Citation

Murray J, Degli Esposti M, Loret de Mola C, Martins R, Smith ADAC, Moffitt TE, Heron J, Miranda VI, Lima N, Horta BL. Int. J. Epidemiol. 2024; 53(4).

Copyright

(Copyright © 2024, International Epidemiological Association, Publisher Oxford University Press)

DOI

10.1093/ije/dyae103

PMID

39123318

PMCID

PMC11315650

Abstract

BACKGROUND: Homicide is the leading cause of death among young people in Latin America, one of the world's most violent regions. Poverty is widely considered a key cause of violence, but theories suggest different effects of poverty, depending on when it is experienced in the life-course. Longitudinal studies of violence are scarce in Latin America, and very few prospective data are available worldwide to test different life-course influences on homicide.

METHODS: In a prospective birth cohort study following 5914 children born in southern Brazil, we examined the role of poverty at birth, in early childhood, and in early adulthood on violence and homicide perpetration, in criminal records up to age 30 years. A novel Structured Life Course Modelling Approach was used to test competing life-course hypotheses about 'sensitive periods', 'accumulation of risk', and 'downward mobility' regarding the influence of poverty on violence and homicide.

RESULTS: Cumulative poverty and poverty in early adulthood were the most important influences on violence and homicide perpetration. This supports the hypothesis that early adulthood is a sensitive period for the influence of poverty on lethal and non-lethal violence.

RESULTS were replicable using different definitions of poverty and an alternative outcome of self-reported fights.

CONCLUSION: Cumulative poverty from childhood to adulthood was an important driver of violence and homicide in this population. However, poverty experienced in early adulthood was especially influential, suggesting the importance of proximal mechanisms for violence in this context, such as unemployment, organized crime, drug trafficking, and ineffective policing and justice systems.

Language: en

Keywords

Humans; Risk Factors; Child; Adult; Child, Preschool; Infant; Female; Male; Socioeconomic Factors; Poverty; violence; Adolescent; Brazil; homicide; Prospective Studies; Young Adult; Longitudinal Studies; *Homicide/statistics & numerical data; *Violence/statistics & numerical data; *Poverty/statistics & numerical data; birth cohort; Birth Cohort; Brazil/epidemiology