deterrent effects of DNA databases can be elucidated through innovative semiparametric models.

Crime, physical activity and outdoor recreation among Latino adolescents in Chicago.

PURPOSE: The purpose was to examine how fear of crime, crime victimization, and perceived level of community incivilities are related to physical activity participation and outdoor recreation among Latino adolescents. METHOD: The study utilized a mixed methods approach that included 25 qualitative interviews and 390 school-based surveys collected from youth across three schools in Little Village, Chicago, Illinois. RESULTS: Results showed that Latino adolescents who expressed greater fear of crime also engaged in less physical activity and outdoor recreation. There was no association between crime victimization and physical activity and outdoor recreation. Those who perceived greater levels of community incivilities also engaged in less outdoor recreation, but perception of incivilities had no significant association with physical activity levels. Interview data revealed most of the children believed crime was a serious problem in their neighborhood and it impacted their ability to be physically active and play outside. CONCLUSIONS: Fear of crime was related to lower physical activity and outdoor recreation. It is imperative that communities provide safe environments for children to be active. Increasing police and adult presence in parks and school grounds is recommended. Moreover, efforts must be made to reduce the gang problems in Latino communities.

A multilevel assessment of school climate, bullying victimization, and physical activity.

BACKGROUND: This study integrated criminological and public health perspectives to examine the influence of bullying victimization and the school environment on physical activity (PA). METHODS: We used a weighted sample of 7786 US middle school students surveyed as part of the Health Behavior in School-Aged Children study to conduct a multilevel analysis of bullying victimization as a predictor of self-reported PA and number of days attending physical education (PE) classes. Hierarchical models assessed the contribution of school climate and anti-crime programs. RESULTS: Results indicated that bullying victimization was associated with fewer days in PE and lower odds of reporting at least 60 minutes of PA more than once a week. Although one of the school crime prevention policies examined was associated with more days in PE, the school-level factors did not account for a large portion of the variance in the 2-level models for either days in PE or PA. CONCLUSIONS: The results suggest that reduced levels of PA can be added to the growing list of health issues associated with bullying victimization and provide support for the importance of bullying prevention efforts in conjunction with health promotion programs targeted to middle school students.

Pathways to outdoor recreation, physical activity, and delinquency among urban Latino adolescents.

BACKGROUND: Little is known about how physical activity and various high-risk behaviors of youth are associated, particularly in disadvantaged, minority neighborhoods. PURPOSE: We examine whether fear, victimization, and perceived incivilities are associated with physical activity and outdoor recreation among Latino youth and whether involvement in physical activity is associated with delinquency. METHODS: Path models were assessed using data collected from school-based surveys of 390 youth across 3 schools in Chicago, Illinois. RESULTS: Fear was associated with low levels of physical activity and outdoor recreation, while incivilities were associated with reduced levels of outdoor recreation but not physical activity. Outdoor recreation exhibited a positive association with delinquency. Some effects differed by gender. CONCLUSIONS: The findings reinforce considering different interventions to encourage physical activity and outdoor recreation for girls versus boys, and thinking comprehensively about lowering the risk for delinquency when encouraging outdoor recreation.

Assessing the relationship between alcohol outlets and domestic violence: routine activities and the neighborhood environment.

Studies have consistently found a positive relationship between alcohol outlet density and assault, but only a handful of studies have examined whether outlet density has an influence on domestic violence. Using a framework based in crime opportunity theories, this study estimates spatial econometric regression models to test whether the density of alcohol outlets across neighborhoods is positively associated with police calls for service for domestic violence. Models also were developed to test whether the relationships found were consistent across time periods associated with the use of alcohol outlets (weeknights and weekends). The findings indicate that off-premise outlets were associated with a significant increase in domestic violence, but on-premise outlets (specifically restaurants and nightclubs) were associated with a decrease in domestic violence. The risk for domestic violence in areas of high densities of off-premise outlets was found to be high during the weekend but not during the weeknight, suggesting different routine activities for domestic violence offenders during the week.

The relation of the perceived environment to fear, physical activity, and health in public housing developments: evidence from Chicago.

Within the realm of active living in urban neighborhoods in the United States, only a few studies have addressed the factors that promote or inhibit active living among residents in public housing. This paper examines the environmental and interpersonal factors associated with active living and health in public housing. We specifically examine the environmental predictors of fear of crime, and whether fear is related to moderate physical activity, and in turn, health and obesity. The analysis drew upon data from a sample of 328 African-American residents living in two severely distressed public housing developments in 2007. Structural equation modeling was used to calculate a path model of direct and indirect effects. Perceptions of violence were positively associated with fear, and both fear and physical activity predicted health. However, neither fear nor physical activity was associated with obesity. We discuss the implications of these findings for improving the quality of life of disadvantaged residents living in high-crime neighborhoods.

Fear of walking outdoors. A multilevel ecologic analysis of crime and disorder.

BACKGROUND: Although a number of studies have tested ecologic models that postulate relationships among social networks, the built environment, and active living, few neighborhood-based studies have considered the role of crime and violence. This study investigates the degree to which individual-level demographic characteristics and neighborhood-level physical and social characteristics are associated with increased fear of crime. METHODS: Data were analyzed in 2007 from a 2005 survey of 901 randomly selected individuals living in 55 neighborhoods in Washington DC. Multilevel ordered logit regression was used to examine associations between individual-level and neighborhood-level characteristics and how often fear of crime prevents a respondent from walking outdoors. RESULTS: Age and female gender were associated with an increase in fear; the percentage of a resident's life spent in the same neighborhood was associated with a decrease in fear. Results of cross-level interactions showed that at the neighborhood level, women were more fearful than men in neighborhoods without violence, but that the difference in fear between men and women shrinks as neighborhood violence increases. Collective efficacy was found to increase fear among black respondents and had no effect on fear among nonblack respondents. CONCLUSIONS: If the study of neighborhoods and active living is to progress and contribute to both etiologic understanding and policy formation, it is essential that theoretical and empirical models consider the impact of violence and fear on walking. Efforts to increase active living in urban neighborhoods that do not account for the impact of crime and fear may fall short of their intended outcomes.