Archive: Mar 2021

Image: We see the back of someone’s head, their hair cut short. They are holding up a cellphone to their ear, like they are on a call. Image via pixabay, Pixabay License.

Although public awareness of sanctuary has increased dramatically in the last few years, sanctuary cities have actually existed since the 1980s. Sanctuary jurisdictions are areas with policies that limit federal and local level cooperation in regards to immigration enforcement. The impacts of sanctuary policies are only beginning to be understood, but one outcome has emerged already: their impact on crime reporting. New research suggests that victims of crime are more likely to report their victimization when they reside in a sanctuary city.

In a new article, Ricardo Martínez-Schuldt and Daniel Martínez analyze 35,000 incidents of violent crime victimization and 135,000 incidents of property crime in 40 of America’s largest metro areas from 1980 to 2004. They find that Latinos and Latino-Americans are 12% more likely to report violent crime victimization when they live in a sanctuary city. Interestingly, the authors did not find any evidence for other ethno-racial groups’ odds of reporting crime victimization.

The higher rates of violent crime reporting found by the authors indicate that victims are more likely to come forward when they have the basic protections offered in sanctuary cities. The fact that immigrant community members were more likely to notify the police when victimized suggests that sanctuary policies may help establish trust in local law enforcement agencies. Sanctuary policies are therefore important for achieving equal justice for victims of crime, in this case permitting Latinos to report crimes without fear of their or their loved ones’ potential deportation. Conversely, the absence of sanctuary policies may undermine trust and the perceived legitimacy of local criminal justice systems.

Image: A row of chairs pushed against a yellow wall, like you might see in a waiting room. Image courtesy of pixabay, pixabay license.

Today, more people are seeking mental health treatment than ever before. Some have attributed the rise in treatment seeking to greater psychological distress among young people due to the influence of social media and other cultural changes. But a new article by sociologist Amy Johnson finds mental health treatment seeking has increased for people of all ages, despite little change in mental distress over time. 

Johnson uses data from the National Health Interview Survey to examine how general psychological distress and mental health treatment seeking have changed over time. Johnson leverages statistical techniques that allow her to separately examine the influence of a respondent’s age, generation, and the historical moment. This allows her to conclude that treatment seeking is increasing for people of all ages and generations, despite no significant increase in psychological distress among any group.

Johnson’s finding is important because it focuses attention on how broad cultural changes have affected treatment seeking among people of all ages. For example, she points to the destigmatization of mental illness and major policy changes, such as the Affordable Care Act, which mandated that insurance companies cover mental health treatment, as potential drivers of treatment seeking.

Despite Johnson’s finding that treatment seeking has increased across the board, some people still lack access to mental health treatment, particularly non-white and non-college-educated people. Even as the broader social context reflects more comfort with and availability of mental health treatment, it is important to recognize and address remaining disparities in access to this care.

Image: Yellow “crime scene do not cross” tape in front of a black background. Image courtesy of Null Value, CC BY-NC-ND 2.0.

Each March, we celebrate women’s history month. During this time we recognize influential women and highlight the various challenges and inequities that women face. Many scholars have shown that gender inequality predicts violence, specifically homicide, against women. Yet new research from Moore and colleagues suggests that gender inequality also predicts  homicide against men.

Constructing a database modeled after the UN Human Development Report, the authors calculated each US state’s gender inequality index based on health, empowerment, and labor market participation measurements. They also indexed homicide rates for each state using the FBI Uniform Crime Report. The authors find that as gender inequality increases, the total homicide rate also increases. That is, as a state becomes more unequal for women, more homicides are committed. These findings hold true even when male and female homicide are analyzed independently. For example, as gender inequality increases, the male homicide rate also increases.

Previous studies have linked gender inequality to violence against women, either through women’s empowerment or through the backlash they face from men. Overall, scholars have found that as women gain political, social, and economic power, they are less likely to be targets of violence. This new study is important because it shows that gender inequality not only increases violence against women but increases violence against men as well.

Image: The emergency and admitting entrance of a hospital, a tall tan building rising in the background. Image courtesy of Chealion, CC BY-NC 2.0.

Over 3 million Americans were targets, or victims, of violence in 2018. Yet, only half of the targets of nonlethal violence seek formal medical care. Why do some targets of violence avoid medical care? Keith L. Hullenaar and Michelle Frisco studied how adults make healthcare decisions after suffering injuries in violent incidents. 

Using the National Crime Victimization Survey from the past 20 years, the researchers identify three “situational factors” that influence a person’s decision to receive medical care. They find a victim is less likely to seek medical care if they have previously experienced violence, know the person who injured them, or if the incident was sexually violent.  In these instances, the target of violence may feel safer avoiding medical care altogether. Unfortunately this holds true even after controlling for race, gender, income, and healthcare coverage, when the individual has serious injuries.

The decision to seek medical care is not neutral or obvious in the face of injury but contextualized within relationships, risks, and consequences. While social connections are necessary for wellbeing, negative or abusive relationships can actively harm health. As this research demonstrates, “social relationships can have a dark side for health and health care use.” By understanding the social factors that can limit access to care, healthcare professionals can mitigate these risks and create better care conditions for targets of violence.