Knowledge Gaps Identified in a Survey of Maine Physicians' Firearm Safety Counseling Practices.

IF 3.9 3区 医学 Q1 HEALTH POLICY & SERVICES Journal of Community Health Pub Date : 2024-12-01 Epub Date: 2024-07-16 DOI:10.1007/s10900-024-01379-w
Julia Oppenheimer, Anya Cutler, Kristine Pleacher
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Abstract

Numerous medical associations have identified firearm injuries as a public health issue, calling on physicians to provide firearm safety counseling. Data suggest that while many physicians agree with this, few routinely screen and provide counseling. We aimed to survey Maine physicians to assess their current firearm safety counseling practices and knowledge of a new state child access prevention (CAP) law. We conducted an anonymous cross-sectional survey of Maine primary care and psychiatry physicians. We recruited multiple statewide medical organizations, residency programs, and two major health systems to distribute the survey to their membership. Group differences were compared by physician rurality and years in practice using Fisher's Exact and Chi Squared tests. Ninety-five surveys were completed. Though most participants agreed that firearm injury is an important public health issue that physicians can positively affect (92%), few had received prior firearm safety counseling education (27%). There were significant differences in firearm screening frequency, with rural physicians screening more often. More rural physicians and physicians with > 10 years of clinical practice felt they had adequate knowledge to provide meaningful counseling, compared with non-rural and early career physicians, respectively. Overall, 62% of participants were unaware of the 2021 Maine CAP law. This study highlights significant differences in firearm safety counseling practices among Maine physicians based on rurality and years of experience. Participants also reported a significant gap in knowledge of a recent state child access prevention law. Next steps include development of firearm safety counseling education tailored to Maine physicians.

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缅因州医生枪支安全咨询实践调查中发现的知识差距。
许多医学协会已将枪支伤害确定为公共卫生问题,呼吁医生提供枪支安全咨询。数据显示,虽然许多医生对此表示赞同,但很少有医生会进行常规筛查并提供咨询。我们旨在对缅因州的医生进行调查,以评估他们目前的枪支安全咨询实践以及对新的州儿童接触预防 (CAP) 法的了解程度。我们对缅因州的初级保健和精神科医生进行了匿名横断面调查。我们邀请了多个全州范围内的医疗组织、住院医师培训项目和两大医疗系统向其成员发放调查问卷。我们使用费雪精确检验(Fisher's Exact)和卡方检验(Chi Squared)比较了不同地区医生和执业年限医生的群体差异。共完成了 95 份调查问卷。虽然大多数参与者都认为枪支伤害是一个重要的公共卫生问题,医生可以对其产生积极影响(92%),但很少有人接受过枪支安全咨询教育(27%)。枪支筛查频率存在明显差异,农村医生的筛查频率更高。与非乡村医生和职业生涯初期的医生相比,更多的乡村医生和临床实践超过 10 年的医生认为他们有足够的知识来提供有意义的咨询。总体而言,62% 的参与者不了解 2021 年缅因州 CAP 法。本研究强调了缅因州医生在枪支安全咨询实践方面因地区和工作年限而存在的显著差异。参与者还报告称,他们对近期州立儿童接触预防法的了解存在很大差距。下一步工作包括开发适合缅因州医生的枪支安全咨询教育。
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来源期刊
CiteScore
10.80
自引率
1.70%
发文量
113
期刊介绍: The Journal of Community Health is a peer-reviewed publication that offers original articles on research, teaching, and the practice of community health and public health. Coverage includes public health, epidemiology, preventive medicine, health promotion, disease prevention, environmental and occupational health, health policy and management, and health disparities. The Journal does not publish articles on clinical medicine. Serving as a forum for the exchange of ideas, the Journal features articles on research that serve the educational needs of public and community health personnel.
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