小儿枪伤的受伤前和事件相关特征:美国外科学院火器研究,美国,2021 年 3 月至 2022 年 2 月。

IF 9.6 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American journal of public health Pub Date : 2024-10-01 Epub Date: 2024-08-15 DOI:10.2105/AJPH.2024.307754
Katherine T Flynn-O'Brien, Chethan Sathya, Meera Kotagal, Samantha Banks, Lauren L Agoubi, Deborah A Kuhls, Avery Nathens, Ashley B Hink, Frederick P Rivara
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引用次数: 0

摘要

目的评估小儿枪支伤害患者的意向背景因素差异,并确定与数据缺失相关的因素。方法。我们回顾性地查询了美国外科学院枪支研究数据库(2021 年 3 月 1 日至 2022 年 2 月 28 日)中 18 岁或以下患者的数据。我们按意图对受伤前因素、枪支相关因素和事件相关因素进行了分层,并通过费舍尔精确检验、χ2检验或单向方差分析对这些因素进行了比较。二次分析通过使用二项式对数链接的广义线性模型估算了调整后的遗漏几率。结果。在 17 395 名患者中,2974 人(17.1%)年龄在 18 岁或以下;1966 人(66.1%)因攻击受伤,579 人(19.5%)非故意受伤,76 人(2.6%)自伤。大多数环境因素因意图而异,包括曾有不良童年经历、精神疾病和暴力袭击或伤害的青少年比例、枪支类型和获取途径、施暴者关系和受伤地点。在调整后的分析中,年龄、创伤中心名称、意图和入院状态与漏报有关。结论与小儿枪支伤害相关的环境因素因意图而异。与遗漏相关的特定预测因素可为改进未来的数据收集提供依据。对公共卫生的影响。可以在全国范围内系统地收集与小儿枪支伤害相关的背景因素,为有针对性的干预措施提供信息。(Am J Public Health.https://doi.org/10.2105/AJPH.2024.307754).
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Preinjury and Event-Related Characteristics of Pediatric Firearm Injuries: The American College of Surgeons Firearm Study, United States, March 2021‒February 2022.

Objectives. To assess differences in contextual factors by intent among pediatric firearm injury patients and determine factors associated with data missingness. Methods. We retrospectively queried the American College of Surgeons Firearm Study database (March 1, 2021-February 28, 2022) for patients aged 18 years or younger. We stratified preinjury, firearm-related, and event-related factors by intent and compared them by using Fisher exact, χ2, or 1-way analysis of variance testing. Secondary analysis estimated the adjusted odds of missingness by using generalized linear modeling with binominal logit link. Results. Among 17 395 patients, 2974 (17.1%) were aged 18 years or younger; 1966 (66.1%) were injured by assault, 579 (19.5%) unintentionally, and 76 (2.6%) by self-inflicted means. Most contextual factors differed by intent, including proportion of youths with previous adverse childhood experiences, mental illness, and violent assaults or injury, firearm type and access, perpetrator relationship, and injury location. In adjusted analyses, age, trauma center designation, intent, and admission status were associated with missingness. Conclusions. Contextual factors related to pediatric firearm injury vary by intent. Specific predictors associated with missingness may inform improved future data collection. Public Health Implications. Contextual factors related to pediatric firearm injury can be obtained in a systematic manner nationally to inform targeted interventions. (Am J Public Health. 2024;114(10):1097-1109. https://doi.org/10.2105/AJPH.2024.307754).

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来源期刊
American journal of public health
American journal of public health 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.50
自引率
3.90%
发文量
1109
审稿时长
2-4 weeks
期刊介绍: The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.
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