Trends in Adolescent Firearm-Related Injury: A Time Series Analysis.
Trends in Adolescent Firearm-Related Injury: A Time Series Analysis.
复制标题
青少年枪支相关伤害的趋势：时间序列分析。
DOI：
10.1177/00031348231157905
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Smith,RandiN
中科院分区：
文献类型：
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作者：
Meyer,CourtneyH;Noorbakhsh,Soroosh;Jackson,Katie;Holstein,Rachel;SolaJr,Richard;Koganti,Deepika;Bliton,John;Smith,Alexis;FraserDoh,Kiesha;Chaudhary,Sofia;Sciarretta,JasonD;Smith,RandiN
目的本研究试图确定佐治亚州亚特兰大受火器相关伤害(FRI)影响的青少年人群中随时间的变化，以便确定高危队列。研究设计全市范围的回顾性队列回顾研究样本根据ICD9/10代码定义的佐治亚州亚特兰大的FRI青少年受害者(年龄11-21岁)。数据分析描述性、多变量和时间序列分析。结果在这段时间内，1,453名青少年FRI受害者，主要是黑人(86%)和男性(86.6%)。意外伤害在11-14岁(43.1%)高于15-17岁(10.2%)和18-21岁(9.3%)(P<；.01)。影响女性的伤害以每年8.1次伤害的速度增加(P<；.01)，意外伤害以每年7.6次的速度增加(P<；.01)。死亡率从2016年的16%下降到2021年的7.7%。结论我们的数据为枪支政策改革提供了证据。干预措施应以预防AQ4女性故意伤害为目标，并寻求扭转无意伤害的趋势。
BackgroundFirearm-related injury (FRI) became the leading cause of death among children/adolescents in 2019.PurposeThis study sought to determine changes over time in the population of adolescents affected by FRI in Atlanta, Georgia, such that high risk cohorts could be identified.Research DesignCity-wide retrospective cohort review.Study SampleAdolescent victims (age 11-21 years of age) of FRI, defined by ICD9/10 codes, in Atlanta, Georgia.Data AnalysisDescriptive, multivariate and time series analysis.ResultsThere were 1,453 adolescent FRI victims in this time period, predominantly Black (86%) and male (86.6%). Unintentional injury was higher among ages 11-14 years (43.1%) compared to 15-17 years (10.2%) and 18-21 years (9.3%) (P < .01). FRI affecting females increased at a rate of 8.1 injuries/year (P < .01), and unintentional injuries increased at by 7.6/year (P < .01). Mortality declined from 16% in 2016 to 7.7% in 2021.ConclusionOur data provides evidence for firearm policy reform. Interventions should target prevention of intentional injury among AQ4 females and seek to reverse the trend in unintentional injuries.