Objectives. Widespread violence affects individuals but also alters gr
oup life. This study was designed to examine the effects of violence o
n an inner-city community. Methods. A qualitative study was undertaken
that included field observations and semistructured interviews. The s
tudy took place in Washington Heights, a New York City neighborhood wi
th a high rate of violence, largely secondary to the drug trade. Resul
ts. The 100 people interviewed differed widely in their definitions of
violence and in their likelihood of having experienced violent acts i
n the course of daily life. High, medium, and low violence microenviro
nments were identified; risk of exposure to violence, but not individu
al definitions of violence, differed by location. Violence in all part
s of the neighborhood inhibited social interactions, but the intensity
of this effect differed by microenvironment. Conclusions. In Washingt
on Heights, violence has injured individuals and fractured social rela
tionships, leading to the state of social disarray referred to as ''an
omie.'' The public health response to the violence epidemic should add
ress anomie through community organizing efforts.