The association of alcohol use and heavy drinking with subsequent handgun carrying among youth from rural areas.

Autor: Ellyson AM; Department of Pediatrics, University of Washington, Seattle, Washington, USA.; Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington, USA.; Firearm Injury & Policy Research Program, University of Washington, Seattle, Washington, USA., Schleimer JP; Firearm Injury & Policy Research Program, University of Washington, Seattle, Washington, USA.; Department of Epidemiology, University of Washington, Seattle, Washington, USA., Dalve K; Firearm Injury & Policy Research Program, University of Washington, Seattle, Washington, USA.; Department of Epidemiology, University of Washington, Seattle, Washington, USA., Gause E; Firearm Injury & Policy Research Program, University of Washington, Seattle, Washington, USA.; Department of Epidemiology, University of Washington, Seattle, Washington, USA., Weybright EH; Firearm Injury & Policy Research Program, University of Washington, Seattle, Washington, USA.; Department of Human Development, Washington State University, Pullman, Washington, USA., Kuklinski MR; Social Development Research Group, School of Social Work, University of Washington, Seattle, Washington, USA., Oesterle S; Southwest Interdisciplinary Research Center, School of Social Work, Arizona State University, Phoenix, Arizona, USA., Rowhani-Rahbar A; Department of Pediatrics, University of Washington, Seattle, Washington, USA.; Firearm Injury & Policy Research Program, University of Washington, Seattle, Washington, USA.; Department of Epidemiology, University of Washington, Seattle, Washington, USA.
Jazyk: angličtina
Zdroj: The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association [J Rural Health] 2024 Jan; Vol. 40 (1), pp. 181-191. Date of Electronic Publication: 2023 Aug 03.
DOI: 10.1111/jrh.12789
Abstrakt: Purpose: Alcohol use and handgun carrying are more prevalent among youth in rural than urban areas and their association may be stronger among rural adolescents. Alcohol use may be modifiable with implications for reducing handgun carrying and firearm-related harm. We examined the association between lagged alcohol use and subsequent handgun carrying in rural areas and examined variation in the association by developmental stages, hypothesizing that it would be stronger among adolescents than youth adults.
Methods: We used a longitudinal sample of 2,002 adolescents from ages 12 to 26 growing up in 12 rural communities in 7 states with surveys collected from 2004 to 2019. We estimated the association of lagged past-month alcohol use on handgun carrying in the subsequent 12 months using population-average generalized estimating equations with logistic regression on multiply imputed data.
Findings: During adolescence (ages 12-18), those who drank heavily had 1.43 times the odds (95% CI = [1.01, 2.03]) of subsequent handgun carrying compared to those who did not drink alcohol, and those who consumed alcohol but did not drink heavily had 1.30 times the odds of subsequent handgun carrying compared to those who did not drink (95% CI = [0.98, 1.71]). During young adulthood (ages 19-26), associations of alcohol use (OR = 1.28; 95% CI = [0.94, 1.63]) and heavy drinking (OR = 1.38; 95% CI = [1.08, 1.68]) were similar to adolescence.
Conclusions: Alcohol use and subsequent handgun carrying were positively associated during adolescence and young adulthood among individuals who grew up in rural areas, similar to findings in urban areas. Reducing alcohol use may be an important strategy to prevent handgun carrying and firearm-related harm among young people in rural areas.
(© 2023 National Rural Health Association.)
Databáze: MEDLINE
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