@article{ref1,
title="Association between youth homicides and state spending: a Chicago cross-sectional case study",
journal="BMJ open",
year="2022",
author="Mason, Maryann and McLone, Suzanne and Monuteaux, Michael C. and Sheehan, Karen and Lee, Lois K. and Fleegler, Eric W.",
volume="12",
number="1",
pages="e052933-e052933",
abstract="OBJECTIVE: To identify contributing factors associated with rapid spikes and declines in Chicago youth homicide from 2009 to 2018. SETTING: City of Chicago, Illinois, US 2009-2018. PARTICIPANTS: Homicide count data come from the National Violent Death Reporting System. The study included information on 2271 homicide decedents between the ages of 15 and 24 who died between 1 January 2009 and 31 December 2018. Of these decedents, 92.9% were male; 79.1% were non-Hispanic black; and 94.9% died from a firearm injury. PRIMARY AND SECONDARY OUTCOME MEASURES: (A) Temporal shifts in monthly homicide rates and (B) temporal associations between social, environmental and economic conditions/events and fluctuations in homicides. <br><br>RESULTS: We found statistically significant shifts in homicide rates over time: a 77% rise in monthly youth homicide rates per 100 000 persons from 2015 to 2016 (4.3 vs 7.5); dropping back to pre-2015 rates (4.3) by mid-2017. There was a temporal co-occurrence between the rapid rise in youth homicides and absence of a state budget. Conversely, we found a temporal co-occurrence of the sharp decline in homicides with the reinstatement of a state budget. Adjusting for seasonality, we found death rates were greater in the months without a budget compared with months with a budget (1.48, 95% CI 1.29 to 1.70). <br><br>CONCLUSIONS: Our findings suggest that state funding may be a potential protective factor against youth homicide.<p /> <p>Language: en</p>",
language="en",
issn="2044-6055",
doi="10.1136/bmjopen-2021-052933",
url="http://dx.doi.org/10.1136/bmjopen-2021-052933"
}