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JUNE 2001 - UCLA School of Public Health

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18<br />

cover story<br />

<strong>UCLA</strong>PUBLIC HEALTH<br />

Douglas<br />

Wiebe<br />

Wiebe, a postdoctoral fellow,<br />

is working with Sorenson on<br />

her study <strong>of</strong> the relation<br />

between guns and nonfatal<br />

domestic violence, based on<br />

interviews with residents <strong>of</strong><br />

battered women’s shelters in<br />

California. Wiebe is also conducting<br />

research on gun storage<br />

methods as a risk factor<br />

for homicide, suicide, and<br />

unintentional fatalities. His<br />

study, funded by the<br />

California Wellness<br />

Foundation and the <strong>Public</strong><br />

<strong>Health</strong> Foundation, suggests<br />

that the way people store<br />

guns affects the risk <strong>of</strong><br />

household members becoming<br />

victims in each <strong>of</strong> the<br />

three categories. Wiebe<br />

became interested in violence<br />

prevention while providing<br />

counseling for children in<br />

a residential care facility. “It<br />

was such a challenge for<br />

families to recover after violence<br />

occurred,” he recalls.<br />

Firearms are responsible<br />

for such a great proportion<br />

<strong>of</strong> unnatural deaths, he<br />

notes. At the same time,<br />

discussions about limiting<br />

access to firearms are rife<br />

with controversy. “Research<br />

can help address issues that<br />

are <strong>of</strong>ten swayed by politically<br />

motivated conjecture,”<br />

Wiebe says.<br />

Alina Bueno,<br />

M.P.H. ’99<br />

While a student at the<br />

<strong>School</strong>, Bueno learned the<br />

concept <strong>of</strong> photo voice —<br />

using photography as a<br />

vehicle for disenfranchised<br />

people to convey what their<br />

daily lives are like. During<br />

her second year in the<br />

M.P.H. program, Bueno<br />

devised Shoot with Cameras<br />

— Not Guns. Elementary<br />

schoolchildren learn the<br />

basics <strong>of</strong> photography, then<br />

photograph the positive and<br />

negative aspects <strong>of</strong> their<br />

community. Bueno, now a<br />

Program Coordinator at<br />

Harbor-<strong>UCLA</strong>’s Childhood<br />

Injury Prevention Center,<br />

continues to implement the<br />

program as part <strong>of</strong> her fulltime<br />

position. The children<br />

exhibit their photographs in<br />

the classroom to foster discussion,<br />

then identify and<br />

implement a community<br />

improvement activity. “The<br />

idea is to help them realize,<br />

even as young as 9 and 10<br />

years old, that they have the<br />

ability to make a difference<br />

in their neighborhoods,”<br />

Bueno explains. Bueno<br />

started the program at a<br />

single elementary school in<br />

Wilmington, Calif.; this year<br />

she is also implementing it<br />

at a second school. In addition,<br />

she is helping to<br />

expand the program to 12<br />

other sites across the country<br />

through the national<br />

Injury-Free Coalition for Kids.<br />

Alina Bueno, M.P.H. ’99,<br />

with elementary school<br />

students in Wilmington,<br />

Calif., where Bueno has<br />

implemented Shoot with<br />

Cameras — Not Guns.<br />

The students exhibit<br />

their photographs showing<br />

both positive and<br />

negative aspects <strong>of</strong><br />

their community.<br />

an international collaborative study comparing<br />

both victimization and perceptions <strong>of</strong> the severity<br />

<strong>of</strong> abuse among women living in Mexico and<br />

women <strong>of</strong> Mexican descent living in the L.A.<br />

area. And on the topic <strong>of</strong> school shootings, an<br />

unresolved question is whether they are a sign <strong>of</strong><br />

increasing overall aggression in schools, or merely a product <strong>of</strong> easier access to<br />

the lethal weapons.<br />

<strong>Public</strong> health researchers and pr<strong>of</strong>essionals have had a major impact in shaping<br />

policy, particularly as it pertains to guns. Weiss notes that more health departments<br />

are recognizing the need to include injury and violence prevention as part<br />

<strong>of</strong> their core activities. But public health has been less effective in attracting<br />

funding for violence prevention research and programs. “We’re constantly looking<br />

for money,” says Weiss. Indeed, agrees Sorenson, scientific evaluations <strong>of</strong> existing<br />

policies are sorely needed, but limited resources are available to conduct these<br />

studies. The <strong>School</strong> has fared better than many at attracting funders, particularly<br />

from foundations, as well as from the state Department <strong>of</strong> <strong>Health</strong> Services.<br />

In fact, the <strong>School</strong> has long been a leader in violence prevention teaching<br />

and research. Since 1986, Sorenson has taught a course on family and sexual<br />

violence — a subject that, to this day, is part <strong>of</strong> only a handful <strong>of</strong> university<br />

curricula. She also teaches a gun policy course. A course on the epidemiology<br />

<strong>of</strong> assault, homicide and suicide is taught by Dr. Jess Kraus. Many graduates who<br />

have taken these courses are now making an impact in the community.<br />

In 1991, Sorenson co-founded the Violence Prevention Coalition <strong>of</strong> Greater<br />

Los Angeles. She and Peek-Asa have both played active roles in the organization,<br />

which Weiss, also a co-founder, serves as Executive Director. The Violence<br />

Prevention Coalition includes public health pr<strong>of</strong>essionals and academics, law<br />

enforcement, and community-based organizations ranging from domestic violence<br />

prevention programs and shelters to job- and after-school programs. “You<br />

want to create the kind <strong>of</strong> nurturing environment in a community that enables<br />

children to flourish, and supports their parents,” says Weiss.<br />

Like the contribution <strong>of</strong> public health in general, the Violence Prevention<br />

Coalition has contributed a sense <strong>of</strong> optimism to groups dealing with a problem<br />

that once seemed inevitable. “This has made people aware that there’s something<br />

they can do,” Weiss says. “People are beginning to realize that working<br />

together, we can really make a difference in our communities.”

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