A Proposal to Establish the Mississippi Violence Injury Prevention (VIP) Program

项目总结/摘要 密西西比大学医学中心（UMMC）与四个成熟的社区合作， 团体-人民倡导研究所，JXN的强大武器，良好行动和密西西比公共卫生 研究所-建议参加社区一级的枪支和相关暴力，伤害干预 通过建立密西西比暴力伤害和死亡预防（CLIF-VP）研究网络， 预防（VIP）计划。团队成员代表社区活动家， 学术学科，包括急诊医学，心理学，公共卫生，调查研究，地理信息系统和 遥感、法律和护理。 2020年，密西西比州的枪支死亡率为全国最高，每10万居民中有28.6人。杰克逊， 该州的首府，2021年的凶杀率为每10万居民97.6人，比2010年高出三倍多。 比全国每10万居民6.5人的谋杀率高出15倍。UMMC，也就是 该州唯一的一级创伤中心，为1，129名受伤的患者提供护理， 枪支或相关暴力。 作为CLIF-VP研究网络的一部分，密西西比VIP计划将与其 协调中心，通过本协议资助的其他研究项目，CLIF-VP研究 网络的利益相关者委员会、指导委员会和工作组成功开展跨项目 活动 密西西比VIP计划的研究设计包括一个为期两年的规划（UG 3）阶段和一个为期三年的 第三阶段（UH 3）。为UG 3阶段确定了两个具体目标：（1）确定 并建立机制，纵向监测社区一级火器伤害的社会决定因素， 大杰克逊，密西西比大都市区，关于（a）感知的需求，（B）可用资源 （c）能力建设的机会;（2）确定社区特有的主要风险 （a）火器伤害，（B）次优功能恢复，（c）报复和再伤害，以及 合作开发以社区和医院为基础的相互联系的保护资源，以应对这些风险。 UH 3阶段确定了两个具体目标：（1）进行临床试验， 在UG 3阶段，采用逐步楔形聚类方法，优化以社区为重点的干预措施， 预防暴力干预措施对社区和个人的纵向影响：（a） 火器伤害，（B）受害者功能恢复，（c）报复和再伤害的发生率，以及（d）经济影响; 和（2）协调正在进行的社区，区域和远程医疗扩展和采用优化的 以社区为中心的资源与CLIF-VP研究网络。

PROJECT SUMMARY/ABSTRACT The University of Mississippi Medical Center (UMMC), in partnership with four well-established community groups—People’s Advocacy Institute, Strong Arms of JXN, Operation Good, and the Mississippi Public Health Institute—propose to participate in the Community Level Interventions for Firearm and Related Violence, Injury and Mortality Prevention (CLIF-VP) Research Network by establishing the Mississippi Violence Injury Prevention (VIP) Program. Together, individual team members represent community activists and several academic disciplines, including emergency medicine, psychology, public health, survey research, GIS and remote sensing, law, and nursing. Mississippi had the nation’s highest firearm mortality rate in 2020 at 28.6 per 100,000 residents. Jackson, the state’s capital, had a 2021 homicide rate of 97.6 per 100,000 residents, more than three times higher than the state and 15 times higher than the national rate of 6.5 murders per 100,000 residents. UMMC, which is the only Level 1 Trauma Center in the state, administered care to 1,129 patients presenting with injuries from firearms or related violence. As part of the CLIF-VP Research Network, the Mississippi VIP Program will work closely with its Coordinating Center, the other Research Projects funded through this Agreement, the CLIF-VP Research Network’s Stakeholder Board(s), Steering Committee, and workgroups to successfully carry out cross-project activities. The Mississippi VIP Program’s research design includes a two-year planning (UG3) phase and a three- year implementation (UH3) phase. Two specific aims have been identified for the UG3 phase: (1) define and create the machinery to longitudinally monitor the community-level social determinants of firearm injury in the greater Jackson, Mississippi metropolitan area with respect to (a) perceived needs, (b) available resources and their utilization, and (c) opportunities for capacity building; and (2) identify principal community-specific risk elements for (a) firearm injury, (b) suboptimal functional recovery, and (c) retaliation and reinjury, and collaboratively develop linked community- and hospital-based protective resources to address these risks. Two specific aims have been identified for the UH3 phase: (1) conduct a clinical trial that implements optimized community-focused interventions during the UG3 phase using a step-wedge cluster approach, and measures longitudinal community and individual impact of violence prevention interventions on (a) incidence of firearm injury, (b) functional victim recovery, (c) incidence of retaliation and reinjury, and (d) economic impact; and (2) coordinate ongoing community, regional, and telehealth expansion and adoption of optimized community-focused resources in concert with the CLIF-VP Research Network.