Firearm Possession Among Adolescents Presenting to an Urban Emergency Department for Assault
Firearm Possession Among Adolescents Presenting to an Urban Emergency Department for Assault
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DOI：
10.1542/peds.2013-0163
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发表时间：
2013-08-01
期刊：
影响因子：
8
通讯作者：
Cunningham, Rebecca M.
中科院分区：
文献类型：
--
作者：
Carter, Patrick M.;Walton, Maureen A.;Cunningham, Rebecca M.
背景和证据：枪支暴力是青年死亡的主要原因。本研究的目的是（1）确定在急诊科（艾德）寻求治疗的青少年中枪支拥有率和相关的相关因素;（2）了解拥有枪支的青少年的危险因素差异;（3）确定该人群中枪支拥有的特征：类型、拥有原因和枪支来源。青少年（14至24岁）提出的一级艾德攻击管理的计算机化筛选调查。经验证的文书进行管理，测量人口统计学，枪支率和特点，对侵略的态度，物质使用，和以前的暴力history.Results：在689袭击受伤的青年，23%的报告在过去的6个月拥有枪支。报告拥有枪支的人中只有17%从法律的来源获得枪支; 22%报告拥有高度致命的自动/半自动武器，37.1%报告拥有枪支保护。Logistic回归分析确定了枪支拥有的显着相关性，包括男性性别，较高的社会经济地位，非法药物的使用，最近严重的战斗，和报复性的attitudes.CONCLUSIONS：艾德袭击受伤的青年有很高的枪支拥有率（23.1%），其中大部分是没有从法律的来源。拥有枪支的年轻人更有可能在最近的一场激烈的战斗中，并赞同增加报复性暴力风险的侵略性态度。未来的预防工作应侧重于尽量减少高危青年非法获取枪支的机会，以非暴力方式替代报复性暴力，以及预防药物使用。
BACKGROUND AND OBJECTIVES: Firearm violence is a leading cause of death among youth. The objectives of this study were (1) determine firearm possession rates and associated correlates among youth seeking care for assault in an emergency department (ED); (2) understand differences in risk factors for youth with firearm possession; and (3) identify firearm possession characteristics in this population: type, reason for possession, and source of firearms.METHODS: Youth (14 to 24 years old) presenting to a Level 1 ED with assault were administered a computerized screening survey. Validated instruments were administered, measuring demographics, firearm rates and characteristics, attitudes toward aggression, substance use, and previous violence history.RESULTS: Among 689 assault-injured youth, 23% reported firearm possession in the past 6 months. Only 17% of those reporting firearm possession obtained the gun from a legal source; 22% reported ownership of highly lethal automatic/semiautomatic weapons and 37.1% reported having a firearm for protection. Logistic regression analysis identified significant correlates of firearm possession, including male gender, higher socioeconomic status, illicit drug use, recent serious fight, and retaliatory attitudes.CONCLUSIONS: ED assault-injured youth had high rates of firearm possession (23.1%), most of which were not obtained from legal sources. Youth with firearm possession were more likely to have been in a recent serious fight, and to endorse aggressive attitudes that increase their risk for retaliatory violence. Future prevention efforts should focus on minimizing illegal firearm access among high-risk youth, nonviolent alternatives to retaliatory violence, and substance use prevention.