Research shows that community violence is associated with an array of negative health outcomes, yet no study has examined the specific association between different types of gun violence and collective health behaviors in local neighborhoods. Using data from neighborhoods in the city of Philadelphia, this study examines the association between total, fatal, and non-fatal gun violence and measures of physical inactivity, obesity, sleep, and smoking. We find the rate of non-fatal shootings is associated with a composite measure of health behaviors, net of all neighborhood-level covariates and general community violence. Ancillary analyses show that non-fatal shootings are particularly associated with physical inactivity and obesity. Notably, fatal shootings are not associated with any behavioral health measure after accounting for nonlethal shootings. The results support improved data collection efforts to measure non-fatal shootings across the U.S. and greater attention to the collective health consequences of gun violence in local communities.

研究表明，社区暴力与一系列负面健康结果有关，但没有研究检查不同类型的枪支暴力与当地社区的集体健康行为之间的具体关联。本研究使用来自费城市社区的数据，检验了总的、致命的和非致命的枪支暴力与身体不活动、肥胖、睡眠和吸烟之间的关系。我们发现非致命枪击事件的发生率与健康行为的综合衡量指标相关，该指标不包括所有社区层面的协变量和一般社区暴力。辅助分析表明，非致命性枪击事件与缺乏身体活动和肥胖特别相关。尤其，考虑到非致命枪击事件后，致命枪击事件与任何行为健康指标无关。结果支持改进数据收集工作，以衡量美国各地的非致命枪击事件，并更加关注当地社区枪支暴力的集体健康后果。