Older Adult Openness to Physician Questioning About Firearms.

Older Adult Openness to Physician Questioning About Firearms.
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老年人对医生关于枪支问题的询问持开放态度。

DOI:
10.1111/jgs.13695
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发表时间:
2015
影响因子:
6.3
通讯作者:
Miller,Matthew
Miller,Matthew
中科院分区:
医学1区
文献类型:
--
作者:
Betz,MarianE;Flaten,HannaK;Miller,Matthew

文献摘要

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METHODSWe invited adults aged≥ 55 years living at a large, urban independent living facility to complete an anonymous, voluntary, pilot-tested survey. Paper surveys (with cover letter, postage-paid return envelope, and incentive of two extra postage stamps) were distributed by facility staff via mailboxes; completed surveys were mailed to research staff and entered into Research Electronic Data Capture for data management. The main survey assessed the physician’s role in discussing driving, medical care and finances; here we report on the 3-question modules on firearms, planned a priori as a separate analysis. The survey asked “For each of these situations, how comfortable would you feel if your physician asked you about guns in your home?”, with 5-point Likert scales for responses (1-not at all comfortable; to 5-very comfortable) that were collapsed for analysis (“uncomfortable,”“neutral,”“comfortable”).RESULTSThe response rate was 58%(N= 466; median age: 76 years). Most were women (74%) and had visited their primary care provider within the past six months (74%; Table 1). Across scenarios, participants were approximately three times more likely to express comfort than discomfort with physicians asking about guns. Modestly more participants expressed comfort having physicians speak with patients about firearms if the motivation for the conversation was a hypothetical patient with depression or dementia, compared to a child in the home. Half of respondents (49%, 95% CI 44–53%) said they were comfortable with a physician asking about guns in all three scenarios.