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Mental health problems due to community violence exposure in a small urban setting
  1. Faraz Ahmad1,
  2. Jim Medder2,
  3. Jenenne Geske3,
  4. Jannette Taylor4 and
  5. Ruth Margalit5
  1. 1. Case Western University, School of Medicine, 2109 Adelbert Rd, Cleveland, OH 44106, USA
  2. 2. UNMC Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198-3075, USA
  3. 3. UNMC College of Medicine, 985520 Nebraska Medical Center, Omaha, NE 68198-5520, USA
  4. 4. Creighton University, School of Law, 2500 California Plaza, Omaha, NE 68178, USA
  5. 5. UNMC College of Public Health, 984355 Medical Center, Omaha, NE 68198-4355, USA
  1. Corresponding Author: Faraz Ahmad, MD Case Western University, School of Medicine, 2109 Adelbert Rd, Cleveland, OH 44106, USA Tel.: +1-402-3215424 E-mail: fxa117{at}


Objective Studies conducted in large metropolitan inner-city communities with high violent crime rates have demonstrated an association between exposure to violence and mental health problems; therefore the purpose of this study was to determine if similar trends exist in smaller inner-city communities with substantially lower violent crime rates.

Methods One hundred twenty-six children and young adults living in inner-city Omaha, Nebraska, were screened for posttraumatic stress disorder (PTSD), depression, and anxiety symptoms and assessed for community violence exposure (CVE). Pearson’s correlation and analysis of variance were used to determine the relationship between PTSD, depression, and anxiety symptoms and CVE.

Results A statistically significant relationship was found between CVE and PTSD and anxiety symptoms among participants despite their having lower rates of exposure to violent events in comparison with other studies. No association was found between violence and depression symptoms. Additionally, the presence of anxiety and depression, as well as increased age of participants, was associated with higher rates of PTSD symptoms.

Conclusion We recommend that health care providers in smaller cities, where the effects of violent crime may be underestimated or overlooked, be informed of the existence of this public health problem within their community and that they screen at-risk patients for mental health problems.

  • Community violence
  • inner city
  • posttraumatic stress disorder
  • depression
  • anxiety

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