Improving firearm storage habits: Impact of brief office counseling by family physicians
Improving firearm storage habits: Impact of brief office counseling by family physicians
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DOI：
10.3122/jabfm.16.1.40
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发表时间：
2003-01-01
期刊：
影响因子：
--
通讯作者：
Burge, SK
中科院分区：
文献类型：
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作者：
Albright, TL;Burge, SK
背景资料：枪支伤害是青少年伤害相关死亡的首要原因，也是美国整体伤害相关死亡的第二大原因。我们的目的是确定家庭医生对患者枪支存放习惯的简短办公室咨询的影响。方法：在1,233名完成登记问卷的患者中，156名（13%）报告说他们家中有枪支，并同意参加这项研究。127名（81%）参与者完成了干预后调查工具。参与者要么没有接受咨询，要么只接受口头咨询，要么接受咨询和医生的枪支安全手册。在基线和60至90天后intervention.Results：在干预后的采访中，64%的接受口头咨询的组和58%的接受口头咨询加书面信息的组相比，33%的参与者在无干预组（P = 0.02），在枪支存储的安全变化。控制人口统计学和枪支所有权的Logistic回归模型显示，与无干预组相比，干预参与者的三倍更有可能作出安全的changes.Conclusions：家庭医生的简短的咨询工作取得了显着的积极影响，他们的病人的枪支存储习惯。在口头或书面建议下，火器储存情况有了显著改善。
Background: Firearm injury is the leading cause of injury-related death among youth and second leading cause of injury-related death overall in the United States. Our objective is to determine the impact of brief office counseling by family physicians on patients' firearm storage habits.Methods: Of the 1,233 patients who completed the enrollment questionnaire, 156 (13%) reported they had guns in their household and agreed to participate in the study. Postintervention survey instruments were completed by 127 (81%) of participants. Participants received either no counseling, verbal counseling alone, or counseling and a gun safety brochure from their physician. Firearm storage habits were measured at baseline and 60 to 90 days after intervention.Results: At the postintervention interview, 64% of the group receiving verbal counseling and 58% of the group receiving verbal counseling plus written information made a safe change in gun storage compared with 33% of participants in the no-intervention group (P = .02). A logistic regression model controlling for demographics and gun ownership showed that compared with the no-intervention group, intervention participants were three times more likely to make safe changes.Conclusions: Family physicians' brief counseling efforts made a significant positive impact in the firearm storage habits of their patients. With a verbal or written recommendation, a significant improvement was observed in firearm storage.