Community-based prevention system linked to reduced handgun carrying among youth growing up in ruralareas jamanetworkopen
Does Communities That Care , a community-based prevention system focusing on shared risk and protective factors for behavioral health problems early in life, reduce the prevalence of handgun carrying among adolescents growing up in rural areas?In this community-randomized trial that enrolled 4407 youths in grade 5 and repeatedly surveyed them through grade 12, CTC reduced the prevalence of past-year handgun carrying by 27% at a given grade and by 24% cumulatively through grade 12.
Analyses were conducted from June to November 2022.A coalition of community stakeholders received training and technical assistance to install CTC, used local epidemiologic data to identify elevated risk factors and low protective factors for adolescent behavioral problems, and implemented tested preventive interventions for youth, their families, and schools.
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