PROTECTIVE FACTORS RELATED TO COMMUNITY VIOLENCE EXPOSURE Lisa De La Rue B.A., California State University, Sacramento, 2005 THESIS Submitted in partial satisfaction of the requirements for the degree of MASTER OF ARTS in PSYCHOLOGY at CALIFORNIA STATE UNIVERSITY, SACRAMENTO SUMMER 2010 © 2010 Lisa De La Rue ALL RIGHTS RESERVED PROTECTIVE FACTORS RELATED TO COMMUNITY VIOLENCE EXPOSURE ii A Thesis by Lisa De La Rue Approved by: __________________________________, Committee Chair Gregory Kim-Ju, Ph.D __________________________________, Second Reader Lawrence Meyers Ph.D __________________________________, Third Reader Gregory Mark, Ph.D Date:_____________________________ iii Student: Lisa De La Rue I certify that this student has met the requirements for format contained in the University format manual, and that this thesis is suitable for shelving in the Library and credit is to be awarded for the thesis. __________________________, Graduate Coordinator Jianjian Qin, Ph.D Department of Psychology iv ___________________ Date Abstract of PROTECTIVE FACTORS RELATED TO COMMUNITY VIOLENCE EXPOSURE by Lisa De La Rue An increasing number of communities have been plagued with greater levels of violence, which, in turn, have negatively impacted youth. Exposure to community violence can lead to internalizing problems, aggressive and delinquent behaviors and academic difficulties for youth. Youth are forced to deal with violence in their communities which impacts routines such as going to and from school, creating additional burdens and complicating their ability to navigate through the educational system. Social support has been demonstrated to aid in resiliency for youth exposed to violence. In the present study one hundred fifty nine high school youth were surveyed. Those students who were exposed to higher levels of violence experienced greater levels of internalizing behaviors, externalizing behaviors and academic difficulties. Support for social support as a protective factor had mixed results. _______________________, Committee Chair Gregory Kim-Ju, Ph.D. _______________________ Date v ACKNOWLEDGEMENTS I would like to thank my thesis chair, Dr. Greg Kim-Ju and my committee members, Dr. Larry Meyers and Dr. Greg Mark for their support throughout the writing on this thesis. I appreciate the opportunity Dr. Kim-Ju gave me to pursue research with this population, I am eager to take what I have learned during this process as I move forward with my research. I would also like to acknowledge Dr. Meyers for all his support during my time at Sac State. Dr. Meyers encouraged me to push myself in learning new skills and analytic techniques and I know this competence will continue to serve me well in the future. I would also like to thank Dr. Rebecca Cameron for her support during my undergraduate years. She provided support and encouragement and was always a positive role model. I am very grateful for all my years at Sac State and for the entire faculty. I feel prepared to move on with my education and am confident that I can be successful due to the skills I have gained during my time here. vi TABLE OF CONTENTS Page Acknowledgements ..................................................................................................... vi List of Tables ............................................................................................................ viii Chapter 1. INTRODUCTION .............................................................................................. 1 Community Violence ....................................................................................... 2 Level of Exposure to Violence ........................................................................ 3 2. LITERATURE REVIEW ....................................................................................... 7 Consequences of Violence Exposure ................................................................ 7 Resiliency and Protective Factors ................................................................... 16 Summary ....................................................................................................... 23 3. THE PRESENT STUDY ….............. ....................................................................25 Hypotheses .................................................................................................... 25 Method .......................................................................................................... 26 4. RESULTS ….............. ...........................................................................................32 5. DISCUSSION ….............. .....................................................................................48 6. CONCLUSION ….............. ...................................................................................54 Footnotes ........ .......................................................................................................... 55 References ................................................................................................................... 56 vii LIST OF TABLES Page 1. Table 1 Means and Standard Deviations …………………………………….. 34 2. Table 2 Intercorrelations for High School Youth Exposed to Community Violence ……………………………….…………………...... 35 3. Table 3 Regression Analysis for Variables Predicting Externalizing Behaviors …….………….…………….………………………. 37 4. Table 4 Regression Analysis for Variable Predicting Internalizing Behaviors ………………………….…………………….....……38 5. Table 5a Multivariate and Univariate Analysis of Variance by Academic Outcomes by Level of Victimization of Violence…………………………….. 39 6. Table 5b Means Scores and Standard Deviations for Measures as a function of Academic Outcomes and Victimization of Violence ……………………..... 40 7. Table 6a Multivariate and Univariate Analysis of Variance by Academic Outcomes by Level of Witnessing Violence ……………………………….. 41 8. Table 6b Means Scores and Standard Deviations for Measures as a function of Academic Outcomes and Witnessing Violence……….…………………........ 42 9. Table 7a Multivariate and Univariate Analysis of Variance by Gender ........... 44 10. Table 7b Mean Scores and Standard Deviations for Measures as a Function of Gender ……………………………………………………… 45 11. Table 8a Multivariate and Univariate Analysis of Variance by Generation..... 46 12. Table 8b Mean Scores and Standard Deviations for Measures as a Function of Generation…………………………………………………... 47 viii 1 Chapter 1 INTRODUCTION The makeup of the family structure, the communities in which people live, and the issues that schools deal with today in the United States are vastly different compared to ten and twenty years ago. There have been positive changes that have helped youth succeed, schools prosper and communities build stronger foundations. For example, schools have implemented programs to increase graduation rates, improve test scores, and reduce alcohol and substance abuse. However, there have also been negative changes in schools and communities that have raised a new set of concerns for the youth of today. In particular, an increasing number of communities have been plagued with greater levels of violence, which, in turn, have negatively impacted youth. Research has shown that exposure to community violence can lead to internalizing problems, aggressive and delinquent behaviors and academic difficulties for youth (Henrich, Schwab-Stone, Fanti, Jones, & Ruchkin, 2004; Lambert, Ialong, Boyd, & Cooley, 2005; Muller, Goebel-Fabbri, Diamond, & Dinklage, 2000). Youth are forced to deal with violence in their communities which impacts routines such as going to and from school, creating additional burdens and complicating their ability to navigate through the educational system. Yet, despite these conditions, many young individuals continue to be successful in school, especially when protective factors such as social support and parental involvement are in place to buffer these negative experiences. This study examines the role of protective factors in relation to community violence exposure. The 2 following reviews what community violence is and how prevalent it is with today’s youth. This review furthermore explores the consequences and risks of exposure to violence and the role of protective factors such as social support against such exposure. Community Violence Community violence is defined as events involving crime, weapons use, violence or potential violence that occur in local neighborhoods and are perpetrated by people outside of the immediate family (Horowitz, McKay & Marshall, 2005). These acts occur in neighborhoods in which youth live and work and are often viewed as deliberate acts intended to cause harm (McCart, Smith, Saunders, Kilpatrick, Resnick & Ruggiero, 2007). These acts may be directed at youth, youth may witness these acts, or, in some cases, youth may be both a victim and a witness to these acts. There are also instances when youth are perpetrators and engage in violent acts directed towards other youth or adults. Research shows that community violence creates an environment of constant danger and complicates ongoing safety concerns that it puts youth living in these environments at greater risk to witness or be a victim of violence (Horowitz et al., 2005). While some parents may attempt to shield their children from these experiences, it is difficult to consistently protect youth in high-risk areas. Youth violence is the second leading cause of death for young people in the United States. In 2006, nearly 6,000 young people between the ages of 10-to-24 were murdered, an average of 16 people per day (CDC, 2009). Deaths resulting from violence are only a part of the problem; many more young people will be injured as a result of violence-related concerns. There were over 631,000 violence-related injuries in young 3 people between the ages of 10-to-24 who were treated in U.S. emergency rooms in 2007 (CDC, 2009). It is important to note that the prevalence of injuries is likely to be considerably higher as many more injuries go unreported. In a nationally representative sample of 9th-12th grade youth in 2007, 35.5 percent reported being in a physical fight in the preceding 12 months and 18 percent reported carrying a weapon in the previous 30 days (CDC, 2008). In this same sample, 5.5 percent did not go to school one or more days in the previous 30 days because they felt unsafe at school or on their way to or from school (CDC, 2008). Between 1997 and 2001, the National Longitudinal Survey of Youth (NLSY97) surveyed nearly 9,000 youth between the ages of 12 and 16 and found that 27 percent of youth reported they had assaulted someone with the intent to seriously injure by the age of 17; 37 percent had vandalized property and 16 percent had carried a handgun (Snyder & Sickmund, 2006). A National Survey of Adolescents indicated that 39 percent of 12-to-17 year-olds reported having directly observed someone being shot, stabbed, assaulted, mugged, robbed or threatened with a weapon (Thompson, Proctor, Weisbart, Lewis, English, Hussey, & Runyan, 2007). Although these data are alarming, studies have shown that many youth are witnessing violence at higher rates than in previous years. Level of Exposure to Violence Both being a witness to violence and being a victim of violence forces youth to incorporate an understanding of a traumatic event into their present existence. When youth are surrounded by violence or exposed to such events repeatedly, they are forced to constantly readjust their understanding of the world in an effort to understand what they 4 are faced with. Young people who experience chronic danger are more likely to have developmental impairment, experience emotional trauma, and be socialized into a model of fear, violence and hatred. They often cope with violence exposure by adopting a persona or worldview that helps make sense of what they are experiencing, which, in turn, may be dysfunctional in any “normal” situation (Garbarino, Kostenlny, & Dubrow, 1991). Studies have made distinctions between a single violent event and ongoing exposure to violence where the latter may be seen in areas deemed as high-risk. For example, Garbarino, Kostenlny, and Dubrow (1991) make a distinction between acute and chronic danger. Acute incidents of danger are related to single traumatic events, or isolated incidents of violence. Acute incidents of danger simply require situational adjustments by normal youth leading normal lives in which they are forced to incorporate an isolated event into their understanding of self and the world (Garbarino et al. 1991). Chronic danger occurs when there is constant exposure to violence and youth are repeatedly experiencing traumatic events. These youth are consistently exposed to aggression and violence, and are repeatedly reminded of the dangers of their neighborhood or environment. With youth in these types of circumstances, whether they are perpetrators, victims, or witnesses to violence, there is a need for them to adapt to their surrounding environment. Chronic danger requires developmental adjustments in which the youth develops a representation of the world, which then provides a framework to make sense of this continuous danger (Garbarino et al. 1991). Youth may cope with this situation by adopting a different persona or worldview and then use this persona or 5 worldview to interact with their world and deal with the danger to which they are constantly exposed. One potential consequence of this persona may be that it becomes dysfunctional in any “normal” situation (Garbarino at al. 1991). For example, youth who defend themselves in the neighborhood by becoming hyper-aggressive may risk peer rejection at school where other students may not accept this aggressive nature and may avoid interactions with this youth. This chronic exposure to dangerous situations has been observed in areas with a high prevalence of community violence. This type of exposure likely leads to sustained concerns with emotional stability or with youth having problems interacting with their environment and others. Chronic levels of community violence may cause youth to act in desensitized ways as a result of personal hurt and loss (Farrell & Bruce, 1997). This type of adaptation becomes a concern as youth begin to lose sight of the negative implications that violence can have. In turn, these youth continue to engage in behaviors that encourage repeated exposure to violence and may, therefore, prevent youth from engaging in alternate behaviors that may actually prevent continued exposure to violence. It should be noted that some studies suggest that youth do not become desensitized to community violence through repeated exposure (Mc Cart, Smith, Saunders, Kilpatrick, Resnick, & Ruggiero, 2007). Studies reaching this conclusion were based on findings that showed youth exhibiting lower levels of emotional distress even with increased exposure to violence (McCart, et al., 2007). However, other studies have demonstrated that an increased level of violence exposure leads to higher levels of emotional distress (Farrell & Bruce, 1997; Gargino, Kostenlny & Dubrow, 1991; Lynch, 6 2003). These mixed results suggest factors that serve to protect youth against community violence may not have been accounted for in both types of studies. For instance, parental emotional availability and encouragement for children to talk about traumatic events have been shown to reduce youth distress (McCart et al., 2007); factors such as this may have been excluded from these studies, thus preventing an understanding of potential mediating influences. Whether youth are experiencing isolated incidents of violence or chronic levels of exposure, there are potential emotional as well as behavioral consequences. In addition, there are potential implications on the level of engagement in school and the academic performance of students. The following examines consequences youth may experience with community violence exposure. 7 Chapter 2 LITERATURE REVIEW Consequences of Violence Exposure Research shows that exposure to violence may affect the cognitive and social development of youth in different ways and compromise their physical and mental health. Encounters with violence are inherently stressful and are likely to result in a heightened sense of arousal, hypervigilance and concentration difficulties that persist over time (Mrug, Loosier & Windle, 2008). Adolescents are at a time in their lives when they are learning to navigate their world and to engage in social relationships. Exposure to community violence forces youth to try to make sense of these events and deal with these experiences when they are still developing socially and emotionally. In the midst of trying to navigate their emotional and cognitive well-being, exposure to violence creates additional demands that can have implications for their psychological adjustment. These events may challenge their emotional and cognitive growth and interfere with the development of selfregulation, or the ability to control their attention, emotions and behaviors (Mrug et al., 2008). Being a victim or witness to violence is likely to undermine youth’s sense of security, making it difficult for them to establish secure relationships and to participate in developmentally healthy activities (Mrug et al., 2008). Violence exposure may cause youth to question the world in which they live and the people with whom they interact, preventing them from being comfortable building or maintaining healthy relationships. 8 Violence exposure may furthermore compromise the confidence of youth as they attempt to navigate the world around them. Developing confidence in one’s ability to solve problems and build relationships contributes to a belief that social settings are comprehensible, manageable and responsive to one’s needs (Nash, 2002). Thus, when exposure to violence threatens the ability to solve problems and develop relationships with people in the community, youth are at risk of having a compromised sense of security. These concerns also have potential implications for mental health and emotional well-being. These consequences can be separated into internalizing and externalizing behaviors. Internalizing Behaviors Exposure to violence has been shown to have adverse effects on mental health and emotional stability (Farrell & Bruce, 1997; Thompson et al., 2007). Depression, anxiety and Post Traumatic Stress Disorder (PTSD) symptomology have been noted as consequences of violence exposure (Horowitz, McKay, Marshall, 2005; Scarpa & Haden, 2006; Lambert, Ialong, Boyd, & Cooley, 2005; Patchin, Huebner, McCluskey, Varano & Bynum, 2003). Research has also linked violence exposure to substance abuse, poor peer relationships, and higher rates of juvenile delinquency (Thompson at el., 2007). Farrell and Bruce (1997) have reported that exposure to high levels of violence can result in higher levels of depression for youth such as stress and feelings of grief after exposure to violence. Other research has found significant relationships between the levels of violence exposure and overall distress, including symptoms of intrusive thoughts, nervousness, loneliness, sleep problems, and worrying (Martinez & Richters, 9 1993). Not surprisingly, for youth exposed to violence, internalizing and externalizing behaviors frequently co-occur (Lambert et al., 2005). Externalizing Behaviors Externalizing behaviors such as aggression and antisocial behaviors have frequently been noted as consequences to violence exposure (Bailey, Hannigan, DelaneyBlack, Covington & Sokol, 2006; Rosenfeld, Richman, Bowen, & Wynns, 2006). Aggressive behaviors such as fighting or yelling are forms of externalizing behaviors. Lynch (2003) found a positive correlation between violence exposure and incidents of aggressive behavior in a sample of 5th through 10th graders. Some studies have noted exposure to community violence may result in learned aggressive behaviors (Patchin, Huebner, McCluskey, Varano & Bynum, 2006). The use of aggressive situational responses, such as carrying a weapon as a means of self-defense, can be viewed as a “learned response” to deal with violence (Patchin et al., 2006). This “learned response” may additionally serve as a dysfunctional approach in other situations. Youth may adapt an aggressive approach in an effort to deal with the experiences they face in their neighborhood. This approach may function relatively well in the context of that neighborhood, however, this aggressive approach is likely to be maladaptive in other environments such as school or with family. Additionally, those who adopt this aggressive approach may invite others to act aggressively towards them. Aggressive behaviors are not the only behaviors that youth exposed to community violence may develop. Many youth also engage in delinquent behaviors. Delinquent acts include behaviors such as getting into fights, attacking people, stealing, being involved in 10 drugs, and carrying a firearm (Office of Applied Studies, 2005). Aggression can be viewed as a more general description, while delinquency often refers to antisocial behaviors adolescents engage in that are often illegal and are a focus of juvenile justice agencies. The National Survey on Drug Use and Health estimates that 9 million or 36 percent of youth between the ages 12-to-17 had engaged in at least one delinquent behavior in the past year (Office of Applied Studies, 2005). Frequently youth who engage in aggressive behaviors also engage in delinquent acts, and often these behaviors are carried out at school, a point to which I now focus on. Violence and the School Experience While there has been a wide array of research exploring the impact that violence has on emotional well-being and development for children, the specific consequences on school achievement has not been explored in the same depth. The violence that is seen in the community is not isolated to neighborhoods or homes. This violence also manifests at school. In a survey of New York City high school students, 36 percent reported being threatened with physical harm at school during the preceding school year (O’Donnell, Schwab-Stone & Muyeed, 2002). Several national and regional large-sample studies have found that as many as one-third of junior high and high school youth have been threatened with physical harm at school (O’Donnell et al., 2002). These studies show that the violence that once seemed to be isolated in surrounding neighborhoods has found a place in schools. When adolescents are forced to deal with violence in their neighborhoods and their schools, there are implications for their education. According to a 1995 national 11 survey by the National Teens Crime and Community program, between 25 and 42 percent of 2,023 public, private and parochial school students in grades 7 through 12 reported feeling unsafe in their neighborhoods, schools and on their way to and from school (Bowen & Bowen, 1999). In the same manner that feeling unsafe at school may lead to students missing class, feeling unsafe in one’s neighborhood may prevent students from going to school. Students who are afraid to go to school are more likely to cut classes. Absences from school and feelings of fear may impact academic achievement (Henrich, Schwab-Stone, Fanti, Jones, Ruchkin, 2004). In addition to missing school, students who have been exposed to violence in the community utilize cognitive resources to deal with traumatic events and may consequently have fewer resources available to be successful in school. Students who witness more types of violence tend to under perform academically compared to those who witness less violence (Henrich, Schwab-Stone, Fanti, Jones, & Ruchkin, 2004). In such cases increased exposure results in lower educational outcomes (Thompson at el, 2007) and lower grades (Solberg, Carlstrom, Howard & Jones, 2007). Students who have their mind on other events have difficulty devoting their attention to school. Evidence suggests that students themselves believe crime and violence impact school performance, with youth from at-risk neighborhoods attributing poor performance and school-related problems to crime or the threat of crime (Bowen & Bowen, 1999). In a national study by Bowen and Bowen (1999), 12 percent of students reported that crime had caused them to receive lower grades in school. In this same study, Bowen and Bowen (1999) found that neighborhood violence and school danger accounted for 17 percent of 12 the variance in getting into trouble at school, about 14 percent of the variance in attendance, and 5 percent of the variance in grades. Another study found that youth in the most vulnerable at-risk group for exposure to violence reported significantly lower endof-semester grades and lower retention rates compared to less vulnerable groups (Solberg, Carlstrom, Howard & Jones, 2007). School Misconduct Youth not only suffer academic consequences when exposed to violence, they also experience disruptive behaviors at school. The limited amount of evidence available suggests an association between witnessing violence and displaying trouble behaviors in school (Bowen & Bowen, 1999). In particular, students who were concerned about danger in school or violence in the neighborhood were more likely to have problematic behaviors in school and less likely to attend school as a result of fear. School misconduct is an area of concern for children who have been exposed to violence and aggressive behaviors. Involvement in aggressive behaviors in the community or home will likely carry over to similar types of behavior at school. Research has shown that neighborhood danger, especially when experienced personally, has a negative influence on attendance and school satisfaction and makes it more difficult for youth to avoid trouble (Rosenfeld et. al., 2006). Youth who are exposed to danger in their neighborhood are more likely to cut school and are also less satisfied with school. As a result these youth are less motivated to behave appropriately at school and are more likely to be disruptive and act out aggressively. 13 The relationship between community violence exposure and academic functioning appears to occur primarily through mediational pathways whereas violence exposure is linked to externalizing behaviors, which then negatively impact academic performance. Therefore, youth who are exposed to violence tend to engage in more aggressive behaviors and misconduct at school, which then prevents them from engaging in the school process and negatively impacts their ability to perform well academically. This may have a confounding effect. Research shows that even limited involvement in disruptive behaviors may lead to high-risk behaviors in the future (Barone, Weissberg, Kasprow, Voyce, Arthur & Shriver, 1995). Youth exposed to aggressive behaviors are at risk of repeating these behaviors in the future in a number of domains, for instance aggressive behaviors have been shown to be correlated with school misconduct (Barone et al., 1995). Therefore, youth exposed to aggressive behaviors outside of school may be at risk for increased problems at school. The circular nature of this scenario may lead youth to engage in more aggressive behaviors at school, which may reinforce the environment in which they have been exposed to. In addition, the constant disruption at school will likely take the student out of the classroom and away from learning. Social Cognition Theory Researchers have used the social cognition theory to explain youth violence. This theory suggests that exposure to violence increases the likelihood that youth will engage in future aggression and violence (Farrell & Bruce, 1997). This theory is supported by research showing a desensitization process with chronic exposure. That is, individuals who learn aggressive behaviors are more likely to repeat these behaviors, especially when 14 repeatedly exposed to them. As Farrell and Bruce state, “exposure to violence can teach new violent and aggressive behaviors to children and weaken children’s disinhibition about behaving aggressively” (1997, p.3). With chronic exposure to community violence, the violence and aggression observed in the environment tends to become normalized to individuals as they become used to behaving in a manner that is consistent with the immediate environment. Violence exposure and aggression may have a reciprocal relationship, where increases in violence exposure are related to increases in aggression. Scarpa and Haden (2006) asserted that aggressive individuals might be exposed to a multitude of events, such as gang membership, environmental risks, or involvement in risky situations, all of which may then cause individuals to be more likely to be victims of crime. Youth who are engaging in aggressive behaviors may be placing themselves in situations that cause them to be more likely to be exposed to even greater violence. Another potential consequence is that these youth may then be drawn to peers who are engaging in similar behaviors. Peer Relationships The social relationships in which youth are involved in plays a role in their behaviors. In deviant peer relationships, when youth become involved in peer relationships where other youth are engaging in delinquent behaviors, they are also more likely to engage in antisocial behaviors such as fighting and drug use. Adolescents’ delinquent behavior is strongly predicted by the extent to which their peers are involved in delinquent behaviors (Laird, Criss, Pettit, Dodge & Bates, 2007). Deviant peer 15 relationships have been shown to be linked to higher rates of community violence exposure and increases in antisocial behavior via modeling (Mrug et al., 2008). This type of relationship has been demonstrated to be related to poor academic performance and can lead to school disengagement, which can then have serious academic consequences such as low academic achievement (Kenny et al., 2003). Youth who become disengaged from school are less likely to be successful compared to peers who are engaged in the school process. In addition to the consequences that violence exposure can have on individual youth, the attitudes these students bring to the classroom can also impact other students. A student who is behaving aggressively in the classroom will create an environment that is difficult for other students to learn. In addition, the resources of the teacher are now being diverted to addressing this student’s behavior and taken away from learning in the classroom. It should be noted that peer relationships can also serve as a protective factor for youth. The possible role of positive peer relationships will be discussed later. Despite the ramifications of exposure to violence, many youth who are exposed to violence are still successful in school and in other domains. Research has shown a number of protective factors that can help youth be resilient in the face of these concerns. The next section investigates protective factors such as peer or family support that can aid in resiliency for youth. 16 Resiliency and Protective Factors Resilience can be defined as successful coping in specific domains, including both behavioral and emotional arenas, under conditions of high stress (O’Donnell, SchwabStone, & Muyeed 2002). Possible protective factors have been explored which may aid youth in being resilient despite exposure to violence. The family environment is one example of a protective factor against violence (O’Donnell et al., 2002). This influence is especially important when youth are younger as they spend a majority of time with their family and caretakers. Older youth may begin to spend more time with their peers, creating an additional source of support or influence. Social support can come from parents and peers, as well as extended family or other important people in a youth’s life. When exploring the possible protective role of family support it is essential to note the distinction between violence that occurs in the community setting and violence that occurs in other settings such as one’s home. Research has suggested that violence that occurs in different settings and being either a witness or a victim may be associated with different outcomes for the individual (Thompson, Proctor, Weisbart, Lewis, English, Hussey & Runyan, 2007). For example, violence that occurs at one’s home may have a different impact on individuals compared to other settings. Youth who experience family violence are often found to be at elevated risks for emotional and behavioral problems such as depression and anxiety (Mc Cart, Smith, Saunders, Kilpatrick, Resnick, & Ruggiero, 2007), whereas community violence exposure does not always carry the same level of risk. Since the youth may be living with and are often dependent on family members in what would normally be considered a safe haven, family violence may have 17 a more profound impact (Mrug, Loosier & Windle, 2008). Muller and colleagues note that several studies have examined the effects of social support on community violence but have failed to examine participants’ exposure to violence within the family (Muller, Gobel-Fabbri, Diamond & Dinklage, 2000). Taking into consideration the level of family violence is critical to better understand the unique role of social support in family violence. The intimate nature of family violence can have different impacts when compared to violence perpetrated by individuals outside of the family unit. Family violence can involve violations of trust in relationships and is often surrounded by secrecy (Muller et al., 2000). Additionally, the protective factors that may support a youth with violence in one setting may not be as useful with violence in another setting. For example, while strong ties to the family can serve as a protective factor in community violence exposure, these strong ties can have varying impacts if the violence occurs in the family, and may even serve as an additional barrier for youth in these situations. Thus, it is important to consider the setting where violence occurs to better understand the consequences of exposure. Additionally, failure to explore community violence and family violence separately may not allow for a deeper examination of the risk and protective factors, especially the role that family support may have in violence. However, there still remains great difficulty in determining the level of family violence due to the secrecy that often surrounds these events. In addition, researchers challenged with trying to gather this information are often faced with additional burdens such as privacy concerns and the potential need to report incidents of family violence to law enforcement or child protective service agencies1. 18 Social Support Social support can be defined as verbal and nonverbal communication that serves to reduce uncertainty about situations and contributes to increases in feelings of personal control (Rosenfeld, Richman, Bowen & Wynns, 2006). Social support has been shown to serve as a protective factor against violence exposure (Rosenfeld et al., 2000; Muller et al, 2000; Overstreet, Dempsey, Graham & Moley, 1999) where increased levels of support decrease the negative consequences of such exposure. Social support has also been shown to be positively related to school outcomes such as school attendance, academic performance, behavioral adjustment and school motivation (Rosenfeld, 2006). Research has demonstrated the positive impact that adult social support can have on school achievement. In a sample of urban adolescents, those youth who reported higher levels of support from family maintained more positive attitudes about the value of school and reported they were more likely to do homework, go to class and pay attention in class (Kenny et al., 2003). Another study found that higher levels of extended kinship support were related to stronger school values (Pallock & Lamborn, 2006). In particular, youths with stronger extended family support were more engaged in school, held stronger school values and had higher school aspirations (Pallock & Lamborn, 2006). These studies demonstrate that family can serve as an important factor in academic success even when children are exposed to violence. Research has furthermore demonstrated that the presence of a positive social relationship with a caring adult serves as a protective factor in reducing the impact of adverse circumstances (Kenny, Bluestein, Chaves, Grossman & Gallagher, 2003). This 19 suggests that having a positive social relationship may be important in overcoming the effects of violence exposure. This finding is consistent with literature that has documented that negative interactions may have adverse social and psychological effects. In fact, negative social relationships are often more powerful predictors of well-being than are positive social relationships, where past studies have found that social strain was a stronger predictor of outcomes than social support (Overstreet et al., 1999). A negative social relationship, or a lack of relationships, may make the integration of traumatic events more difficult and consequently harder to deal with. It can be assumed that a positive family relationship with a mother, father, both or other significant individual in a youth’s life, may serve as a protective factor for youth exposed to violence as the youth has the potential to discuss and understand the traumatic event. Social support can come as actual received support or as perceived social support. Received support involves help that was already given to the individual while perceived support is the belief that helping behaviors will occur in the future (Scarpa & Haden, 2006). The perception that one has social support may be a protective factor against the impact of community violence more so than actual received support. The perception that there are people who care and who are willing to provide support may encourage an individual to discuss events and to be open to talking about what they have experienced. If a youth does not feel that there is support available from someone they can trust, then the likelihood of the youth seeking such support is lower. Generally greater social support is associated with better psychological outcomes, and perceived rather than actual received social support is predictive of better outcomes in times of stress (Scarpa & 20 Haden, 2006). A number of studies have demonstrated that feelings of low social support can be detrimental to well-being, especially in the case of violence exposure (Bailey, Hannigan, Delaney-Black, Covington, & Sokol, 2006; Muller, Goebel-Fabbri, Diamond, & Dinklage, 2000; Overstreet, & Braun, 2000). Parental Support Social relationships provide adults and young people with coping resources to help deal with traumatic events. Youth, especially young children, are likely to engage in this social relationship with their parents. It has been found that youth experiencing high levels of community violence and inadequate social support (measured by a youth’s perceptions of the general parent-child relationship) have higher levels of intrusive thinking relative to other youth (Overstreet, Dempsey, Graham & Moely, 1999). It can be assumed that these youth did not have the resources or parental availability to discuss and process traumatic events. In these instances young people are limited in their opportunities to try and integrate the event into their understanding of self and world. Parental support has long been regarded as an important factor in the healthy development of children. Parent and child interactions are strong predictors of life satisfaction for adolescents (Young, Miller, Norton & Hill, 1995). Parental involvement in children’s lives has been shown to be associated with less witnessing of and victimization by violence (Pearce, Jones, Schawb-Stone & Ruchkin, 2003). A greater level of parental involvement has also been associated with a decrease in conduct problems (Pearce et al., 2003). The extensive support positive family interactions can have on youth lends support to the view that parents can serve as a buffer against the 21 impact of community violence exposure. However, some studies have failed to show a connection between family support and adaptive coping (Scarpa, & Haden, 2006). These conflicting findings may be related to how researchers understand and define family support. It is also important to note, as mentioned above, many of these studies have not been able to assess the level of family violence that may be present. Many studies have explored parental involvement or support, especially in terms of the amount of time a parent spends with a child. However, recent research has challenged the idea that the quantity of time is the driving factor, and started to instead examine the quality of the parent-child interactions. In addition, as discussed above, youth’s perceptions of received support are important in determining how they interact with parents. Adolescents’ perceptions of parental support are positively correlated with life satisfaction (Young et al., 1995) more so than is the number of parent-child interactions. Studies that failed to find support for the benefits of parents’ interactions may have focused on frequency data more so than the quality of time spent and the perceptions of the child. Young et al. (1995) defines parental support in three dimensions: intrinsic support, extrinsic support and closeness. Intrinsic support consists of variables such as encouragement and appreciation, whereas extrinsic support includes external expressions of support such as hugging (Young et al., 1995). These domains focus on the actions that the parent is presenting to the child and how the child perceives these actions. Closeness is defined as including the child’s perceptions of closeness to the parent and wanting to be like the parent or enjoying activities with the parent (Young et al., 1995). This domain 22 speaks more to the nature of the relationship. With this view of parental support it can be seen that the quantity of time may not necessarily indicate a close relationship between a child and a parent. A child can spend many hours with a parent, but if that time does not convey feelings of love or enjoyment to the child, then the benefits may be compromised. These studies suggest that the quality of the relationship can make a difference in the young person’s life (Rohner & Veneziano, 2001; Rohner, 1998) where active participation in that child’s life, rather than simply the amount of contact, is an important factor (Cabrera, Tamis-LeMonda, Bradley, Hofferth & Lamb, 2000). Additionally, young people need to feel that their parent is available when there are emotional and physical needs. For example, parental emotional availability and encouragement of youth to talk about traumatic experiences have been shown to reduce levels of distress following victimization (McCart et al., 2007). A parent must be willing to help the youth in this way, and the mere presence of a parent does not automatically mean that support will be provided. Support from Extended Family Parental involvement may be a strong support system that youth can access in an effort to negate the negative consequences of violence exposure. However, some young people may not have this traditional parental support, but are still able to overcome adversities. As youth live in less traditional settings, there are other resources that may become available. Children may not have complete access to their mother or father for one reason or another or they may not receive the level of support that has been shown to provide protective factors. However, many children do have access to extended kinship 23 networks, or other significant people in their lives who can serve as a support person and who may mediate the impact of exposure to violence. For example, youth who perceive more social support from extended kin are less likely to exhibit problem behavior and more likely to have higher grades in school (Kenny et al., 2003). It is possible that the presence of some significant support person can play an important factor in the resiliency of children. While this does not negate the strong influence that parents have on their children, both positive and negative, it is also important to recognize that youth may have access to other support persons. As discussed above, as youth grow older and spend more time away from the home, peers may start to serve as an important source of support or influence. Similar to relationships with family, positive peer relations may serve as a protective factor for those youth exposed to community violence. Thus, while deviant peer relationships can be related to lower school engagement, positive peer relationships can be related to higher levels of engagement. Summary While a growing number of children are being exposed to violence in the community, many children are still successful in school and in life. Children who are better able to deal with violence in the community may have a higher level of resilience. Therefore, they are better able to handle and be successful in daily events such as attending school. Research has shown that family or social support can help children be more successful in school, and when youth are exposed to violence this support may serve to mediate the negative impact of such exposure. When violence exposure is 24 present, family support may be an important factor in helping a child navigate through these experiences in a manner that allows them to cope with their environment in a positive manner. Research needs to explore the different and unique impact that parents have, while also considering the fact that children may receive social support from extended family, fictive kinship networks or their peers. A better understanding of the protective factors in place for children can help develop prevention and intervention programs to help mediate the impact of violence in communities in which children live, allowing for better interventions when dealing with academic difficulties. 25 Chapter 3 THE PRESENT STUDY The present study explores the level of community violence high school youth have been exposed to and the impact this exposure has on internalizing behaviors, externalizing behaviors and academic achievement. This study focuses on community violence, with an emphasis on violent events youth have witnessed or experienced in their neighborhoods or at school. It was not possible to gauge the level of family violence due to privacy concerns. Therefore, in this study it was not possible to rule out the level of family violence and what impact it may have had on the outcomes of interest. Rather, this study included social support in an effort to learn what protective role family support may have in violence. Hypotheses This study examined three hypotheses. First, it was expected that exposure to higher levels of witnessing community violence and higher levels of violence victimization, would be linked to higher levels of internalizing behaviors (e.g., feelings of sadness and distress) and externalizing behaviors (e.g., aggression and delinquency). Exposure to violence has been shown to have adverse effects on mental health and emotional stability (Farrell & Bruce, 1997), and has been linked to increases in aggression and antisocial behaviors (Bailey, Hannigan, Delaney-Black, Covington & Sokol, 2006; Rosenfeld, Richman, Bowen, & Wynns, 2006). Second, it was also expected that students exposed to higher levels of community violence, compared to 26 those with lower levels of violence exposure would have poorer school attendance, would engage in more disruptive behaviors at school, and would perform worse academically. Exposure to violence in the neighborhood has been shown to have negative consequences on school behavior and performance (Bowen & Bowen, 1999). Both witnessing and being a victim of violence can have adverse effects on many areas of school, from grades to attendance. Finally, youth who perceived having more support from their family and friends were expected to demonstrate fewer of the negative consequences of violence exposure compared to those who perceived less support from their family and friends. Studies have noted that protective factors for community violence include positive parenting and social support (Bailey, Hannigan, Delaney-Black, Covington, & Sokol, 2006). Higher levels of social support are believed to contribute to less disruptive behaviors at school and higher performance outcomes even with exposure to violence. Method Participants One hundred and fifty-nine participants were recruited from a northern California high school. The school resides in an inner-city neighborhood and serves primarily socioeconomically disadvantaged, minority populations. The school has been designated as a “Title I” school by its school district as a result of consistently low-test scores on the California Standardized Testing and Reporting (STAR) test. After receiving approval from the University’s Institutional Review Board and the school district, the researcher requested participation from teachers at the school. The researcher attended classes of teachers who indicated they would allow class time for 27 students to participate in the packet of surveys described below. Students were initially given parental consent forms, which were required for participation in the study. A week later student consent forms were handed out to those students who had returned the parental consent forms. Students who returned parental consent forms and who agreed to participate then were administered surveys. Thirty-two percent of the sample were males (n = 50) and 68 percent were female (n = 107), with a mean age of 15.77 years. Two youth did not complete demographic information. Twenty-six percent of the students were in 9th grade (n = 41), 29 percent were in 10th grade (n = 46), 29 percent were in 11th grade (n = 45), and 15 percent were in 12th grade (n = 24). One youth indicated an “other” grade level. Thirty-nine percent of the sample identified as Latin/Spanish or of Mexican Origin (n = 61), 29 percent were Asian American/ Pacific Islander (n = 46), 11 percent identified as Black (n = 17), 8 percent identified as multi-ethnic (n = 12), 7 percent, White (n = 11), and 6 percent as other (n = 10). Many of the students did not know the highest level of education their parents achieved, with 38 percent of the sample reporting that they did not know how much education their mother had and 48 percent indicating they did not know how much education their father had. For those who indicated the highest level of education for a parent, 14 percent reported their mother “completed high school” and 18 percent reported their father “completed high school.” Thirteen percent of the mothers had “some college education” and 10 percent “completed college”; eight percent of the fathers had “some college education” and 6 percent “completed college.” 28 Measures The following measures of violence exposure, internalizing behaviors, externalizing behaviors, school performance and attendance, social support, parental support and acculturation were administered in addition to a demographics form. Violence Exposure. This 25-item inventory developed by Schwartz and Proctor (2000) measures both exposure to violence through witnessing and victimization. For the victimization portion, participants respond to 10 items on a 4-point scale (0 = never, 1 = once, 3 = a few times or 4 = lot of times) to whether they have been chased by gangs, threatened, hit punched or experienced other similar events at any time in the past. For the witnessing portion of the inventory, participants respond to 13 items on the same scale to observing events such as someone else being threatened, someone else carrying a weapon or seeing or hearing gunshots. Two questions were removed from the inventory due to concerns from the school district’s institutional review board. Specifically, the questions asking “How many times has somebody fired a gun at you or at your home?” and “How many times have you seen somebody get killed?” were removed for the victimization and the witnessing portions of the scale, respectively. Scores were calculating by summing the 10 and 13 items, respectively, for each portion of the victimization and witnessing sections, with higher scores indicating higher levels of exposure. The scale was internally consistent for both the victimization portion ( = .83) and the witnessing portion ( = .92). 29 Internalizing Behaviors. The inventory measuring internalizing behaviors was taken from the Youth Self-Report Inventory (Laird, Criss, Pettit, Dodge, & Bates, 2008) and explores feelings of sadness, worthlessness, loneliness and guilt. Participants respond on a 3-point scale (0 = not at all, 1 = sometimes, 2 = very often) to how often now or in the past 6 months they have experienced these feelings. The 15 items of the inventory were summed for one total score, with higher scores indicating greater feelings of sadness, worthlessness, etc. This measure was internally consistent, = .89. Externalizing Behaviors. The measure for externalizing behaviors was taken from an inventory used by Barone, Weissberg, Kasprow, Voyce, Arthur, and Shriver (1995) which was adapted from the 248-item version of the Social and Health Assessment (SAHA; Weissberg, Voyce, Kasprow, Arthur, & Shriver, 1991) and asked participants how often in the past 6 months they engaged in behaviors such as hitting someone because they did not like what they said, hitting a teacher, carrying a gun, cheating on test, or vandalizing property. Participants respond to the 10-item inventory on a 5-point Likert scale with anchors of 0(never) to 4(five or more times). Higher total summed scores indicate a greater frequency of engaging in these types of behaviors. The scale was internally consistent at = .84. School Performance and Attendance. Measures for school performance and attendance were adapted from the School Success Profile (Rosenfeld, Richman, Bowen, & Wynns, 2006). School performance was measured by self-report grades. Students indicate what types of grades best describe their academic performance (e.g., mostly A’s, mostly A’s and B’s, etc.). Students with higher scores were those who reported poorer 30 performance, therefore a student who indicate they were failing would receive a higher score then a student who indicated they were doing well academically. For school attendance, participants endorse either a “yes” or “no” to 5 questions such as “during the previous seven days have you cut at least one class?” and “during the previous seven days have you been suspended from school?” An endorsement of “yes” was scored as a point. The total “yes” endorsements were summed together with higher scores representing a higher frequency of missing school. Social Support. The perceived level of social support was assessed using the 18item Medical Outcome Study Social Support Survey (MOS-SSS; Gjesfjeld, Greeno, & Kim, 2008). Participants indicate how often various types of support are available to them on a 5-point likert scale with anchors (1 = none of the time to 5 = all of the time). Questions include items asking if there is “someone you can count on to listen to you when you need to talk” and “someone to give you information to help you understand a situation.” Scores were summed with higher values indicating greater levels of perceived support. Internal consistency was = .94. Parental Support. Parental support was measured using a 10-item scale (O’Donnell, Schwab-Stone, & Muyeed, 2002). Using a 4-point scale, participants responded to statements including “my parents or guardians show interest in what I think or in how I feel about different things” and “when you have a problem that really bothers you, how often do you talk about it with a parent or guardian?” Again, higher total sum scores indicate greater levels of support. Internal consistency reached = .80. 31 Acculturation. The questions assessing acculturation were adapted from the Multidimensional Measure of Cultural Identity Scales (Dillon, Fe´lix-Ortiz, Rice, De La Rosa, Rojas & Duan, 2009). Questions ask where participants were born, and if they were not born in the United States, how long they and/or their parents have been in the United States. From this measure it was determined for how many generations the participant has been in the United States. Students ranged from being at least 4th generation in the U.S. to first generation, i.e., recently immigrated to the U.S. 32 Chapter 4 RESULTS Analyses The frequency and prevalence of exposure to community violence was examined using several statistic techniques. The correlations between witnessing violence, victimization to violence, internalizing behaviors, externalizing behaviors, parent support and social support were explored to determine the interrelationship among predictor and outcome variables Two separate regression analysis were conducted: one regression analysis used the predictors of violence exposure and social support to predict internalizing behaviors and the other used the same set of predictors to predict externalizing behaviors. Violence exposure was separated into witnessing and victimization domains and social support was separated into general social support and parental support. A multivariate ANOVA was conducted using levels of violence exposure as an independent variable and school misconduct, attendance, and grades as dependent variables. Two separate MANOVAs were conducted, one focusing on witnessing violence and the other focusing on direct exposure to violence (victimization). For both types of violence there were three categories, one group that had no exposure, a second group with some exposure and the third group having high levels of exposure. For both witnessing and direct exposure, the group categorized as “no exposure” reported no incidents of violence contact. The designation of some exposure and high levels of 33 exposure was based on a median split for youth who reported exposure to violence. For witnessing violence, youth who reported a score of 14 or less were in the group with some exposure, and youth with a score of 15 or higher were considered to be in the high exposure group. For direct exposure, a score of 4 or less was for youth with some exposure and any youth with a score of 5 or higher was in the high exposure group. The highest scores reported on the witnessing scale were 38 and the highest on the direct exposure scale were 22. School misconduct was assessed in terms of how often students engaged in behaviors such as cheating at school or lying to a teacher, vandalizing school property or being sent out of the classroom for misbehaving. These items were taken from the measure exploring externalizing behaviors. Although not central to this present study, additional analysis looking at gender and generational status were also conducted. A multivariate ANOVA was conducted using gender as the independent variable and levels of violence exposure and internalizing and externalizing behaviors as the dependent variables. An additional MANOVA was also conducted using generational status as the independent variable with the same dependent variables. Generational status was explored in terms of how long the student and their family have been in the United States and range from students who had immigrated to the country themselves to 3rd generation and beyond. Descriptives Means and standard deviations for the study variables are presented. 34 Table 1 Means and Standard Deviations Variable M SD Witness to Violence 15.83 9.24 Victim of Violence 5.38 5.18 Internalizing Behaviors 11.70 6.98 Externalizing Behaviors 11.16 8.66 Social Support 53.66 14.66 Parental Support 25.48 5.92 Eighty-four percent of the sample reported at least one incident of direct violence exposure by victimization. A majority of the youth (62%) reported being hit, punched or slapped at least once, with 13 percent of the sample reporting this happening multiple times. Many of the youth (49%) also had objects such as bottles or rocks thrown at them, with 23 percent of the sample reporting this occurring multiple times. Almost all of the participants also reported witnessing violence, with 97 percent reporting witnessing at least one incident of violence. Eighty-two percent of youth reported witnessing or hearing someone else being threatened. Seventy-nine percent of youth reported seeing on multiple occasions someone else be hit, punched or slapped. Sixty-five percent reported at least one-time witnessing someone (other than the police) carrying a weapon and 90 35 percent of the sample reported hearing gunshots at least once, with 75 percent reporting hearing gunshots on multiple occasions. Pearson product-moment correlations for the main variables in this study are presented in Table 2. As shown, participants who experienced higher levels of direct exposure to community violence also witnessed higher levels of violence. Those who had higher levels of victimization by violence expressed lower levels of parental support, more externalizing behaviors and higher levels of internalizing behaviors. Those who witnessed higher levels of violence also demonstrated more externalizing and internalizing behaviors. General social support was not found to correlate significantly with either level of violence exposure. Table 2 Intercorrelations for High School Youth Exposed to Community Violence Variable 1 2 3 4 5 6 1. Witness to Violence - .697** .441** .528** .108 -.111 - .519** .521** -.038 -.226** - .309** -.080 -.117 - .028 -.183* 2. Victim of Violence 3. Internalizing Behaviors 4. Externalizing Behaviors 5. Social Support 6. Parental Support * p < .05, ** p < .01. - .444** - 36 Predictor Variables of Externalizing and Internalizing Behaviors To test the hypotheses that witnessing community violence, violence victimization, and social support would be related to higher levels of internalizing and externalizing behaviors, separate standard multiple regression analyses were conducted with social support, parental support, levels of violence victimization and levels of witnessing violence serving as the independent variables for each outcomes variable, externalizing behaviors and internalizing behaviors. The first regression analysis included the outcome variable externalizing behaviors. Regression results are summarized in Table 3. The model was significant, F(4, 152) = 18.45, p < .001, R2 = .33, R2 adj = .31 with two of the four independent variables contributing significantly to the prediction of externalizing behaviors. Specifically, as expected, higher levels of experiencing and witnessing violence predicted higher levels of externalizing behaviors. 37 Table 3 Regression Analysis for Variables Predicting Externalizing Behaviors Variable Unstandardized Standardized Coefficients Coefficients B SEB Beta Witness to Violence .287 .089 .305** Victim of Violence .474 .160 .284** Social Support .031 .045 .053 Parent Support -.156 .111 -.107 Note: R2 = .33 (N = 159, p < .001). * p < .05, ** p < .01. A second standard multiple regression was conducted with the same predictor variables included in the first regression analysis and internalizing behaviors serving as the outcome variable. These regression results are summarized in Table 4. The model was significant, F(4, 152) = 15.55, p < .001, R2 = .29, R2 adj = .27. Similar to the previous regression analysis with externalizing behaviors, witnessing and experiencing violence significantly predicted internalizing behaviors. 38 Table 4 Regression Analysis for Variables Predicting Internalizing Behaviors Variable Unstandardized Standardized Coefficients Coefficients B SEB Beta Witness to Violence .146 .074 .192* Victim of Violence .521 .132 .387** Social Support -.048 .037 -.101 Parent Support .040 .092 .034 Note: R2 = .29 (N = 159, p < .001). * p < .05, ** p < .01. Academic Outcomes A between-subjects multivariate analysis of variance (MANOVA) was conducted on the dependent variables of school misconduct, attendance and grades. The independent variable was level of exposure to violence by victimization, which included three levels of “no exposure”, “low exposure” and “high exposure”. Using Wilk’s criterion (Table 5a), the overall effect was significant F(3, 151) = 4.58 , p < .01. Univariate ANOVAs were conducted on each dependent measure and are displayed in Table 5a. There was a significant effect of level of violence exposure on school misconduct, F(2, 153) = 11.28 , p < .01, η2 = .129, and school attendance F(2, 153) = 39 3.09 , p < .05, η2 = .039, but not on academic performance. Means and standard deviations are displayed in Table 5b. Pairwise comparisons revealed that students who had high levels of exposure to violence by victimization engaged in significantly higher levels of misconduct at school compared to students with some exposure and no exposure, with no differences between the latter two groups. Table 5a Multivariate and Univariate Analysis of Variance by Academic Outcomes by Level of Victimization of Violence Multivariate Univariate School Source df Fa F ratios for Academic 3 4.58** MSE Misconduct b 11.28** 346.81 Attendance b Grades b 3.09* 2.30 3.14 6.87 Note: Multivariate F ratios were generated from Wilk’s criterion. a. Multivariate df = 3, 151. b. Univariate df = 2, 153. * p < .05, ** p < .01. 40 Table 5b Means Scores and Standard Deviations for Measures as a function of Academic Outcomes and Victimization of Violence School Attendance Grades Misconduct Group No Violence M SD M SD M SD 5.04ab 5.50 0.54 0.95 2.85 1.43 5.51 a 4.26 1.09 1.00 3.32 1.67 9.58 b 6.38 1.07 1.03 3.67 1.86 Exposure Low Violence Exposure High Violence Exposure Note: Means with same subscript differ significantly at the p < .05 level. An additional MANOVA looking at the three levels of witnessing violence also found that frequency of witnessing violence significantly impacted school performance, F(3, 151) = 6.72 , p < .01 (Table 6a). Univariate ANOVAs showed a significant effect of the amount of violence witnessed on school misconduct F(2, 153) = 17.76 , p < .01, η2 = .188 and attendance F(2, 153) = 5.48 , p < .01, η2 = .067, but not for academic performance (Table 6a). Means and standard deviations are displayed in Table 6b. Pairwise comparisons revealed that those students with high levels of witnessing violence engaged 41 in significantly higher levels of school misconduct compared to students with some exposure and no exposure, with no differences between the latter groups. Students with high levels of witnessing also had poorer attendance at school compared to students with lower levels of witnessing violence. Table 6a Multivariate and Univariate Analysis of Variance by Academic Outcomes by Level of Witnessing Violence Multivariate Univariate School Source df Fa F ratios for Academic 3 6.72** MSE Misconduct b 17.76** 508.38 Attendance b Grades b 5.49* 1.52 5.42 4.59 Note: Multivariate F ratios were generated from Wilk’s criterion. a. Multivariate df = 3, 151. b. Univariate df = 2, 153. * p < .05, ** p < .01. 42 Table 6b Means Scores and Standard Deviations for Measures as a function of Academic Outcomes and Witnessing Violence School Attendance Grades Misconduct Group No Violence M SD M SD M SD 3.60a 5.37 0.40 0.89 2.60 0.89 4.91 b 4.41 0.76c 0.90 3.23 1.69 9.91 ab 6.12 1.25c 1.08 3.62 1.81 Witness Low Violence Witness High Violence Witness Note: Means with same subscript differ significantly at the p < .05 level. Social Support As indicated above, social support did yield a significant correlation with parental support such that students expressed higher levels of social support when they had higher levels of parental support. Although correlational analysis indicated that students with higher levels of parental support experienced less violence and had lower levels of externalizing behaviors, contrary to expectations neither type of support predicted any of the outcome variables. 43 Additional Analysis Gender and Violence. A between-subjects MANOVA was conducted on the dependent variables of witnessing violence, victimization of violence, internalizing behaviors and externalizing behaviors. Gender served as the independent variable. Using Wilk’s criterion (Table 7a), the overall effect indicated that the dependent variables were significantly differentiated by gender, F(4, 151) = 5.01 , p < .01, n2 = .117. Univariate ANOVAs were conducted on each dependent measure and are displayed in Table 6a. Gender significantly influenced violence victimization, F(1, 154) = 4.07, p < .05, n2 = .026, and internalizing symptoms F(1, 154) = 4.53, p < .05, n2 = .029. Means and standard deviations for the dependent variables are presented in Table 7b. Males were more often victims of violence than were females and females experienced more feelings of sadness and anxiety compared to males. 44 Table 7a Multivariate and Univariate Analysis of Variance by Gender Multivariate Source df Fa F ratios 1 5.01** Univariate Witness to Victim of Internalizing Externalizing Violence b Violence b Behaviors b Behaviors b 2.32 4.07* 196.62 107.96 4.54* 1.98 for Gender MSE 216.59 Note: Multivariate F ratios were generated from Wilk’s criterion. a. Multivariate df = 4, 151. b. Univariate df = 1, 154. * p < .05, ** p < .01. 148.65 45 Table 7b Means Scores and Standard Deviations for Measures as a function of Gender Witness to Victim of Internalizing Externalizing Violence Violence Behaviors Behaviors Group M SD M SD M SD M SD Male 17.5 10.28 6.66a 5.87 10.06b 6.88 12.62 9.25 Female 15.09 8.65 4.88a 4.78 12.58 b 6.92 10.53 8.38 Note: Means with same subscript differ significantly at the p < .05 level. Generational Status and Violence. A between-subjects MANOVA was also conducted using generational status as the independent variable and the dependent variables of witnessing violence, victimization of violence, internalizing behaviors and externalizing behaviors. Generational status was determined by when youth and their family came to the United States. For these analyses, 21 youth were excluded due to missing information on this demographic. Of the 138 youth remaining, 31 (22%) indicated that they were born in another country and had immigrated to the U.S. at a young age; these individuals were 1st generation youth. Sixty-five (46%) indicated that their parents had immigrated to the U.S. and were considered 2nd generation. Eleven of the youth (8%) were 3rd generation and 31 of the youth (22%) were at least 4th generation. Using Wilk’s criterion (Table 8a) the analysis indicated a significant effect of generation status on the dependent variables, F(4, 131) = 2.35, p < .01, n2 = .067. Univariate 46 ANOVAs were conducted on each dependent variable. There was a significant effect of generational status on witnessing violence F(3, 134) = 4.76 , p < .01, n2 = .096, and on externalizing behaviors F(3, 134) = 4.78 , p < .01, n2 = .097. Table 8a Multivariate and Univariate Analysis of Variance by Generation Multivariate Source df Fa F ratios for 3 2.36** Univariate Witness to Victim of Internalizing Externalizing Violence b Violence b Behaviors b Behaviors b 0.98 0.69 25.62 31.88 4.76** 4.78** Generation MSE 359.06 333.36 Note: Multivariate F ratios were generated from Wilk’s criterion. a. Multivariate df = 4, 131. b. Univariate df = 3, 134. * p < .05, ** p < .01. Means and standard deviations are displayed in Table 8b. Pairwise comparisons revealed that 3rd generation and 4th generation youth witnessed significantly more violence compared to 1st generation youth. Pairwise comparisons also revealed that 4th generation youth exhibited higher levels of externalizing behaviors compared to 1st generation youth. 47 Table 8b Means Scores and Standard Deviations for Measures as a function of Generation Group 1st Witness to Victim of Internalizing Externalizing Violence Violence Behaviors Behaviors M SD M SD M SD M SD 11.42ab 6.73 4.29 4.78 10.74 5.99 7.23c 6.64 15.25 9.44 5.26 5.12 11.40 6.89 11.05 8.76 19.82 a 11.58 7.27 7.13 10.82 4.64 12.64 12.05 18.87 b 7.54 5.58 4.59 13.03 7.88 15.16 c 7.44 generation 2nd generation 3rd generation 4th generation Note: Means with same subscript differ significantly at the p < .05 level. 48 Chapter 5 DISCUSSION This study aimed to expand our understanding of the impact of community violence exposure on youth and how this exposure affects psychological, social, and academic outcomes. The study also aimed to gain a better understanding of the role of protective factors such as social support against such exposure. Recent studies (CDC 2008; CDC 2009; Snyder & Sickmund, 2006) have shown a high percentage of youth have been exposed to violence as either a witness or as a victim. Past research has demonstrated that youth exposed to high levels of violence in their communities face challenges that can compromise their psychological, emotional, and social experiences in a number of settings. The findings in this study are consistent with previous research showing the impact that violence exposure has on mental health and emotional well-being (Farrell & Bruce, 1997; Thompson et al., 2007). As expected, youth who experienced higher levels of violence also expressed greater internalizing behaviors, i.e., feelings of intrusive thinking, distress and worthlessness. Increased violence exposure was related to greater feelings of sadness and worrying. These feelings may be a consequence of the youth thinking about and trying to understand what they have been exposed to or experienced. Past research has demonstrated that exposure to violence requires young people to deal with and try to comprehend these events. When this exposure occurs more frequently, greater demands are placed on these youth as they try to incorporate these events into 49 their understanding of the world (Lambert et al., 2005; Mrug et al., 2008). Regular exposure to violence can result in youth having intrusive thoughts about these events. These intrusive thoughts have been proposed to challenge basic beliefs about individuals’ sense of self and their world (Kliewer, Lepore, Oskin & Johnson, 1998). When youth feel unsure about their world and their immediate surroundings, they may begin to worry more and have greater feelings of distress as they believe they have less control over what happens around them. Additionally, as anticipated, violence exposure predicted externalizing behaviors for youth in this sample. As exposure to violence increased, the students reported more aggressive behaviors and a greater frequency of engaging in delinquent behaviors. This may be a consequence of imitating what they are seeing, or a reaction to deal with what they are experiencing. If youth are regularly exposed to violence, then they may adapt an aggressive approach in an effort to survive within this environment. In either case the process of increasing aggressive behaviors will not serve the youth well in most other domains. For one, engaging in aggression towards others is likely to elicit similar reactions, which can lead to a cycle of violence exposure. A youth who responds to violence exposure by adopting an aggressive approach and engaging in fighting is more likely to be in situations where conflicts and violence may occur. Some of these behaviors, such as stealing, can also lead to legal trouble for the youth. In addition, there are potential consequences at school (Nash, 2002; Rosenfeld et al., 2006), with youth who engage in aggressive behaviors often dismissed from school for disciplinary reasons. 50 Aggressive behaviors are not the only concern violence exposure can have for schools. There are also a number of school related outcomes that are linked to violence exposure (Barone et al., 1995; Bowen & Bowen, 1999; Henrich et al., 2004). As expected, youth exposed to higher levels of violence were more likely to report that they had conflicts with teachers at school, disciplinary action at school, and vandalized school property. In the present study youth exposed to higher levels of violence were also more likely to miss school for reasons beyond suspensions. They may not attend classes due to fears of traveling to and from school as a result of violence. These findings are consistent with past research that suggests violence in the neighborhood have a greater unique impact on school outcomes than does danger in the school environment itself (Bowen & Bowen, 1999). Whatever the reason, youth exposed to higher levels of violence are not participating in the educational process to the full extent. The impact of violence is having an immediate effect on youth education, which can also have long-term implications for their future. When a student is involved with disciplinary action at school there are direct implications on a student’s ability to be successful in the educational system as these youth are often taken away from the learning environment. In addition, consequences such as suspension from school not only remove youth from the school environment for a longer period of time, but also may risk exposing youth to more violence as they may spend their day engaging in alternate behaviors in the neighborhood. Overall, the more these students were exposed to violence, the more likely they were to have feelings of depression and anxiety and the more likely they were to 51 engage in acts of aggression and delinquency. In addition, youth exposed to higher levels of violence engaged in more school misconduct and were absent from school more often. While the negative consequences of violence exposure are clear, possible protective factors that may be in place are not as straightforward. As was seen in the sample, many youth are exposed to significant levels of violence, but still demonstrate positive achievements at school and do not have the same levels of depression or aggression. This study aimed to increase the understanding of the role parental and social support as it was related to violence exposure, however the results were mixed. While there was a correlation between the level of perceived parental support and the level of violence exposure and externalizing behaviors such that higher levels of parental support indicated fewer incidents of violence victimization and fewer externalizing behaviors, neither parental support nor social support contributed significantly in further analysis. This may be due to the difficulty in assessing perceived levels of social support. Previous research has also provided mixed results on the impact of social support (Rosenfeld et al., 2006; Scarpa & Haden, 2006), which indicates more work needs to be done in order to understand how to accurately assess this factor. While not a focus of the present study, analyses looking at gender differences suggest areas of future research. Males are exposed to higher levels of violence compared to females, while females tend to experience greater levels of internalizing behaviors, such as sadness and distress, as compared to males. Interestingly, males and females did not demonstrate significant differences in externalizing behaviors, suggesting that females may be engaging in these types of behaviors more so than previous research has 52 shown. Gaining a clearer understanding of gender differences can identify risk and protective factors as well as assist in the development of appropriate interventions for males and females. In addition, exploring the generational status of youth and their families can also be an additional source of information. As was noted in the present study, youth whose families have been in the U.S. for multiple generations were exposed to higher levels of violence. These youth also expressed greater levels of aggression and externalizing behaviors compared to youth whose families more recently immigrated to the U.S. Limitations This and future research will benefit from studies that include designs to better assess social support. Most of the youth indicated high levels of social support with the general social support employed in this study, which suggests that this measure may not have been sensitive enough to be able to differentiate between nuanced sources of social support. For example, it may be necessary to focus questions as to whether the youth feels there is someone available to talk about traumatic events. Diminished social support limits the child’s opportunities to process the trauma actively, which has been shown to making them more vulnerable to negative outcomes (Overstreet & Braun, 2000). Being able to talk about and process traumatic events appears to be an important factor. While it is possible that the youth in this sample tended to feel more supported in general, a more likely outcome is that the measure was not able to make distinctions between different levels. Thus, a social support measure that includes more options to assess if there is 53 someone available for a youth to actively discuss and try to understand the events may be more appropriate. It should also be noted that in this research it was not possible to assess the level of family violence these youth were exposed to. As noted earlier, family violence has a unique impact on youth, as there is often a violation of trust and secrecy involved. In addition to being able to better differentiate between levels of support, being able to assess the level of violence in the family may help clarify the role that social support has. However, after discussions with school officials it was determined that it would not be possible to include questions pertaining to family violence due to privacy concerns and having to possibly report incidents to law enforcement. There are also some limitations as related to the size of the sample. With an increased number of participants it may have been possible to conduct higher order analysis, such as a path analysis, which may have helped clarify the role of the variables in this study. 54 Chapter 6 CONCLUSION This study contributes to the increasing amount of literature exploring the impact of violence exposure on youth. In addition to having to navigate the traditional turmoil of adolescence, many youth have to navigate through increased exposure to violence. It is clear that youth are being exposed to significant levels of violence in their communities and this has consequences not only for their emotional well-being and mental health, but also for their interactions with others. Investigating youth experiences with violence exposure allows researchers to better understand their risk factors and protective factors as well as inform and develop effective interventions for these youth. For instance, efforts aimed at addressing mental health concerns and feelings of sadness may provide benefits for the students emotional well-being and, consequently, for their performance at school. In addition, interventions aimed at addressing youth’s aggressive behaviors may allow alternate views of interacting with others and the world. Allowing young people to realize that there are other ways of interacting with others that does not involve yelling or fighting may lead to youth having more positive social interactions. A better understanding of factors are in place that allow youth to be resilient is critical, especially in situations of high violence exposure. 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