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Annu Rev Public Health. 2021 Apr 1;42:23-41. doi: 10.1146/annurev-publhealth-012420-105117. Epub 2020 Dec 23.
In December 2019, for the first time in more than 20 years, the US Congress appropriated, and the president signed, a bill that included $25 million for gun violence prevention research at the Centers for Disease Control and Prevention and the National Institutes of Health. This research should find ways to reduce injury, death, and suffering while protecting the right of law-abiding citizens to own firearms. Four questions can structure this research agenda. First, what is the problem: How many people get shot, who are they, where does it happen, what is the relationship between the shooter and the victim, what other types of damage are incurred, and are the shootings increasing or decreasing? Second, what are the causes: What is the role of alcohol and drugs; what is the role of gangs, poverty, and systemic racism; what is the role of mental illness, robbery, and domestic violence; what is the role of private gun ownership (both positive and negative) and easy access to guns? What are the factors that protect us, such as stable families and safe environments? Third, what works: Which practices, interventions, policies, and laws work best to prevent these deaths and injuries? And fourth, how do you do it: How do you implement the findings and translate them into policies, legislation, and practices that can be scaled up?
2019 年 12 月,美国国会拨款 2500 万美元用于疾病控制与预防中心和美国国立卫生研究院的枪支暴力预防研究,这是 20 多年来的首次,总统也签署了这项法案。这项研究应该找到减少伤害、死亡和痛苦的方法,同时保护守法公民拥有枪支的权利。这项研究可以围绕以下四个问题展开。首先,问题是什么:有多少人被枪击,他们是谁,枪击事件发生在哪里,枪手和受害者之间是什么关系,还造成了哪些其他类型的伤害,枪击事件是在增加还是减少?其次,原因是什么:酒精和毒品的作用是什么;帮派、贫困和系统性种族主义的作用是什么;精神疾病、抢劫和家庭暴力的作用是什么;私人枪支拥有(包括积极和消极的方面)和枪支获取的便利性的作用是什么?保护我们的因素是什么,如稳定的家庭和安全的环境?第三,什么有效:哪些做法、干预措施、政策和法律最能预防这些死亡和伤害?最后,如何实施:如何实施这些发现,并将其转化为可以推广的政策、立法和实践?