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Risk and protective factors for adolescent assault-related injuries / Xiuyuan Zhang.

LIBRA Diss. POPM2011.139
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LIBRA L001 2011 .Z63
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Format:
Book
Manuscript
Thesis/Dissertation
Author/Creator:
Zhang, Xiuyuan.
Contributor:
McDermott, Paul A., 1945- advisor.
University of Pennsylvania.
Language:
English
Subjects (All):
Penn dissertations--Education.
Education--Penn dissertations.
Local Subjects:
Penn dissertations--Education.
Education--Penn dissertations.
Physical Description:
ix, 73 pages ; 29 cm
Production:
2011.
Summary:
A critical public health issue arises as injuries have become the leading killer of young people in the United States. The present study investigated the contributions of neighborhood characteristics and individual-level variables in predicting adolescents' risk of being injured by interpersonal assaults. In addition to previous census-based neighborhood indicators, concentrated disadvantage, immigrant concentration, and residential stability, which have been studied extensively, the present study included dimensions retrieved from city-archival data, i.e. social distress and structural decline, to indicate more comprehensive neighborhood sociological and structural characteristics. Individual-level control variables included age, gender, peer relations, consumption of alcohol and drugs, history of carrying a weapon, and being in school. The participants were recruited in a population-based case-control study in Philadelphia. The case subjects were adolescents hospitalized for emergency treatment for injuries induced by interpersonal assaults. The control subjects were recruited from the city using random digit dialing. Firth logistic regression estimated through penalized maximum likelihood method was ultimately conducted to mitigate biases caused by quasi-complete separation of data points and the relatively small sample size. Results show that previous victimization to interpersonal assaults was a significant predictive risk factor. Adolescents having been previously injured were much more likely to become victims again. It indicates that interpersonal assaults are not simply isolated events but may be structured with certain underlying patterns. Pertinent preventive interventions can be designed and administered to target on protecting adolescent victims from frequent encounter of interpersonal assaults.
Notes:
Adviser: Paul A. McDermott.
Thesis (Ph.D. in Education) -- University of Pennsylvania, 2011.
Includes bibliographical references.

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