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JUNE 2001 - UCLA School of Public Health

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measure it and find places to intervene to prevent it. In my mind, that makes it<br />

a public health issue.”<br />

For a number <strong>of</strong> years, public health seemed to be the only field that viewed<br />

it that way. Now, there is a general consensus that criminologists and law enforcement<br />

represent only part <strong>of</strong> the solution, and that a multidisciplinary approach<br />

is needed. “It wasn’t until the 1990s that violence came to be widely recognized<br />

as a public health issue,” says Dr. Susan Sorenson, Pr<strong>of</strong>essor <strong>of</strong> Community<br />

<strong>Health</strong> Sciences at the <strong>School</strong>. “There was a clear sense that approaching it only<br />

through the criminal justice system wasn’t working. The public health perspective<br />

brought a sense <strong>of</strong> hope and optimism that reducing violence wasn’t a futile<br />

endeavor. The idea <strong>of</strong> being able to prevent something from occurring rather<br />

than clamping down after the fact became very appealing.”<br />

Some may argue that violence has been a fact <strong>of</strong> life throughout history, in all<br />

societies. Whether the problem is worse now than in other times is debatable,<br />

particularly since surveillance began only recently. What is clear is that violence<br />

in American society is more lethal than it was in the past, due to the greater<br />

access to firearms. “The rest <strong>of</strong> the world doesn’t have the level <strong>of</strong> gun violence<br />

that we have,” says Weiss. But she believes it’s not only a weapons issue. “When<br />

you consider that the leading cause <strong>of</strong> death for children in this society between<br />

the perinatal period and age 1 is abuse, that’s pretty shocking,” she says. “There is<br />

Isabelle<br />

Barbour, M.P.H. ’00<br />

As the Outreach and<br />

Advocacy Coordinator at<br />

the Los Angeles Commission<br />

on Assaults Against Women<br />

(LACAAW), Barbour consults<br />

on violence prevention strategies<br />

with school districts and<br />

individual schools, as well as<br />

service agencies. Recently,<br />

Barbour and her colleagues<br />

at LACAAW met with<br />

Genethia Hayes, President<br />

<strong>of</strong> the Board <strong>of</strong> Education<br />

for the Los Angeles Unified<br />

<strong>School</strong> District (LAUSD),<br />

about the idea <strong>of</strong> developing<br />

a violence prevention policy<br />

for the district. Hayes was<br />

receptive, and asked<br />

LACAAW to draft a policy.<br />

Building on research she<br />

had done on the issue dating<br />

to her days as a <strong>UCLA</strong><br />

<strong>School</strong> <strong>of</strong> <strong>Public</strong> <strong>Health</strong><br />

student, Barbour, along with<br />

Leah Aldridge, LACAAW’s<br />

Associate Director <strong>of</strong><br />

Youth Violence Prevention<br />

Programs, drafted a policy.<br />

“The point we have emphasized<br />

is that even though<br />

schools are a very safe<br />

place for youths, between<br />

the school shootings, bullying,<br />

and level <strong>of</strong> sexual<br />

harassment that occur,<br />

there’s a lot <strong>of</strong> fear,” Barbour<br />

says. “It’s very hard to learn<br />

in that climate, and it’s very<br />

hard to teach.” The policy<br />

Barbour co-wrote is currently<br />

being considered for implementation<br />

by LAUSD.<br />

“Violence is the<br />

leading cause<br />

<strong>of</strong> death and disability<br />

for the population<br />

under 35.<br />

You can measure<br />

it and find places<br />

to intervene to prevent<br />

it. In my mind,<br />

that makes it a<br />

public health issue.”<br />

—Billie Weiss, M.P.H. ’81<br />

Cathy Taylor<br />

Taylor, a Dr.P.H. student at<br />

the <strong>School</strong>, is working on a<br />

study headed by Dr. Susan<br />

Sorenson to assess social<br />

norms related to violence<br />

against women. Nearly 4,000<br />

interviews have been conducted<br />

with six ethnic groups<br />

in four languages. The survey,<br />

funded by the California<br />

Department <strong>of</strong> <strong>Health</strong><br />

Services, poses various<br />

scenarios about domestic<br />

violence to examine how<br />

individuals’ responses<br />

change depending on the<br />

characteristics <strong>of</strong> a given<br />

incident. “We need to educate<br />

people in ways that will<br />

reduce domestic violence,”<br />

says Taylor. “But it’s hard<br />

to do that without knowing<br />

where people are in their<br />

understanding and awareness<br />

<strong>of</strong> the issue.” Adds<br />

Taylor, who has a background<br />

in mental health:<br />

“From talking with people<br />

who grew up with violence<br />

or are currently in a violent<br />

situation, I feel strongly that<br />

violence prevention efforts,<br />

especially in families, can<br />

have a far-reaching impact<br />

on our society.”<br />

15<br />

cover story <strong>UCLA</strong>PUBLIC HEALTH

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