Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, USA.
Injury Prevention Center, University of Michigan, Ann Arbor, MI, USA.
J Child Psychol Psychiatry. 2021 May;62(5):580-583. doi: 10.1111/jcpp.13421. Epub 2021 Apr 4.
Youth firearm injury is a worsening public health crisis, and the risks are not distributed evenly. Bottiani et al. skillfully explicated those health disparities, described sociological factors underlying them, and explored avenues for prevention. We supplement their analysis by detailing problems and solutions related to a critical barrier to firearm violence prevention - the nonexistence both of reliable 'gold standard' nonfatal firearm injury surveillance data, and systems for near real-time surveillance of firearm injuries at granular spatial scales that would enable to optimization of rapid response protocols and neighborhood-based prevention programs. We conclude with a discussion of modern, scalable, behavioral intervention approaches that could be leveraged to fill the largely absent evidence base resulting from the documented underfunding of youth firearm violence prevention research.
青年枪支伤害是一个日益严重的公共卫生危机,其风险分布不均。Bottiani 等人巧妙地阐述了这些健康差异,描述了其背后的社会学因素,并探讨了预防的途径。我们通过详细说明与枪支暴力预防的一个关键障碍相关的问题和解决方案来补充他们的分析——缺乏可靠的“黄金标准”非致命枪支伤害监测数据,以及用于在细粒度空间尺度上实时监测枪支伤害的系统,这将使快速反应协议和基于社区的预防计划得到优化。最后,我们讨论了现代、可扩展的行为干预方法,可以利用这些方法来填补因青年枪支暴力预防研究资金不足而导致的大量证据空白。