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. 2004 Oct;10(5):287–291. doi: 10.1136/ip.2004.005793

Urban youths' perspectives on violence and the necessity of fighting

S Johnson 1, S Frattaroli 1, J Wright 1, C Pearson-Fields 1, T Cheng 1
PMCID: PMC1730136  PMID: 15470008

Abstract

Objectives: To assess youth perceptions of the causes and consequences of violence generally, the causes and consequences of fighting specifically, and to determine how best to approach fighting in the context of violence prevention activities.

Methods: Thirteen structured focus group interviews with youths from three high violence urban settings: a large, urban high school, a training center for disadvantaged youths, and a school for adjudicated youths. Participants were 120 urban, predominately African-American youths and young adults ages 14–22 years (mean: 17.2 years). Seven focus groups were conducted with females, and six with males.

Results: Adolescents identified the causes of violence on multiple levels including: individual, family, interpersonal, and community level factors. Most youths (89%) had been in a physical fight. Participants felt that fighting was not "right", but identified situations in which it was necessary. Specifically, fighting was used as a problem solving tool, and could prevent escalation of violence. Youths felt that the adults in their lives, including physicians, were generally ill equipped to give advice about violence, as adults' experiences were so removed from their own. Participants looked to experienced role models to offer problem solving and harm reduction strategies. Youths were open to receiving anticipatory guidance about violence and fighting from primary care physicians they felt comfortable with, and who showed respect for their experiences.

Conclusions: Interventions that include blanket admonitions against fighting should be reassessed in light of youth perceptions that fighting plays a complex role in both inciting and preventing more serious violence.

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Selected References

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  1. Cheng T. L., Wright J. L., Fields C. B., Brenner R. A., O'donnell R., Schwarz D., Scheidt P. C. Violent injuries among adolescents: declining morbidity and mortality in an urban population. Ann Emerg Med. 2001 Mar;37(3):292–300. doi: 10.1067/mem.2001.111763. [DOI] [PubMed] [Google Scholar]
  2. Cheng Tina L., Schwarz Donald, Brenner Ruth A., Wright Joseph L., Fields Cheryl B., O'Donnell Regina, Rhee Peter, Scheidt Peter C. Adolescent assault injury: risk and protective factors and locations of contact for intervention. Pediatrics. 2003 Oct;112(4):931–938. doi: 10.1542/peds.112.4.931. [DOI] [PubMed] [Google Scholar]
  3. Dowd M. D., Seidel J. S., Sheehan K., Barlow B., Bradbard S. L. Teenagers' perceptions of personal safety and the role of the emergency health care provider. Ann Emerg Med. 2000 Oct;36(4):346–350. doi: 10.1067/mem.2000.109338. [DOI] [PubMed] [Google Scholar]
  4. Grunbaum Jo Anne, Kann Laura, Kinchen Steven A., Williams Barbara, Ross James G., Lowry Richard, Kolbe Lloyd. Youth risk behavior surveillance--United States, 2001. MMWR Surveill Summ. 2002 Jun 28;51(4):1–62. [PubMed] [Google Scholar]
  5. Mazza J. J., Reynolds W. M. Exposure to violence in young inner-city adolescents: relationships with suicidal ideation, depression, and PTSD symptomatology. J Abnorm Child Psychol. 1999 Jun;27(3):203–213. doi: 10.1023/a:1021900423004. [DOI] [PubMed] [Google Scholar]
  6. McGee Z. T., Davis B. L., Brisbane T., Collins N., Nuriddin T., Irving S., Mutakkabir Y., Martin K. Urban stress and mental health among African-American youth: assessing the link between exposure to violence, problem behavior, and coping strategies. J Cult Divers. 2001 Fall;8(3):94–104. [PubMed] [Google Scholar]
  7. O'Keefe M. Adolescents' exposure to community and school violence: prevalence and behavioral correlates. J Adolesc Health. 1997 May;20(5):368–376. doi: 10.1016/S1054-139X(97)80131-0. [DOI] [PubMed] [Google Scholar]
  8. Redeker N. S., Smeltzer S. C., Kirkpatrick J., Parchment S. Risk factors of adolescent and young adult trauma victims. Am J Crit Care. 1995 Sep;4(5):370–378. [PubMed] [Google Scholar]
  9. Rich J. A., Stone D. A. The experience of violent injury for young African-American men: the meaning of being a "sucker". J Gen Intern Med. 1996 Feb;11(2):77–82. doi: 10.1007/BF02599582. [DOI] [PubMed] [Google Scholar]
  10. Schwab-Stone M., Chen C., Greenberger E., Silver D., Lichtman J., Voyce C. No safe haven. II: The effects of violence exposure on urban youth. J Am Acad Child Adolesc Psychiatry. 1999 Apr;38(4):359–367. doi: 10.1097/00004583-199904000-00007. [DOI] [PubMed] [Google Scholar]
  11. Sheehan Karen, Kim Lynn E., Galvin John P., Jr Urban children's perceptions of violence. Arch Pediatr Adolesc Med. 2004 Jan;158(1):74–77. doi: 10.1001/archpedi.158.1.74. [DOI] [PubMed] [Google Scholar]

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