Webinar 'Interpersonal Violence Syndemics and Co-occurring Epidemics: Preventing Violence in the Context of Opioid Misuse, Suicide, Social Disparities, and HIV: A Workshop'

May 16, 2019 - May 17, 2019 (9:00 AM Eastern)

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The Global Violence Prevention Forum aims to facilitate dialogue and exchange by bringing together experts from diverse areas of violence prevention, including: behavioral scientists, policy makers, criminal justice professionals, social service providers, economists, legal experts, journalists, philanthropists, faith-based organizations, and corporate social responsibility officers. In keeping with the overall goal of the Forum to reduce the burden of violence and promote the healthy development of individuals and communities, the Forum has been able to open up the potential for prevention in all parts of the world.

A syndemic is the aggregation of two or more concurrent or sequential epidemics or disease clusters in a population, which exacerbates the prognosis and burden of disease.The SAVA syndemic (substance abuse, violence and HIV/AIDS) has been described and is prevalent in women facing poverty in urban areas. Drug addiction in the U.S. has already synergized increases in HIV, hepatitis C, and infectious endocarditis. We are arguably in the midst of a syndemic involving opioid overdose and misuse and suicidal behavior in the U.S. Moreover, exposure to interpersonal violence as a child or adolescent (e.g., toxic stress) underlies both of these problems in fundamental ways. In Africa, a strong case could be made for the existence of a syndemic involving HIV infection and exposure to violence as a child. Other conditions that can interact in a multiplicative fashion include pain disorders, adverse childhood experiences, post-traumatic stress disorders, and some social determinants of health. Factors underlying and contributing to these syndemics include other drugs of abuse, mental health conditions, and contextual factors such as the prevailing culture and poverty and economic stressors.

Interconnections between exposure to interpersonal violence, suicide, opioid and other drug misuse, and HIV are being documented; however, we continue to silo these interrelated phenomenon in the way we respond to and attempt to prevent them. Investigating how certain conditions interact to increase severity and promote disease progression can help elucidate how prevention initiatives could work along the spectrum. In multidimensional disorders, with overlapping etiologies, typical siloed approaches are often ineffective. Looking at violence prevention through the syndemic lens can help guide treatment and prevention efforts, and effective public policies.

This two-day public workshop will explore opportunities to improve our understanding of violence and its prevention in both the US and globally. This workshop will explore the involvement and contribution of both interpersonal and self-directed violence to syndemics in the U.S. and around the world. Workshop presentations and discussion topics will include identifying the gaps in our understanding of the interconnections between these different public health issues and how we can make better use of our current evidence base to inform prevention strategies that have a synergistic, preventive impact on these important public health problems.

This workshop will be free and open to the public.

Indonesia has not fully made concrete efforts, especially in education for young people. Government policy still prioritizes the legal approach