Internists' and surgeons' attitudes toward guns and firearm injury prevention
Internists' and surgeons' attitudes toward guns and firearm injury prevention
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DOI：
10.7326/0003-4819-128-3-199802010-00009
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发表时间：
1998-02-01
影响因子：
39.2
通讯作者：
Gary, NE
中科院分区：
文献类型：
--
作者：
Cassel, CK;Nelson, EA;Gary, NE
背景资料：在美国，与枪支有关的死亡、受伤和长期残疾的高发生率引起了卫生保健界越来越多的关注。医学组织和期刊越来越关注枪支暴力作为一个公共卫生问题，然而，很少有报告讨论医生对枪支和预防枪支相关伤害的态度。目的：确定内科医生和外科医生对枪支和枪支伤害预防的态度。设计：结构化电话访谈结果分析。设置：内科和外科办公室。参与者：457名内科医生和458名外科医生。测量：55个问题，涉及六个领域：枪支使用经验，枪支损伤临床后遗症知识，枪支暴力公共政策知识，对枪支暴力公共政策的态度，临床实践行为，教育和培训。结果：访谈应答率为45.3%，依从率为82.5%，概率为95%（错误率，+/- 5%）。94%的内科医生和87%的外科医生认为枪支暴力是一个主要的公共卫生问题。大多数内科医生和外科医生也支持社区立法限制拥有或销售手枪（分别为84%和64%）。此外，虽然84%的内科医生和72%的外科医生认为，医生应该参与预防火器伤，不到20%的受访者通常在病人护理中从事某种形式的火器伤预防实践。许多内科医生和外科医生认为火器伤害是一个日益重要的公共卫生问题，医生应该将枪支安全筛查和咨询纳入他们的实践，医生应该加入社区管理手枪的努力，具体的枪支管理措施应该作为公共政策。
Background: The high rates of death, injury, and longterm disability related to firearms in the United States have led to growing concern in the health care community. Medical organizations and journals are devoting increasing attention to firearm violence as a public health problem; however, few reports discuss physician attitudes toward guns and prevention of firearm-related injury.Objective: To determine internists' and surgeons' attitudes toward guns and firearm injury prevention.Design: Analysis of results of a structured telephone interview.Setting: Internal medicine and surgical offices.Participants: 457 internists and 458 surgeons.Measures: 55 questions that covered six domains: experience with firearms, knowledge about clinical sequelae of firearm injury, knowledge about public policies on firearm violence, attitudes toward public policies on firearm violence, clinical practice behavior, and education and training.Results: The interview response rate was 45.3%, with a compliance rate of 82.5% and a 95% probability (error rate, +/- 5%). Ninety-four percent of internists and 87% of surgeons believe firearm violence is a major public health issue. A majority of internists and surgeons also support community efforts to enact legislation to restrict the possession or sale of handguns (84% and 64%, respectively). Furthermore, although 84% of internists and 72% of surgeons believe that physicians should be involved with firearm injury prevention, less than 20% of respondents usually engage in some form of firearm injury prevention practice in patient care.Conclusion: Many internists and surgeons think that firearm injuries are a public health issue of growing importance, that physicians should incorporate firearm safety screening and counseling into their practice, that physicians should join community efforts to regulate handguns, and that specific gun regulation measures should be adopted as public policy.