Hospital Medicine Program, Denver VA Medical Center, Denver, Colorado, USA.
Rocky Mountain MIRECC, Denver VA Medical Center, Denver, Colorado, USA.
Inj Prev. 2018 Jun;24(3):218-223. doi: 10.1136/injuryprev-2016-042292. Epub 2017 Jun 22.
Safe firearm storage practices are associated with a lower risk of unintentional and self-inflicted firearm injuries among household members, though many firearms remain unlocked and/or loaded.
Conduct a preliminary evaluation of a community-based firearm safety intervention and assess participants' preferences for firearm locking devices and their comfort with potential firearm safety counsellors.
DESIGN/METHODS: Baseline event and follow-up surveys among adult participants to assess changes in firearm storage practices, including whether all household firearms were stored locked, all were unloaded, all ammunition was locked, and a composite measure assessing whether all firearms were locked and unloaded and all ammunition was stored locked.
A total of 206 out of 415 participants completed both surveys and were included. Nearly 9 in 10 respondents preferred the firearm lock box rather than a trigger lock. At follow-up, a significantly greater proportion reported that all household firearms were locked (+13.7%) and unloaded (+8.5%) and a non-significantly greater proportion reported that all ammunition was locked (+6.3%). A significantly greater proportion reported practising all three safe firearm and ammunition storage practices at follow-up (+12.6%). A majority reported they would be or discussing firearm safety with various safety counsellors, though women were less likely to do so than men.
This intervention that included distribution of a free, participant-selected locking device improved safe firearm storage practices among participants. Differences in participant preferences for devices and safety counsellors suggest that a 'one size fits all' approach may be inadequate in affecting population-level storage practices.
安全的枪支储存措施与家庭成员中非故意和自我伤害的枪支伤害风险降低有关,尽管许多枪支仍然未上锁和/或未卸弹。
对基于社区的枪支安全干预措施进行初步评估,并评估参与者对枪支锁定装置的偏好以及他们对潜在枪支安全顾问的舒适度。
设计/方法:对成年参与者进行基线事件和随访调查,以评估枪支储存措施的变化,包括家庭所有枪支是否上锁、所有枪支是否卸弹、所有弹药是否上锁,以及一个综合指标,评估所有枪支是否上锁和卸弹以及所有弹药是否上锁储存。
在 415 名参与者中,共有 206 名完成了两次调查并被纳入分析。近 9 成的受访者更喜欢枪支锁箱而不是扳机锁。随访时,报告所有家庭枪支都上锁(增加 13.7%)和卸弹(增加 8.5%)的比例显著增加,报告所有弹药上锁的比例也略有增加(增加 6.3%)。随访时,报告实践所有三种安全枪支和弹药储存措施的比例显著增加(增加 12.6%)。大多数人表示他们将与各种安全顾问讨论枪支安全问题,尽管女性比男性更不愿意这样做。
这项干预措施包括分发免费的、由参与者选择的锁定装置,改善了参与者的安全枪支储存措施。参与者对设备和安全顾问的偏好存在差异,这表明“一刀切”的方法可能不足以影响人群层面的储存措施。