美国大都市地区种族化社区枪支暴力与心理健康差异时空趋势分析的计算方法

IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Fahimeh Mohebbi, Amir Masoud Forati, John R Mantsch, Madeline Campbell, Rina Ghose
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引用次数: 0

摘要

在美国,枪支暴力是造成死亡和受伤的主要原因,对幸存者的身心健康产生了不利影响。它在2024年被宣布为公共卫生危机,对非洲裔美国人的影响尤为严重。它与“划红线”等歧视性政策有关,这些政策助长了种族隔离和系统性不平等,使暴力和心理健康差距的循环永久化。本研究通过一项数据驱动的纵向研究(2005-2021),探讨了种族隔离、系统性不平等、枪支暴力和心理健康之间的关系,该研究是在威斯康星州密尔沃基这个高度隔离的大都市区进行的。我们的调查旨在为以证据为基础的地方敏感政策提供信息,以促进社会正义,减少差距,并促进健康的社区。利用美国人口普查中基于地理位置的人口统计和社会经济数据、威斯康星州事件报告系统中的枪支暴力数据以及疾病预防控制中心PLACES数据集中的心理健康数据,我们在GIS中进行了时空分析和地理可视化。为了理解趋势和相关性,我们进行了时间序列分解、Mann-Kendall趋势检验和熵统计。我们的研究结果表明,种族隔离社区的枪支暴力发生率更高,心理健康状况也更差。以非洲裔美国人为主的社区呈现出“连续”、“零星”和“新”枪支暴力热点的模式,而以白人为主的社区则被定性为“冷点”。密尔沃基的身心健康差异也显示出类似的模式。本研究的结果强调了历史和系统的社会经济歧视对当代公共卫生问题的深刻影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Computational Approach to Analyzing Spatiotemporal Trends in Gun Violence and Mental Health Disparities among Racialized Communities in US Metropolitan Areas.

Gun violence is a leading cause of death and injuries in the USA, adversely affecting physical and mental health among its survivors. Declared as a public health crisis in 2024, It disproportionately affects African Americans. It is linked to discriminatory policies like "redlining," which fostered racial segregation and systemic inequities, perpetuating cycles of violence and mental health disparities. This study explores the relationships between racial segregation, systemic inequities, gun violence, and mental health through a data-driven, longitudinal study (2005-2021) of Milwaukee, WI, a hyper segregated metropolitan region. Our investigation aims to inform evidence-based, place-sensitive policies to promote social justice, reduce disparities, and foster healthy communities. Utilizing location-based demographic and socio-economic data from the U.S. Census, gun violence data from the Wisconsin Incident-Based Reporting System, and mental health data from the CDC's PLACES dataset, we conduct spatial and temporal analyses and geovisualization in GIS. To understand trends and correlations, we conduct time series decomposition, Mann-Kendall trend tests, and entropy statistics. Our findings indicate that racially segregated neighborhoods experience higher rates of gun violence and poorer mental health outcomes. Predominantly African American neighborhoods exhibit patterns of "consecutive," "sporadic," and "new" hotspots of gun violence, while predominantly white neighborhoods are characterized as "cold spots." Physical and mental health disparities in Milwaukee indicate similar patterns. The results of this study highlight the profound impact of historical and systemic socioeconomic discrimination on contemporary public health issues.

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来源期刊
Journal of Urban Health-Bulletin of the New York Academy of Medicine
Journal of Urban Health-Bulletin of the New York Academy of Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
3.00%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Journal of Urban Health is the premier and authoritative source of rigorous analyses to advance the health and well-being of people in cities. The Journal provides a platform for interdisciplinary exploration of the evidence base for the broader determinants of health and health inequities needed to strengthen policies, programs, and governance for urban health. The Journal publishes original data, case studies, commentaries, book reviews, executive summaries of selected reports, and proceedings from important global meetings. It welcomes submissions presenting new analytic methods, including systems science approaches to urban problem solving. Finally, the Journal provides a forum linking scholars, practitioners, civil society, and policy makers from the multiple sectors that can influence the health of urban populations.
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