Department of Psychiatry and Behavioral Health, The Ohio State University Wexner Medical Center, Columbus, OH, USA.
Wesleyan University, Middletown, CT, USA.
Suicide Life Threat Behav. 2021 Apr;51(2):197-202. doi: 10.1111/sltb.12694.
To describe the characteristics of military personnel and veterans who decline to answer survey items asking about firearm availability at home, and to determine how these characteristics compare to those of military personnel and veterans who answered these items.
Self-report surveys were administered to 2025 military personnel and veterans visiting a primary care clinic located at five military installations across the United States for a routine visit. Multinomial logistic regression was used to identify factors that distinguished participants with firearms at home, participants without firearms at home, and participants who declined answering.
In univariate analyses, participants who selected "refuse to answer" in response to an item asking about firearm access at home did not differ demographically from participants who selected "yes," but were significantly more likely to screen positive for depression and recent thoughts of death or self-harm. These differences were not statistically significant in multivariate analyses, however. Participants who selected "refuse to answer" or "yes" were significantly more likely than participants who selected "no" to be male, white, and previously deployed.
Military personnel and veterans who decline answering firearm-related survey items are indistinguishable from those who report having a firearm at home. Declining to answer firearm-related items is more common among those who screen positive for depression or recent thoughts of death or self-harm, but this association is statistically accounted for by demographic factors (i.e., male gender, white race).
描述拒绝回答家中是否有枪支调查项目的军人和退伍军人的特征，并确定这些特征与回答这些项目的军人和退伍军人的特征有何不同。
对在美国五个军事基地的一家初级保健诊所进行常规就诊的 2025 名军人和退伍军人进行了自我报告调查。使用多项逻辑回归来确定将参与者家中有枪支、家中无枪支和拒绝回答的参与者区分开来的因素。
在单变量分析中，选择“拒绝回答”来回答家中枪支通道问题的参与者在人口统计学上与选择“是”的参与者没有差异，但更有可能筛查出抑郁和近期死亡或自残的想法。然而，在多变量分析中，这些差异并不具有统计学意义。选择“拒绝回答”或“是”的参与者比选择“否”的参与者更有可能是男性、白人，并且以前部署过。
拒绝回答与枪支相关调查项目的军人和退伍军人与报告家中有枪支的人无法区分。对抑郁或近期死亡或自残的想法筛查呈阳性的人更有可能拒绝回答枪支相关项目，但这种关联在统计学上被人口统计学因素（即男性性别、白人种族）所解释。
