Datta Biplab Kumar, Jaremski Jennifer E, Johnson J Aaron
Institute of Public and Preventive Health, Augusta University, Augusta, Georgia, USA
Department of Health Management, Economics and Policy, Augusta University, Augusta, Georgia, USA.
Inj Prev. 2024 Feb 9. doi: 10.1136/ip-2023-045154.
Gun safety practices can play a pivotal role in preventing suicide and unintentional injuries involving a firearm. This study aimed to assess whether psychosocial well-being, measured by emotional support, feeling of social isolation and life satisfaction, influenced safe storage practices among individuals who had firearms in or around their home.
Data are from the firearm safety module of the 2022 Behavioural Risk Factor Surveillance System survey of 11 722 individuals having firearms and living in California, Minnesota, Nevada, New Mexico and Ohio. Respondents were asked to identify how guns were stored in their homes including: (1) not loaded, (2) loaded but locked and (3) loaded and unlocked. Multinomial logistic regression models with controls for sociodemographic correlates assess the relative risks of certain storage measures.
Relative to the base outcome of not loaded, the adjusted relative risks of having firearms loaded and unlocked among individuals who usually/always felt socially isolated were 1.72 (95% CI: 1.02 to 2.88) times that of individuals who never felt socially isolated. The adjusted risks among individuals who were dissatisfied with their life were 1.82 (95% CI: 1.02 to 3.24) times that of their counterparts who were very satisfied. The adjusted risks were not statistically significant among individuals who rarely/never received needed emotional support compared with individuals who always received support.
The results suggest a strong relationship between social isolation and life satisfaction and safe storage practices at home. Policies designed to improve psychosocial well-being, therefore, may present an important opportunity for preventing unintentional firearm injuries.
枪支安全措施在预防涉及枪支的自杀和意外伤害方面可发挥关键作用。本研究旨在评估以情感支持、社会孤立感和生活满意度衡量的心理社会幸福感是否会影响家中或住所周围有枪支的个人的安全储存措施。
数据来自2022年行为危险因素监测系统对加利福尼亚州、明尼苏达州、内华达州、新墨西哥州和俄亥俄州11722名拥有枪支的个人进行的调查中的枪支安全模块。受访者被要求确定家中枪支的储存方式，包括：（1）未上膛，（2）上膛但上锁，（3）上膛且未上锁。采用控制社会人口统计学相关因素的多项逻辑回归模型评估某些储存措施的相对风险。
相对于未上膛的基本结果，通常/总是感到社会孤立的个人中枪支上膛且未上锁的调整后相对风险是从未感到社会孤立的个人的1.72倍（95%置信区间：1.02至2.88）。对生活不满意的个人的调整后风险是非常满意的个人的1.82倍（95%置信区间：1.02至3.24）。与总是得到支持的个人相比，很少/从未得到所需情感支持的个人的调整后风险在统计学上无显著差异。
结果表明社会孤立和生活满意度与家中安全储存措施之间存在密切关系。因此，旨在改善心理社会幸福感的政策可能为预防意外枪支伤害提供重要机会。
