Steinman Kenneth J, Zimmerman Marc A
Division of Health Behavior and Health Promotion, the Ohio State University School of Public Health, Columbus, Ohio 43210-1240, USA.
J Adolesc Health. 2003 May;32(5):356-64. doi: 10.1016/s1054-139x(03)00022-3.
To examine whether similar risk factors influenced episodic and persistent gun-carrying among urban African-American adolescents.
The sample consisted of 705 African-American youths (48.9% male; mean age at baseline = 14.56 years) who were interviewed annually throughout high school as part of a larger study on students who leave school before graduation. Episodic gun-carrying was defined as carrying a gun during one or two waves of the study. Persistent gun-carrying involved carrying a gun during three or four waves. Data were analyzed using multinomial logistic regression to test how risk factors assessed at ninth grade influenced the persistence of gun-carrying.
Fifteen percent of students reported carrying a gun episodically, and 5% persistently. "Male gender" (OR = 3.61, 95% CI = 2.16-6.04), "adult weapon-carrying" (OR = 1.58, 95% CI = 1.20-2.09), "marijuana use" (OR = 1.03, 95% CI = 1.01-1.06), "selling drugs" (OR = 3.24, 95% CI = 1.52-6.92), and "fighting" (OR = 1.57, 95% CI = 1.14-2.15) distinguished noncarriers from episodic carriers. Frequency of fighting (OR = 1.60, 95% CI = 1.00-2.57) and selling drugs (OR = 3.29, 95% CI = 1.16-9.35) distinguished episodic gun-carriers from persistent gun-carriers. Variables associated with victimization did not uniquely differentiate among the patterns of gun-carrying. These results were similar for males and females.
Similar risk factors characterize episodic and persistent gun-carrying. Specifically, selling drugs and fighting had a strong dose-response relationship with the persistence of gun-carrying. In this population, episodic gun-carrying should be viewed as very risky and not merely as youthful experimentation or a defensive behavior.
探讨相似的风险因素是否会影响城市非裔美国青少年偶尔持枪和持续持枪的情况。
样本包括705名非裔美国青少年(48.9%为男性;基线平均年龄=14.56岁),作为一项关于未毕业就离校学生的更大规模研究的一部分,他们在高中期间每年接受访谈。偶尔持枪被定义为在研究的一或两轮中携带枪支。持续持枪指在三轮或四轮中携带枪支。使用多项逻辑回归分析数据,以测试九年级评估的风险因素如何影响持枪行为的持续性。
15%的学生报告偶尔持枪,5%持续持枪。“男性”(比值比=3.61,95%置信区间=2.16 - 6.04)、“成人携带武器”(比值比=1.58,95%置信区间=1.20 - 2.09)、“使用大麻”(比值比=1.03,95%置信区间=1.01 - 1.06)、“贩卖毒品”(比值比=3.24,95%置信区间=1.52 - 6.92)和“打架”(比值比=1.57,95%置信区间=1.14 - 2.15)区分了非持枪者和偶尔持枪者。打架频率(比值比=1.60,95%置信区间=1.00 - 2.57)和贩卖毒品(比值比=3.29,95%置信区间=1.16 - 9.35)区分了偶尔持枪者和持续持枪者。与受害相关的变量在持枪模式之间没有独特的区分作用。男性和女性的这些结果相似。
偶尔持枪和持续持枪具有相似的风险因素。具体而言,贩卖毒品和打架与持枪行为的持续性有很强的剂量反应关系。在这个群体中,偶尔持枪应被视为非常危险,而不仅仅是青少年的尝试或防御行为。