National Center for Injury Prevention and Control

Shared Risk and Protective FactorsExpansion to Unintentional Injury and Next Steps

Natalie Wilkins, PhD

Safe States Annual Conference

September, 2018

Childhood Adolescence Adulthood

Child Abuse & Neglect

Bullying

Intimate Partner Violence

Suicide

Sexual Violence →

Elder Abuse

Youth Violence

↑ Sexual Violence

↑ Youth Violence

↑ SV

↑ Youth Violence ↓ Sexual

Violence

↓ Youth Violence

We are finding that a similar structure works for unintentional injury too

↑ Sexual Violence

↑ Youth Violence

↑ Sexual Violence

↑ Youth Violence

↓ Youth Violence

What resources are currently available to identify and measure shared risk and protective factors?

Shared Risk and Protective Factors (RF/PF) Measurement Toolkit for Violence

Provides measures (e.g., survey items) and data sources (e.g., census data) to assess shared RF/PF linked to multiple forms of violence

NOTE: CoreSVIPP TA Resource- Not for broad distribution

Shared RF/PF for MV Injury and TBI Interim Report

Provides measures (e.g. survey items) and data sources (e.g. census data) to assess shared risk and protective factors linked to multiple forms of unintentional injury

NOTE: CoreSVIPP TA Resource- Not for broad distribution

What are CDC’s next steps related to shared risk and protective factors?

Shared RF/PF Comprehensive Literature Review

– What are the RF/PFs linked to unintentional injury?

– Which of these RF/PFs are shared with other injury or violence outcomes?

– What indicators have been used to measure shared RF/PFs linked to unintentional outcomes?

– What is the strength of the relationship between shared RF/PFs factors and unintentional injury outcomes?

– What is the rigor of the literature identifying these factors and indicators?

– What are the nuanced, non-linear connections between shared RF/PFs and injury and violence outcomes?

Stage 1: Overview of Reviews

Stage 2: Original Study Review

Additional Questions

1) Which factors are most upstream (as they may influence other factors)?

2) Which factors have the greatest impact on injury/violence outcomes?

3) Which factors are most feasible to identify in states/communities and track over time?

4) Which factors have greatest promise to respond to intervention efforts?

Impaired Driving

Sexual Violence

Family Connectedness & Monitoring

Youth Violence

Teen Dating Violence

Child Abuse & Neglect Bullying Suicide

Parental monitoring & Positive family activities (Pelham et al., 2018)

Higher levels of reported bonding with parents (Maas et al., 2010)

So What? How Could These Findings be Used?

Maas CD, Fleming CB, Herrenkohl TI, Catalano RF. Childhood predictors of teen dating violence victimization. Violence and Victims. 2010;25(2):131; Pelham III WE, Dishion TJ. Prospective prediction of arrests for driving under the influence from relationship patterns with family and friends in adolescence. Addictive behaviors. 2018 Mar 1;78:6-42.

Questions?

What are we getting right? What are we missing?

For more information, contact CDC1-800-CDC-INFO (232-4636)TTY: 1-888-232-6348 www.cdc.gov

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Thank you!

nwilkins@cdc.gov