Psychiatric Disorders and Gun Carrying among Adolescents in the United States.
Psychiatric Disorders and Gun Carrying among Adolescents in the United States.
复制标题
美国青少年的精神疾病和携带枪支。
DOI：
10.1016/j.jpeds.2019.01.010
复制
发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Cerdá,Magdalena
中科院分区：
文献类型：
--
作者：
Kagawa,RoseMC;Gary,DahsanS;Wintemute,GarenJ;Rudolph,KaraE;Pear,VeronicaA;Keyes,Katherine;Cerdá,Magdalena
目的估计青少年精神疾病与携带枪支之间的关联，并估计美国患有精神疾病并报告携带枪支的青少年总数。研究设计我们使用了来自全国共病调查-青少年补充的横断面数据，这是一个具有全国代表性的青少年样本13-18岁（N = 10 123;响应率= 75.6%）。 使用复合国际诊断访谈评估精神疾病。通过自我报告评估访谈前30天内的枪支携带情况。我们使用多变量泊松回归测试association.ResultsThe分析样本包括10 112青少年，2.4%的人报告携带枪支在过去的30天。 与没有这些疾病的青少年相比，有行为障碍（校正的患病率[APR] = 1.88，95% CI 1.38，2.57）、药物使用障碍（APR = 1.91，95% CI 1.05，3.45）和特定恐惧症（APR = 1.54，95% CI 1.07，2.22）的青少年携带枪支的患病率更高。我们估计，1.1%（95%CI 0.77，1.48）的青少年与自我或其他定向暴力相关的障碍也携带枪支。在全国范围内，这是大约272 000青少年与两个风险factors.ConclusionsSpecific精神疾病与青少年携带枪支的风险增加，但绝大多数青少年与精神疾病没有报告携带枪支。 有针对性地努力评估在精神保健和其他临床环境中获得和使用枪支的情况十分重要，努力确定人口预防办法也很重要。
ObjectivesTo estimate associations between psychiatric disorders and gun carrying among adolescents and to estimate the total number of adolescents in the US who have psychiatric disorders and report carrying guns.Study designWe used cross-sectional data from the National Comorbidity Survey – Adolescent Supplement, a nationally representative sample of adolescents age 13-18 years (N = 10 123; response rate = 75.6%). Psychiatric disorders were assessed using the Composite International Diagnostic Interview. Gun carrying in the 30 days prior to the interview was assessed by self-report. We used multivariable Poisson regression to test for associations.ResultsThe analytic sample included 10 112 adolescents, 2.4% of whom reported carrying a gun in the prior 30 days. The prevalence of gun carrying was greater among adolescents with conduct disorder (adjusted prevalence ratio [APR] = 1.88, 95% CI 1.38, 2.57), drug use disorders (APR = 1.91, 95% CI 1.05, 3.45), and specific phobias (APR = 1.54, 95% CI 1.07, 2.22) compared with adolescents without these disorders. We estimated that 1.1% (95% CI 0.77, 1.48) of adolescents with a disorder associated with self- or other-directed violence also carry guns. Nationally, that is approximately 272 000 adolescents with both risk factors.ConclusionsSpecific psychiatric disorders are associated with an increased risk of gun carrying among adolescents, but the vast majority of adolescents with psychiatric disorders did not report gun carrying. Targeted efforts to assess access to and use of firearms in mental healthcare and other clinical settings are important, as are efforts to identify population approaches to prevention.
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