Substance Use and Firearm Injuries among Medicaid-enrolled Youth

参加医疗补助的青少年的药物使用和枪伤

• 批准号: 10811094
• 负责人: Scott Evan Hadland
• 金额: $ 56.37万
• 依托单位: MASSACHUSETTS GENERAL HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2025-09-29
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10811094
• 关键词: Acceleration; Accident and Emergency department; Address; Adolescence; Adolescent; Adolescent and Young Adult; Adult; Age; Alcohol consumption; Alcohols; Applications Grants; Asian; Automobile Driving; Award; Black race; COVID-19 pandemic; Canada; Cannabis; Caring; Cause of Death; Cessation of life; Cocaine; Country; County; Data; Databases; Death Rate; Decision Analysis; Development; Diagnosis; Disparity; Drug usage; Early Intervention; Electronic Health Record; Enrollment; Epidemiology; Ethnic Origin; Evidence based intervention; Family; Firearms; Funding; Future; Goals; Gun injury; Health; Health care facility; Health system; Heroin; Hispanic; Homicide; Income; Indigenous; Individual; Inequity; Information Systems; Injury; Inpatients; Intervention; K-18 conjugate; Knowledge; Knowledge acquisition; Lead; Link; Literature; Location; Longitudinal Studies; Medicaid; Mentors; Mentorship; Morbidity - disease rate; National Institute of Drug Abuse; Not Hispanic or Latino; Outpatients; Persons; Pharmaceutical Preparations; Policies; Policy Maker; Population; Prevalence; Principal Investigator; Race; Recurrence; Research; Research Personnel; Research Project Grants; Risk; Risk Factors; Sampling; Scientist; Suicide; Surveys; Testing; Time; United States National Institutes of Health; Vehicle crash; Visit; Youth; addiction; adolescent substance use; age group; aged; alcohol involvement; binge drinking; career; children of color; disparity reduction; ethnic disparity; experience; health care settings; health equity; illicit drug use; injury prevention; large datasets; machine learning model; marijuana use; mortality; people of color; prevent; prevention service; protocol development; racial difference; racial disparity; skills; substance use; young adult

PROJECT SUMMARY/ABSTRACT: Firearm injuries are the single leading cause of death among adolescents and young adults (“youth”) in the US. Risk for firearm-related suicide, homicide, and other injuries rises during adolescence and into young adulthood, as do rates of drug and alcohol use. Substance use increases the risk of firearm injuries, and identifying and addressing substance use may be a critical strategy for preventing firearm-related morbidity and mortality. Youth at risk for firearm injuries commonly present to healthcare settings, where evidence-based interventions can be delivered to address substance use and prevent future injuries. However, clinicians, health systems, and policymakers need clear data on the optimal location and timing for such interventions. Additionally, owing to longstanding systemic inequities, youth of color experience disproportionately elevated firearm injury rates and substance involvement, and studies to reduce firearm morbidity and mortality must have a clear focus on health equity. The central objective of this project is to provide a comprehensive, national picture of the links between substance use, firearm injuries, and reinjury in a sample of 42 million Medicaid- enrolled youth aged 13-25 from across the US during 2016-2020, and throughout, to detail opportunities to reduce disparities by race and ethnicity. The Specific Aims are to: (1) Identify substance use-related visits in youth prior to a firearm injury, with a focus on the location and timing of such visits; and (2) Determine the extent to which substance use is associated with risk for reinjury after an incident firearm injury. The project will be guided by a diverse Youth and Family Advisory Board to inform protocol development, analysis, interpretation, and dissemination of findings, with a goal of maximizing relevance and delivery of results to youth, families, and key stakeholders across the US. Using the research project as an opportunity for mentored experience, this K18 Career Enhancement Award will support the PI, Dr. Scott Hadland, an expert in youth substance use, to develop new knowledge and skills in the field of firearm injury prevention. Specifically, he will acquire foundational knowledge in firearm injury epidemiology and policy, and skills in building and partnering with an advisory board of individuals with lived experience. The project is supported by an interdisciplinary mentorship team with expertise across these topics, as well as in racial and ethnic disparities, and linkage and analysis of large datasets. The variables and associations identified in this study will serve as critical inputs to future, independently conducted research of the PI, including machine-learning models, decision analysis, and electronic health record-based interventions.

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