Radant Leon J, Johnson Thomas M
University of Wisconsin, USA.
WMJ. 2003;102(4):46-50.
National surveys have reported information on firearm ownership and storage practices, but primary care physicians question whether such information can be generalized to their communities and the patient populations they serve. In this study, an anonymous survey was distributed to 100 consecutive patients in 11 primary care clinics throughout Wisconsin. Demographic information and information on the patient's willingness to have firearm safety discussed as part of their routine care, firearm ownership in the household, firearm storage practices, and the patient's purpose for owning firearms were collected. The study found that patients were willing to answer anonymous survey questions about firearm ownership and storage in their homes. The most effective screening question on gun safety was whether firearms were kept in the home for personal protection. Patients at rural clinics were more likely to own firearms than patients in urban clinics. Keeping firearms for recreational purposes was more common than keeping them for personal protection, which was associated with unsafe storage practices. A majority of patients reported not wanting to receive information on firearm safety from their physician. Overall, the study found that it was not possible to generalize national information on firearm ownership and storage to surveyed patients of primary care clinics in Wisconsin.
全国性调查已报告了有关枪支拥有情况和储存方式的信息,但基层医疗医生质疑此类信息是否能推广至他们所在的社区以及他们所服务的患者群体。在本研究中,一项匿名调查被分发给威斯康星州11家基层医疗诊所的100名连续就诊患者。收集了人口统计学信息以及患者对于将枪支安全作为常规护理一部分进行讨论的意愿、家庭枪支拥有情况、枪支储存方式,以及患者拥有枪支的目的等信息。研究发现,患者愿意回答有关家中枪支拥有和储存情况的匿名调查问题。关于枪支安全最有效的筛查问题是家中枪支是否用于个人防护。农村诊所的患者比城市诊所的患者更有可能拥有枪支。出于娱乐目的持有枪支比出于个人防护目的更为常见,而这与不安全的储存方式相关。大多数患者报告称不希望从他们的医生那里获得枪支安全方面的信息。总体而言,该研究发现,无法将全国性的枪支拥有和储存信息推广至威斯康星州基层医疗诊所的受访患者。