Understanding the epidemiology of firearm injuries in a large urban county: a guide for targeted intervention efforts

了解大城市县火器伤害的流行病学：有针对性的干预工作指南

• 批准号: 10268944
• 负责人: Bindi J Naik-Mathuria
• 金额: $ 33.07万
• 依托单位: BAYLOR COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-30 至 2022-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10268944
• 关键词: Understanding; epidemiology; firearm; injuries; large

ABSTRACT Firearm violence is a major public health problem in the United States (US), and firearm-related mortality far surpasses that in every other country in the world. The goal of this project is to understand the epidemiology of firearm injuries and deaths in a large and diverse population center (Harris County, Texas) in order to identify trends and risk factors to inform prevention efforts. We propose a 3-year retrospective review of data on children and adults who were injured or killed by firearms in Harris County to examine the scope of firearm violence and define risk factors to target future intervention efforts. In order to capture data on the maximum number of affected individuals, an integrated database for contemporary firearm violence that includes non-fatal and fatal events from trauma centers, medical examiner's office and police records will be developed. The integrated database will include personal, social, socioeconomic, and environmental variables about the shooting victims based on a social-ecological model for firearm violence prevention. This will be used to identify and categorize individual-level and neighborhood-level geographic, demographic, temporal, social, and socioeconomic risk factors for firearm-related violence. Geostatistical models will be used to identify neighborhood-level socioeconomic predictors based on victim residence. Finally, firearm violence “hot spots” will be characterized based on official crime data for firearm-related incidents (both injury and non-injury) using spatial clustering by geographic unit analysis. Understanding which subpopulations are being injured or killed, what the shooting context was, and where the incidents occurred will provide a wealth of data to devise strategic interventions for decreasing firearm violence at the local level. The integration of firearm violence data from multiple data sources in a large and diverse population center will provide a unique platform to analyze injury clusters and provide evidence-based prioritization of risk factors to help communities design targeted interventions.

摘要 枪支暴力是美国的一个主要公共卫生问题，与枪支有关的死亡率远高于其他国家。 超过了世界上任何一个国家。该项目的目标是了解 在一个庞大而多样化的人口中心（德克萨斯州哈里斯县）， 趋势和风险因素，为预防工作提供信息。我们建议对以下数据进行为期3年的回顾性审查： 在哈里斯县被枪支伤害或杀害的儿童和成人，以检查枪支的范围 并确定风险因素，以针对未来的干预努力。为了获取最大的数据， 受影响的个人人数，当代火器暴力综合数据库，其中包括 来自创伤中心、法医办公室和警方记录的非致命和致命事件将被 开发综合数据库将包括个人、社会、社会经济和环境变量 关于枪击受害者的社会生态模型的基础上预防枪支暴力。将以此 为了识别和分类个人级别和社区级别的地理、人口统计、时间 与枪支有关的暴力的社会和社会经济风险因素。地质统计模型将用于 根据受害者居住地确定社区一级的社会经济预测因素。最后，枪支暴力 “热点”将根据与枪支有关的事件的官方犯罪数据（包括伤害和死亡）来确定。 和非损伤）使用地理单元分析的空间聚类。了解哪些亚群 受伤或死亡，枪击事件的背景是什么，以及事件发生的地点将提供丰富的 数据，以制定战略干预措施，减少地方一级的枪支暴力。的整合 来自大型和多样化人口中心的多个数据源的枪支暴力数据将提供独特的 分析伤害集群的平台，并提供基于证据的风险因素优先级，以帮助社区 设计有针对性的干预措施。