Initiation Age, Cumulative Prevalence, and Longitudinal Patterns of Handgun Carrying Among Rural Adolescents: A Multistate Study
Initiation Age, Cumulative Prevalence, and Longitudinal Patterns of Handgun Carrying Among Rural Adolescents: A Multistate Study
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DOI：
10.1016/j.jadohealth.2019.11.313
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发表时间：
2020-04-01
影响因子：
7.6
通讯作者：
Skinner, Martie L.
中科院分区：
文献类型：
--
作者：
Rowhani-Rahbar, Ali;Oesterle, Sabrina;Skinner, Martie L.
研究目的：青少年手枪携带是青少年人际冲突的行为标记，也是暴力预防的干预点。我们对青少年手枪携带流行病学的了解主要涉及城市环境。证据的起始年龄，累积患病率，这种行为的纵向模式和手枪相关的规范和同伴行为之间的男性和女性的农村adolescents.Methods：我们使用的数据从控制臂的社区青年发展研究，社区随机对照试验的社区，护理预防系统。每年，1,039名男性和963名女性从6年级（2005年）到19岁（2012年）在美国7个州的12个农村城镇进行调查。在6年级至19岁之间，33.7%的男性和9.6%的女性报告至少携带一次手枪。在曾经报告携带手枪的参与者中，34.0%的男性和29.3%的女性在六年级时首次这样做。在曾报告携带手枪的参与者中，54.6%的男性和71.7%的女性在七次研究评估中只携带过一次。报告携带手枪的参与者比那些没有这样做的参与者有更大比例支持prohandgun规范，并且有一个同龄人在两个男性中携带手枪（10年级：患病率差异= 57%; 95% CI：46%-67%）（10年级：患病率差异= 45%; 95% CI：12%-78%）。农村青少年携带手枪并不罕见，需要进行病因学研究，以制定文化上适当的和针对具体情况的预防计划。(C)2019年青少年健康和医学协会。All rights reserved.
Purpose: Adolescent handgun carrying is a behavioral marker for youth interpersonal conflicts and an intervention point for violence prevention. Our knowledge about the epidemiology of adolescent handgun carrying mainly pertains to urban settings. Evidence on the initiation age, cumulative prevalence, and longitudinal patterns of this behavior and on handgun-related norms and peer behavior among male and female rural adolescents is scant.Methods: We used data from the control arm of the Community Youth Development Study, a community-randomized controlled trial of the Communities That Care prevention system. Annually, 1,039 males and 963 females were surveyed from Grade 6 (2005) to age 19 years (2012) in 12 rural towns across seven U.S. states.Results: In Grade 6, 11.5% of males and 2.8% of females reported past-year handgun carrying. Between Grade 6 and age 19 years, 33.7% of males and 9.6% of females reported handgun carrying at least once. Among participants who ever reported handgun carrying, 34.0% of males and 29.3% of females did so for the first time in Grade 6. Among participants who ever reported handgun carrying, 54.6% of males and 71.7% of females did so only one time over the seven study assessments. Greater proportions of participants who reported handgun carrying than those who did not do so endorsed prohandgun norms and had a peer who carried among both males (Grade 10: prevalence difference = 57%; 95% CI: 46%-67%) and females (Grade 10: prevalence difference = 45%; 95% CI: 12%-78%).Conclusions: Rural adolescent handgun carrying is not uncommon and warrants etiologic research for developing culturally appropriate and setting-specific prevention programs. (C) 2019 Society for Adolescent Health and Medicine. All rights reserved.