Research on mortality risk among gang members receives NIH funding.

CUPC affiliates David Pyrooz, Rick Rogers and Ryan Masters received funding to undertake the first known comprehensive investigation into the gang membership-mortality link. The research will yield critical information about an important yet overlooked explanation for the health and life expectancy disadvantage among males in the United States – the project is supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development.

Mortality among high-risk men in the United States

David Pyrooz, Rick Rogers, & Ryan Masters.

The National Research Council and Institute of Medicine documented that compared to other developed countries, two-thirds of US male disadvantage in life expectancy occurs before age 50. This project will examine mortality risk among gangmembers, an understudied and hard-to-reach but exceptionally high-risk subpopulation. Gangs are street- and youth-oriented groups that share a collective identity and engage in high levels of criminal activity. Over 8% of the U.S. population has a history of gang involvement by their early 20s. Gang members are disproportionately male, black or Latino, and low SES—i.e., groups at high-risk for early mortality.

Prior studies have reported mortality statistics on gang members, but this work suffers from small sample sizes of gang members and deaths, sometimes crudely constructed comparison groups (or none at all), and a lack of systematic data collection on mortality, including cause-of-death. The research team proposed to conduct the largest and most comprehensive investigation into the gang membership-mortality association. Derived from law enforcement gang intelligence gathered between 1993 and 2003, they have a database composed of 3,154 male gang members from the St. Louis metropolitan area (mean age=20, 90% black). Pyrooz and colleagues recently linked these data with the National Death Index (NDI) through 2015. NDI records indicate that there are 1,900 possible death matches, of which 106 were determined to be “exact match deaths” (e.g., name and date of death identical) and a total of 262 are “assumed dead” (name and date approximate but not identical). These values likely constitute the lower (3.4%) and upper (8.4%) bounds of mortality risk.

Their next step will be to assess the veracity of matches with other searches and data sources. While prior studies have concentrated on homicide, their theoretical framework leads us to focus broadly on external causes of death: accidents, suicide, and homicide, as well as gun- and drug-related deaths. The research team will develop baseline estimates of overall and cause-specific mortality risk and calculate years of potential life lost among gang members. Pyrooz and colleagues will examine factors associated with mortality, including factors exogenous to gangs and factors endogenous to gangs, while also accounting for temporal variation in mortality risk over 23 years. Their project is novel in that it will (1) link a non-traditional data source with the NDI, offering an opportunity to examine the quality of matches in this hard-to-reach population, (2) provide the most comprehensive investigation into the gang member-mortality link, (3) serve as a model for future NDI research with high-risk subpopulations, and (4) yield critical information about an important yet overlooked explanation for the life expectancy disadvantage among US males. National health goals and social policies that consider the mortality risk of gang members will gain added insight into an important high-risk population and a crucial yet overlooked explanation for the comparatively low US life expectancy.

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