The 130th Annual Meeting of APHA

Abstract #45647

Joyce Lee-Ibarra, MS¹, Joel A. Fein, MD¹, Elizabeth M. Datner, MD², Rex Huang¹, and Kenneth Ginsburg, MD, MSEd¹. (1) Division of Emergency Medicine, Children's Hospital of Philadelphia, 34th St. & Civic Center Blvd, Philadelphia, PA 19104, 215-590-1944, ibarra@email.chop.edu, (2) Department of Emergency Medicine, University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104

Purpose: To determine if differences exist by capture status and by gender for youth that consent to home-based, youth-violence prevention interventions. Methods: Analysis was conducted of participants who consented over an 11-month period to possible home-based transitional counseling after presenting to the emergency department at a children's hospital or adult academic hospital with intentional injuries (excluding child abuse or domestic violence). Participants, ages 8-24 and residing in one of 8 zip codes, were stratified and assigned "scores" according to number of violence-related risk behaviors. Comparisons were made: (a) between intervention enrollees who received at least one home visit vs none; and (b) by gender. Results: 51 males (69.9%) and 22 females (30.1%) were included. 31 enrollees (42.5%) received at least one home visit, and 38 (52.1%) received no visit. The average risk behavior score for the group was 3.32 (range: 1-9). Enrollees that received at least one home visit had an average risk score of 3.32; those that had no home visit averaged 3.42. Male enrollees had an average risk score of 3.20, while female enrollees averaged 4.27. Conclusions: With regard to violence-related risk behavior, youth who received at least one home visit did not differ from youth that refused home visits or could not be contacted. This suggests that youth that fail to receive home-based interventions do not demonstrate more risk behaviors than youth that agree to such services. Female enrollees demonstrate more violence-related risk behaviors than males, suggesting that identified females may be in particular need of intervention.

Learning Objectives: At the conclusion of the session, the participant in this session will be able to

(
• Describe a procedure by which enrollees in youth violence intervention programs may be stratified according to risk behaviors. (
• Assess the role of violence-related risk behaviors and of gender in determining the capture status of enrollees in home-based violence interventions. (
• Generate hypotheses regarding differences in capture rates for home-based violence interventions.

Keywords: Youth Violence, Violence Prevention

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.