Prevalence and correlates of handgun access among adolescents seeking care in an urban emergency department.
Prevalence and correlates of handgun access among adolescents seeking care in an urban emergency department.
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在城市急诊科寻求护理的青少年中使用手枪的患病率和相关性。
DOI：
10.1016/j.aap.2009.11.012
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发表时间：
2010
期刊：
影响因子：
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通讯作者：
Cunningham,RebeccaM
中科院分区：
文献类型：
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作者：
Loh,Kevin;Walton,MaureenA;Harrison,StephanieRoahen;Zimmerman,Marc;Stanley,Rachel;Chermack,StephenT;Cunningham,RebeccaM
目的确定在城市急诊科（艾德）寻求护理的青少年中手枪使用的患病率和相关性，以告知未来的伤害预防策略。方法在这一观察性横断面研究中，在一家大型城市医院的艾德，14至18岁的青少年完成了计算机化的危险行为调查。寻求艾德护理（受伤或医疗投诉）的青少年在22个月的时间里每周7天接触。经验证的指标包括人口统计学、性活动、物质使用、伤害、暴力行为和手枪使用。一个逻辑回归模型预测手枪访问进行了。CITTSA的3050名青少年完成了调查（44%的男性，58.9%的非洲裔美国人），417（12%）拒绝参与。三分之一的样本（n=1003）报告获得手枪，其中54%是男性（n=542）。Logistic回归结果显示，（AOR：1.58; 95% CI：1.30-1.94），非裔美国人（AOR：1.34; 95% CI：1.11-1.61），男性（AOR：1.99; 95%CI：1.66-2.37），且正在就业（AOR：1.35; 95% CI：1.11-1.65），以及与故意伤害相比，因医疗投诉寻求艾德护理（AOR：1.69; 95% CI 1.62-2.50）预测手枪使用。酗酒（AOR：1.75; 95%可信区间：1.37-2.27）、吸食大麻（AOR：1.93; 95%CI：1.58-2.36）、性活动（AOR：1.64; 95%CI：1.32-2.02）、既往枪支伤害（AOR：1.80; 95%CI：1.32-2.46）、严重身体暴力（AOR：1.37; 95%CI：1.32-2.46）1.13-1.66）和群体战斗（AOR：2.07; 95%CI：1.68-2.56）也预测access. CONCLUSIONSHIP率高手枪访问是明显的青少年出现在内城艾德，包括那些寻求照顾非伤害相关的原因。获得手枪的青少年更有可能报告危险行为和过去的伤害，为临床医生提供了一个预防伤害的机会。
OBJECTIVETo determine prevalence and correlates of handgun access among adolescents seeking care in an urban Emergency Department (ED) in order to inform future injury prevention strategies.METHODSIn this observational cross-sectional study performed in the ED of a large urban hospital, 14- to 18-year-old adolescents completed a computerized survey of risk behaviors. Adolescents seeking ED care (for injury or medical complaint) were approached seven days a week over a 22-month period. Validated measures included measures of demographics, sexual activity, substance use, injury, violent behavior, and handgun access. A logistic regression model predicting handgun access was performed.RESULTSA total of 3050 adolescents completed the survey (44% male, 58.9% African-American), with 417 (12%) refusing to participate. One-third of the sample (n=1003) reported access to a handgun, and of those 54% were males (n=542). Logistic regression results indicated that older age (AOR: 1.58; 95% CI: 1.30–1.94), African-American race (AOR: 1.34; 95% CI: 1.11–1.61), male gender (AOR: 1.99; 95% CI: 1.66–2.37), and being employed (AOR: 1.35; 95% CI: 1.11–1.65), as well as seeking ED care for a medical complaint as compared to intentional injury (AOR: 1.69; 95% CI 1.62–2.50) predicted handgun access. Binge drinking (AOR: 1.75; 95% CI: 1.37–2.27), marijuana use (AOR: 1.93; 95% CI: 1.58–2.36), sexual activity (AOR: 1.64; 95% CI: 1.32–2.02), prior injury by a gun (AOR: 1.80; 95% CI: 1.32–2.46), serious physical violence (AOR: 1.37; 95% CI: 1.13–1.66) and group fighting (AOR: 2.07; 95% CI: 1.68–2.56) also predicted access.CONCLUSIONSHigh rates of handgun access were evident among adolescents presenting in an inner city ED, including those seeking care for non-injury related reasons. Adolescents with access to handguns were more likely to report risk behaviors and past injury, providing clinicians with an opportunity for injury prevention initiatives.