Cited by 44Gun Ownership and Violence ResearchCrime Patterns and InterventionsSuicide and Self-Harm Studies

Changes in Attitudes toward Guns and Shootings following Implementation of the Baltimore Safe Streets Intervention

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Milam, Adam J., Buggs, Shani A., Furr-Holden, C. Debra M., Leaf, Philip J., Bradshaw, Catherine P., Webster, Daniel·2016·Journal of Urban Health

Abstract

Among youth 15 to 24 years of age, homicide and nonfatal shootings are the leading causes of mortality and morbidity. Urban youth's attitudes and perceptions about the use of gun violence to resolve conflict present a major barrier to efforts to reduce gun homicides and nonfatal shootings. The current investigation extends the existing literature on attitudes toward guns and shootings among high-risk youth ages 18 to 24 by measuring perceived norms and viewpoints regarding gun violence in two analogous Baltimore City neighborhoods pre-implementation and 1-year post-implementation of the Safe Streets intervention (adapted from the CeaseFire/Cure Violence intervention). The Safe Streets intervention is designed for communities with high rates of gun violence and utilizes outreach workers to identify and build trusting relationships with youth ages 15 to 24 who are at greatest risk of being involved in gun violence. The outreach workers also position themselves in the community so that they can rapidly intervene in disputes that have the potential to lead to gun violence. Chi-squared tests and exploratory structural equation modeling (ESEM) were used to examine changes in attitudes toward gun violence 1 year after the implementation of the Safe Streets intervention. There was a statistically significantly improvement in 43 % of the attitudes assessed in the intervention community post-intervention compared to 13 % of the attitudes in the control community. There was a statistically significant improvement in the violent attitudes toward personal conflict resolution scale after implementation of the intervention in both the intervention (b = -0.522, p < 0.001) and control community (b = -0.204, p < 0.032). Exposure to the intervention (e.g., seeing stop shooting signs in your neighborhood) was also associated with the nonviolent attitudes toward conflict scale. Overall, the study found greater improvement in attitudes toward violence in the intervention community following the implementation of the Safe Streets program. These findings offer promising insights into future community violence prevention efforts.

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  • Community interventions involving violence interrupters and outreach workers appear to be an effective means of reducing violent crime through conflict mediation without reliance on police or criminal legal intervention.

    “Community interventions involving ' violence interrupters ' and outreach workers also appear to be an effective means of reducing violent crime through con fl ict mediation without reliance on police or criminal legal intervention (Cerd á et al., 2018; Milam et al., 2016; Webster et al., 2013).”

    From A call to dismantle systemic racism in criminal legal systems. (2022) · cites this paper as Milam et al., 2016

    The Introduction (p. 3) describes outreach workers intervening in disputes and reports prior evaluations associating Cure Violence and Safe Streets with reduced shootings and homicides. The Safe Streets Intervention section (p. 5) documents conflict mediations, but this paper measures attitudes rather than demonstrating that mediation caused a reduction in violent crime. It also does not establish that the intervention operated without reliance on police or criminal legal intervention. (LLM, conf=0.84)

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Authors
Milam, A. J., Buggs, S. A., Furr-Holden, C. D. M., Leaf, P. J., Bradshaw, C. P., & Webster, D.
Affiliations
Johns Hopkins University (US)
Corresponding author
Milam, Adam J.
Venue
Journal of Urban Health
Published
2016-06-13
Volume
93
Issue
4
Pages
609-626
ISSN
  • 0028-7091 (ISSN-L)
  • 1099-3460
  • 1468-2869
OpenAlex
W2422974035
Cited by
44
References
2
Citations by year
2026: 4 · 2025: 1 · 2023: 1 · 2022: 7 · 2021: 19 · 2020: 3 · 2019: 5 · 2018: 3 · 2016: 1
FWCI
3.44
Type
journal article
Language
en
Open access
Locations
  • Journal of Urban Health (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
Centers for Disease Control and Prevention (1U01CE001954-01A1)
Topics
  • Social Sciences › Health › Gun Ownership and Violence Research
  • Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Keywords
gun violence, juvenile homicide, community violence prevention, outreach workers, conflict resolution, urban youth, Baltimore, intervention exposure
MeSH terms
Adolescent, Attitude, Firearms, Homicide, Humans, Male, Public Policy, Surveys and Questionnaires, Safety, Violence, Baltimore, Young Adult

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