By Nicole Kravitz-Wirtz,  Angela Bruns , Amanda J Aubel , Xiaoya Zhang , Shani A Buggs

Understanding the burden of gun violence among youth is a public health imperative. While most estimates are based on direct and witnessed victimization, living nearby gun violence incidents may be consequential too. Yet detailed information about these broader experiences of violence is lacking. We use data on a population-based cohort of youth merged with incident-level data on deadly gun violence to assess the prevalence and intensity of community exposure to gun homicides across cross-classified categories of exposure distance and recency, overall and by race/ethnicity, household poverty, and neighborhood disadvantage. In total, 2–18% of youth resided within 600 m of a gun homicide occurring in the past 14–365 days. These percentages were 3–25% for incidents within 800 m and 5–37% for those within a 1300-m radius. Black and Latinx youth were 3–7 times more likely, depending on the exposure radius, to experience a past-year gun homicide than white youth and on average experienced incidents more recently and closer to home. Household poverty contributed to exposure inequities, but disproportionate residence in disadvantaged neighborhoods was especially consequential: for all racial/ethnic groups, the difference in the probability of exposure between youth in low vs high poverty households was approximately 5–10 percentage points, while the difference between youth residing in low vs high disadvantage neighborhoods was approximately 50 percentage points. Given well-documented consequences of gun violence exposure on health, these more comprehensive estimates underscore the importance of supportive strategies not only for individual victims but entire communities in the aftermath of gun violence.

J Urban Health, 2022 Jun 7, 16p.

By Julia H. Littell, Therese D. Pigott, Karianne H. Nilsen, Stacy J. Green, Olga L. K. Montgomery

Background

Lack of access to and use of water, sanitation and hygiene (WASH) cause 1.6 million deaths every year, of which 1.2 million are due to gastrointestinal illnesses like diarrhoea and acute respiratory infections like pneumonia. Poor WASH access and use also diminish nutrition and educational attainment, and cause danger and stress for vulnerable populations, especially for women and girls. The hardest hit regions are sub-Saharan Africa and South Asia. Sustainable Development Goal (SDG) 6 calls for the end of open defecation, and universal access to safely managed water and sanitation facilities, and basic hand hygiene, by 2030. WASH access and use also underpin progress in other areas such as SDG1 poverty targets, SDG3 health and SDG4 education targets. Meeting the SDG equity agenda to “leave none behind” will require WASH providers prioritise the hardest to reach including those living remotely and people who are disadvantaged.

Objectives

Decision makers need access to high-quality evidence on what works in WASH promotion in different contexts, and for different groups of people, to reach the most disadvantaged populations and thereby achieve universal targets. The WASH evidence map is envisioned as a tool for commissioners and researchers to identify existing studies to fill synthesis gaps, as well as helping to prioritise new studies where there are gaps in knowledge. It also supports policymakers and practitioners to navigate the evidence base, including presenting critically appraised findings from existing systematic reviews.

Methods

This evidence map presents impact evaluations and systematic reviews from the WASH sector, organised according to the types of intervention mechanisms, WASH technologies promoted, and outcomes measured. It is based on a framework of intervention mechanisms (e.g., behaviour change triggering or microloans) and outcomes along the causal pathway, specifically behavioural outcomes (e.g., handwashing and food hygiene practices), ill-health outcomes (e.g., diarrhoeal morbidity and mortality), nutrition and socioeconomic outcomes (e.g., school absenteeism and household income). The map also provides filters to examine the evidence for a particular WASH technology (e.g., latrines), place of use (e.g., home, school or health facility), location (e.g., global region, country, rural and urban) and group (e.g., people living with disability). Systematic searches for published and unpublished literature and trial registries were conducted of studies in low- and middle-income countries (LMICs). Searches were conducted in March 2018, and searches for completed trials were done in May 2020. Coding of information for the map was done by two authors working independently. Impact evaluations were critically appraised according to methods of conduct and reporting. Systematic reviews were critically appraised using a new approach to assess theory-based, mixed-methods evidence synthesis.

Results

There has been an enormous growth in impact evaluations and systematic reviews of WASH interventions since the International Year of Sanitation, 2008. There are now at least 367 completed or ongoing rigorous impact evaluations in LMICs, nearly three-quarters of which have been conducted since 2008, plus 43 systematic reviews. Studies have been done in 83 LMICs, with a high concentration in Bangladesh, India, and Kenya. WASH sector programming has increasingly shifted in focus from what technology to supply (e.g., a handwashing station or child's potty), to the best way in which to do so to promote demand. Research also covers a broader set of intervention mechanisms. For example, there has been increased interest in behaviour change communication using psychosocial “triggering”, such as social marketing and community-led total sanitation. These studies report primarily on behavioural outcomes. With the advent of large-scale funding, in particular by the Bill & Melinda Gates Foundation, there has been a substantial increase in the number of studies on sanitation technologies, particularly latrines. Sustaining behaviour is fundamental for sustaining health and other quality of life improvements. However, few studies have been done of intervention mechanisms for, or measuring outcomes on sustained adoption of latrines to stop open defaecation. There has also been some increase in the number of studies looking at outcomes and interventions that disproportionately affect women and girls, who quite literally carry most of the burden of poor water and sanitation access. However, most studies do not report sex disaggregated outcomes, let alone integrate gender analysis into their framework. Other vulnerable populations are even less addressed; no studies eligible for inclusion in the map were done of interventions targeting, or reporting on outcomes for, people living with disabilities. We were only able to find a single controlled evaluation of WASH interventions in a health care facility, in spite of the importance of WASH in health facilities in global policy debates. The quality of impact evaluations has improved, such as the use of controlled designs as standard, attention to addressing reporting biases, and adequate cluster sample size. However, there remain important concerns about quality of reporting. The quality and usefulness of systematic reviews for policy is also improving, which draw clearer distinctions between intervention mechanisms and synthesise the evidence on outcomes along the causal pathway. Adopting mixed-methods approaches also provides information for programmes on barriers and enablers affecting implementation.

Conclusion

Ensuring everyone has access to appropriate water, sanitation, and hygiene facilities is one of the most fundamental of challenges for poverty elimination. Researchers and funders need to consider carefully where there is the need for new primary evidence, and new syntheses of that evidence. This study suggests the following priority areas:

Impact evaluations incorporating understudied outcomes, such as sustainability and slippage, of WASH provision in understudied places of use, such as health care facilities, and of interventions targeting, or presenting disaggregated data for, vulnerable populations, particularly over the life-course and for people living with a disability;

Improved reporting in impact evaluations, including presentation of participant flow diagrams; and

Synthesis studies and updates in areas with sufficient existing and planned impact evaluations, such as for diarrhoea mortality, ARIs, WASH in schools and decentralisation. These studies will preferably be conducted as mixed-methods systematic reviews that are able to answer questions about programme targeting, implementation, effectiveness and cost-effectiveness, and compare alternative intervention mechanisms to achieve and sustain outcomes in particular contexts, preferably using network meta-analysis.

Campbell Systematic Reviews, 17(4) 2021.

Edited by Adam Lynes, Craig Kelly, and Kevin Hoffin

In recent decades the video games industry has grown astronomically, quickly becoming a substantial part of our everyday lives. Alongside the rise of this technology, the media, academia and, in some cases, governments, have drawn correlations between video games and serious instances of violence, focusing most notably on mass shootings. This narrow debate has distracted from our understanding of many of the harms which video games can, in some cases, cause, perpetuate or hide. Drawing upon the emerging deviant leisure perspective, this book seeks to re-orientate the debate on video games and their associated potential harms. Through the examination of culturally embedded harms such as gambling, sexual violence and addiction, together with the rise in swatting and other activities, the authors explore the notion that video games are inexplicably intertwined with aspects of deviancy.

Bingley, UK: Emerald Publishing, 2020. 208p.

By Brian Braganza and Nick Cardone

One of the first questions that emerged after the murders that took place in Nova Scotia on April 18 and 19, 2020, was: What was the role played by harmful expressions of masculinity generally, and male violence against women specifically. Even before much was known about the perpetrator, there were calls for an inquiry that would look at the murders through a feminist lens, and for a full exploration of his history of violence against women (Henderson, 2020). This report does not seek to draw conclusions on the motivations for the murders or how past behaviour may or may not have served as a warning. Instead, it was commissioned to explore the relationship between traditional concepts of masculinity and violence. Doing this requires us to look critically at a broad range of issues so omnipresent that we are often unaware of them  

Halifax, NS: The Joint Federal/Provincial Commission into the April 2020 Nova Scotia Mass Casualty, 2022. 87p.

By Sibel Korkmaz 

Swedish studies on intimate partner violence (IPV) among young people are virtually non-existent, and the European research field on this phenomenon has not been specifically overviewed. This thesis aims to review European research on youth IPV, investigate the extent and characteristics of youth IPV victimization in a sample of Swedish high school students, and explore the dynamics of this victimization. The dissertation consists of four sub-studies employing different kinds of methods and using different sets of data. Analyses are underpinned by a rather extensive theoretical framework, permitting an examination of youth IPV from different perspectives and angles. Study I gives an overview of existing European research, pointing out trends and challenges within the field and providing a frame of reference for the Swedish study. One conclusion of this overview is that an intersectional approach is needed when researching violence among youth, and that gender, especially, is a key variable to explore in research on youth IPV. Study II presents IPV prevalence rates in a regional sample of Swedish young people. Drawing upon survey data, the study shows that over half of participating youth reported experiences of some form of IPV, and that girls experience more repeated IPV compared to boys. Furthermore, the study places youth IPV in a physical context, suggesting that it takes place in different arenas, such as the parents’ house, the partner’s house, and at school. Study III uses data consisting of “teller-focused” interviews with 18 IPV victimized youth (aged 17-23) in Sweden, and…..

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  illustrates the dynamics of IPV victimization, establishing it as a social phenomenon and emphasizing the agency of young people in the midst of abusive relationships. It shows varying responses (including a lack of response) from three different actors: parents, school, and young people themselves, all from the young person’s perspective. Overall, the data show that youth-specific factors (e.g. parental dependency, attending school) have a meaningful bearing on both responses and resilience to IPV. Lastly, study IV draws upon data consisting of “teller-focused” interviews with 18 IPV victimized youth (aged 17-23) in Sweden, and shows how young people’s abusive relationships come to an end. It shows that the ending process for youth may be different than for adults, since youth-specific factors create unique barriers (e.g. the desire to be a girlfriend) and bridges (e.g. parental responsibilities) for young people seeking to end abusive relationships. Overall, this dissertation shows that many Swedish youth experience violence within a romantic intimate relationship, and that such violence, many times, is repeated and severe. The results indicate a gendered dimension to youth IPV— compared to boys, girls report more repeated violence and also describe how gendered norms affect their victimization. Moreover, regarding the physical context of youth IPV, the results show that this social problem takes place in arenas where adults dwell and how they can respond. Hence, it is not possible for the adult world to dismiss youth IPV as something undetectable. In sum, this dissertation shows that IPV does happen “when you’re young too.” Thus, it seems apparent that a wide-ranging response is called for: one that involves parents, schools, social workers, and policy makers alike. Only then will youth IPV as a social problem receive the attention it needs and deserves.  

Stockholm: Stockholm University,  2021. 149p.

By Hannah Smithson, Kris Christmann, Rachel Armitage, Leanne Monchuk, Antony Whitehead and Michelle Rogerson

There has been growing concern among policy makers and the wider public about the continued spate of high profile murders involving firearms, along with a perception that these events are a result of youth gang violence more generally. These incidents have been taking place in major cities across the UK, including Liverpool. This perception of escalating violence among young people, frequently involving weapons, has prompted the government to make confronting what it has termed ‘gun, knife and gang crime’ a priority. However, relatively little information exists on ‘gang’ involvement and ‘gun crime’, who is committing it, for what reasons and what might be the best ways of reducing it. Other commentators have connected gun crime to criminal gangs and a growing ‘gang culture’ as an overarching explanatory variable, nevertheless, important gaps remain in our knowledge about violent crime fuelled by gangs and weapons. This research study draws upon an extensive literature review of the national and international research examining gangs and gun crime, coupled with a series of in-depth interviews with senior practitioners, senior specialist police officers, front line youth workers, and gang and gun involved young people from across Liverpool.

Huddersfield, UK: Applied Criminology Centre, University of Huddersfield, 2009. 122p.

By Nathan P. Jones

This report seeks to understand and define the gang issue in Mexico, establish the regional histories and sociologies of what is known about these gangs, and understand the causes of youth gang involvement. The paper briefly describes U.S.-Mexico bilateral efforts on youth gang prevention via the Merida Initiative, and identifies a sampling of existing civil society groups and programs geared specifically toward addressing youth gangs in Mexico and Central America. The report concludes with a set of policy recommendations for the U.S. and Mexican governments on how to best support civil society and strengthen relevant state institutions.

Washington DC: Woodrow Wilson Center for International Scholars; Trans-Border Institute, San Diego: University of San Diego; 2013. 46p.