The Association Between Social Support, Violence, and Social Service Needs Among a Select Sample of Urban Adults in Baltimore City

Experiencing violence has been associated with negative health outcomes. The objectives of this study were to determine whether experiencing violence is associated increased support service needs and suboptimal general health indicators. In addition, we explore the relationship between these and per...

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Vydáno v:Journal of community health Ročník 45; číslo 5; s. 987 - 996
Hlavní autoři: Chandran, Aruna, Long, Amanda, Price, Ashley, Murray, Jeannie, Fields, Errol L., Schumacher, Christina M., Greenbaum, Adena, Jennings, Jacky M.
Médium: Journal Article
Jazyk:angličtina
Vydáno: New York Springer US 01.10.2020
Springer Nature B.V
Témata:
Adult
Adults
Aggression
Assaults
Baltimore
Clinical outcomes
Community and Environmental Psychology
Cross-Sectional Studies
Demonstration Programs
Drug use
Ethics
Gender
Gender aspects
Gender identity
Health Conditions
Health indicators
Health Promotion and Disease Prevention
Health status
HIV
Housing
Human immunodeficiency virus
Humans
Medical treatment
Medicine
Medicine & Public Health
Mental health
Mental health services
Needs
Optimization
Original Paper
Perceived social support
Prevention programs
Preventive medicine
Regression models
Self concept
Social interactions
Social services
Social Support
Social Work
Substance abuse
Substance use
Support services
Urban areas
Urban population
Urban Population - statistics & numerical data
Urban populations
Victimization
Violence
Violence - statistics & numerical data
Baltimore
United States > US
Baltimore Maryland
Social needs
Violence
Urban health
Social support
ISSN:0094-5145, 1573-3610, 1573-3610
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Shrnutí:Experiencing violence has been associated with negative health outcomes. The objectives of this study were to determine whether experiencing violence is associated increased support service needs and suboptimal general health indicators. In addition, we explore the relationship between these and perceived social support among a select sample of urban predominantly male adults in Baltimore City. A cross-sectional survey was conducted among 187 adults being seen in one of seven urban partner agencies participating in a parent HIV prevention and treatment demonstration project. Associations were examined using a multivariable logistic regression model, adjusting for the clinic site at which the client was being seen as well as age and gender identity. There was a significant amount of violence experienced by this population; 131 (72%) reported having seen someone be physically assaulted, and 89 (49%) had been physically assaulted without a weapon. Direct victimization from violence was associated with a threefold increased odds of needing housing and mental health/substance use services. Exposure to violence was associated with a threefold increase in needing housing and mental health/substance use services, and with sub-optimal health status. Perceived social support was associated with 30% decreased reports of experiencing violence. In conclusion, our select sample of urban adults report having experienced high rates of violence, and this is associated with increased support service needs as well as suboptimal perceived health status. Incorporating care for the effects of experiencing violence as well as social service needs are important in optimizing the health of urban populations.
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SourceType-Scholarly Journals-1
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ISSN:0094-5145
1573-3610
1573-3610
DOI:10.1007/s10900-020-00817-9