University of Michigan, School of Public Health, Department of Epidemiology, Ann Arbor, MI 48106-5770, USA.
Accid Anal Prev. 2010 Mar;42(2):347-53. doi: 10.1016/j.aap.2009.11.012. Epub 2010 Jan 19.
To determine prevalence and correlates of handgun access among adolescents seeking care in an urban Emergency Department (ED) in order to inform future injury prevention strategies.
In this observational cross-sectional study performed in the ED of a large urban hospital, 14- to 18-year-old adolescents completed a computerized survey of risk behaviors. Adolescents seeking ED care (for injury or medical complaint) were approached seven days a week over a 22-month period. Validated measures included measures of demographics, sexual activity, substance use, injury, violent behavior, and handgun access. A logistic regression model predicting handgun access was performed.
A total of 3050 adolescents completed the survey (44% male, 58.9% African-American), with 417 (12%) refusing to participate. One-third of the sample (n=1003) reported access to a handgun, and of those 54% were males (n=542). Logistic regression results indicated that older age (AOR: 1.58; 95% CI: 1.30-1.94), African-American race (AOR: 1.34; 95% CI: 1.11-1.61), male gender (AOR: 1.99; 95% CI: 1.66-2.37), and being employed (AOR: 1.35; 95% CI: 1.11-1.65), as well as seeking ED care for a medical complaint as compared to intentional injury (AOR: 1.69; 95% CI 1.62-2.50) predicted handgun access. Binge drinking (AOR: 1.75; 95% CI: 1.37-2.27), marijuana use (AOR: 1.93; 95% CI: 1.58-2.36), sexual activity (AOR: 1.64; 95% CI: 1.32-2.02), prior injury by a gun (AOR: 1.80; 95% CI: 1.32-2.46), serious physical violence (AOR: 1.37; 95% CI: 1.13-1.66) and group fighting (AOR: 2.07; 95% CI: 1.68-2.56) also predicted access.
High rates of handgun access were evident among adolescents presenting in an inner city ED, including those seeking care for non-injury related reasons. Adolescents with access to handguns were more likely to report risk behaviors and past injury, providing clinicians with an opportunity for injury prevention initiatives.
确定在城市急诊部（ED）寻求治疗的青少年中手枪获取的流行率和相关因素，以便为未来的伤害预防策略提供信息。
在这项在大型城市医院 ED 进行的观察性横断面研究中，14 至 18 岁的青少年完成了一项风险行为的计算机化调查。在 22 个月的时间里，每周七天在 ED 中接触到寻求 ED 护理（因受伤或医疗投诉）的青少年。经过验证的措施包括人口统计学、性行为、药物使用、伤害、暴力行为和手枪获取的措施。对预测手枪获取的逻辑回归模型进行了分析。
共有 3050 名青少年完成了调查（44%为男性，58.9%为非裔美国人），其中 417 名（12%）拒绝参与。样本的三分之一（n=1003）报告有手枪获取，其中 54%为男性（n=542）。逻辑回归结果表明，年龄较大（OR：1.58；95%CI：1.30-1.94）、非裔美国人种族（OR：1.34；95%CI：1.11-1.61）、男性（OR：1.99；95%CI：1.66-2.37）和就业（OR：1.35；95%CI：1.11-1.65），以及因医疗投诉而非故意伤害寻求 ED 护理（OR：1.69；95%CI 1.62-2.50），与手枪获取有关。酗酒（OR：1.75；95%CI：1.37-2.27）、大麻使用（OR：1.93；95%CI：1.58-2.36）、性行为（OR：1.64；95%CI：1.32-2.02）、以前枪支造成的伤害（OR：1.80；95%CI：1.32-2.46）、严重的身体暴力（OR：1.37；95%CI：1.13-1.66）和群体斗殴（OR：2.07；95%CI：1.68-2.56）也预测了手枪的获取。
在城市 ED 就诊的青少年中，手枪获取率很高，包括因非伤害相关原因寻求治疗的青少年。有手枪获取的青少年更有可能报告风险行为和过去的伤害，这为临床医生提供了进行伤害预防计划的机会。
