Evidence map›Paper›PMID 40947071›Full record

ArticleAmerican journal of preventive medicine2026

Getting at the Root: Structural Racism, Policing, and Youth Firearm Homicide.

Julia M Fleckman, Ethan Smith, Julie Ford, Paul Hutchinson, Lolita Moss, Lexie M Contreras, Samantha Francois, Joseph Constans, Sharven Taghavi, Katherine P Theall

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of preventive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Julia M FleckmanWashington University in St. Louis School of Public Health, St. Louis, Missouri; Violence Prevention Institute, Tulane University, New Orleans, Louisiana. Electronic address: fleckman@wustl.edu.
Ethan SmithViolence Prevention Institute, Tulane University, New Orleans, Louisiana; Tulane University Celia Scott Weatherhead School of Public Health and Tropical Medicine, New Orleans, Louisiana.
Julie FordViolence Prevention Institute, Tulane University, New Orleans, Louisiana; Tulane University School of Social Work, New Orleans, Louisiana.
Paul HutchinsonTulane University Celia Scott Weatherhead School of Public Health and Tropical Medicine, New Orleans, Louisiana.
Lolita MossViolence Prevention Institute, Tulane University, New Orleans, Louisiana; Tulane University Celia Scott Weatherhead School of Public Health and Tropical Medicine, New Orleans, Louisiana.
Lexie M ContrerasViolence Prevention Institute, Tulane University, New Orleans, Louisiana; Tulane University Celia Scott Weatherhead School of Public Health and Tropical Medicine, New Orleans, Louisiana.
Samantha FrancoisTulane University Celia Scott Weatherhead School of Public Health and Tropical Medicine, New Orleans, Louisiana.
Joseph ConstansViolence Prevention Institute, Tulane University, New Orleans, Louisiana; Tulane University Celia Scott Weatherhead School of Public Health and Tropical Medicine, New Orleans, Louisiana.
Sharven TaghaviViolence Prevention Institute, Tulane University, New Orleans, Louisiana; Tulane University School of Medicine, New Orleans, Louisiana.
Katherine P TheallViolence Prevention Institute, Tulane University, New Orleans, Louisiana; Tulane University Celia Scott Weatherhead School of Public Health and Tropical Medicine, New Orleans, Louisiana.

Funding

Place Matters - Adaptable Solutions to Violence at the Community LevelR01HD095609 · NICHD · TULANE UNIVERSITY OF LOUISIANA · PI BRANAS, CHARLES C., THEALL, KATHERINE P · 2018 to 2023
$3.1M
Telomere Length as a Biological Marker of Allostatic Load in ChildrenR01ES020447 · NIEHS · TULANE UNIVERSITY OF LOUISIANA · PI THEALL, KATHERINE P · 2011 to 2012
$877k
NCIPC CDC HHS U01 CE003384NICHD NIH HHS R01 HD095609NIEHS NIH HHS R01 ES020447
6 · The paper itself

Abstract

introductionAlthough recent studies have shown that structural racism impacts violent injury, how it impacts youth violence is poorly defined. The objective of this study was to examine the relationships between 2 markers of structural racism-neighborhood racial-income residential segregation and police stop-and-search encounters-on youth firearm homicide.

methodsA longitudinal ecologic study was conducted among New Orleans neighborhoods with publicly historical data (2018-2023) from the New Orleans Police Department and the American Community Survey as well as contractually approved data from the Louisiana Department of Health, New Orleans Coroner's Office, and New Orleans Police Department. The outcome measure included the number of youth firearm homicide victims for any given census tract. Exposures included racialized economic polarization as measured by the Index of Concentration at the Extremes and the count of police stop-and-search encounters within a census tract.

resultsNeighborhood racial-income segregation was significantly and positively associated with youth homicides, with the relationship remaining in most models even after accounting for other neighborhood covariates and with both random and fixed effects. There was no significant association between total police stop-and-search encounters nor youth stop and search encounters and youth firearm homicide victimization.

conclusionsInterventions that strongly consider structural racism at the neighborhood level may help mitigate the crisis of youth violence and racial inequities in youth violence.

Indexed as

FirearmsHomicideNeighborhood CharacteristicsPoliceRacismAdolescentChildFemaleHumansLongitudinal StudiesLouisianaMaleResidence CharacteristicsSocial Segregation

Identifiers

PMID40947071
PMCPMC12668208

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