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PEDIATRICS Vol. 106 No. 4 Supplement October 2000, pp. 949-953

Exposure to Violence Among Urban School-Aged Children: Is It Only on Television?

Received Mar 17, 2000; accepted Jun 29, 2000.

Oscar H. Purugganan, Ruth E. K. Stein, Ellen Johnson Silver, and Blanche S. Benenson

From the * Department of Pediatrics, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, New York.

Objective.  To measure exposure to different types of violence among school-aged children in a primary care setting.

Design.  Child interviews using an instrument measuring 4 types of exposure (direct victimization, witnessing, hearing reports, media). Violent acts measured include being beaten up, chased/threatened, robbed/mugged, stabbed/shot, killed.

Setting.  Pediatric primary care clinic of large urban hospital.

Patients.  Convenience sample of 175 children 9-12 years old and their mothers. A total of 53% of the children were boys, 55% were Hispanic, and 40% received public assistance.

Results.  All children had been exposed to media violence. A total of 97% (170/175) had been exposed to more direct forms of violence; 77% had witnessed violence involving strangers; 49% had witnessed violence involving familiar persons; 49% had been direct victims; and 31% had witnessed someone being shot, stabbed, or killed. Exposure to violence was significantly associated with being male.

Conclusion.  Most school-aged children who visited a pediatric primary care clinic of a large urban hospital had directly experienced violence as witnesses and/or victims.  Key words:  exposure to violence, witness to violence, victims of violence, school-aged children, urban, pediatric primary care clinic.




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