Preinjury and Event-Related Characteristics of Pediatric Firearm Injuries: The American College of Surgeons Firearm Study, United States, March 2021‒February 2022.

Autor: Flynn-O'Brien KT; Katherine T. Flynn-O'Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children's Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of Surgery, University of Washington, Seattle. Deborah A. Kuhls is with the Department of Surgery, Kirk Kerkorian School of Medicine, Las Vegas, NV. Avery Nathens is with Sunnybrook Health Sciences Center, Toronto, Ontario, Canada. Ashley B. Hink is with the Department of Surgery, Medical University of South Carolina, Charleston. Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle., Sathya C; Katherine T. Flynn-O'Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children's Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of Surgery, University of Washington, Seattle. Deborah A. Kuhls is with the Department of Surgery, Kirk Kerkorian School of Medicine, Las Vegas, NV. Avery Nathens is with Sunnybrook Health Sciences Center, Toronto, Ontario, Canada. Ashley B. Hink is with the Department of Surgery, Medical University of South Carolina, Charleston. Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle., Kotagal M; Katherine T. Flynn-O'Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children's Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of Surgery, University of Washington, Seattle. Deborah A. Kuhls is with the Department of Surgery, Kirk Kerkorian School of Medicine, Las Vegas, NV. Avery Nathens is with Sunnybrook Health Sciences Center, Toronto, Ontario, Canada. Ashley B. Hink is with the Department of Surgery, Medical University of South Carolina, Charleston. Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle., Banks S; Katherine T. Flynn-O'Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children's Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of Surgery, University of Washington, Seattle. Deborah A. Kuhls is with the Department of Surgery, Kirk Kerkorian School of Medicine, Las Vegas, NV. Avery Nathens is with Sunnybrook Health Sciences Center, Toronto, Ontario, Canada. Ashley B. Hink is with the Department of Surgery, Medical University of South Carolina, Charleston. Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle., Agoubi LL; Katherine T. Flynn-O'Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children's Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of Surgery, University of Washington, Seattle. Deborah A. Kuhls is with the Department of Surgery, Kirk Kerkorian School of Medicine, Las Vegas, NV. Avery Nathens is with Sunnybrook Health Sciences Center, Toronto, Ontario, Canada. Ashley B. Hink is with the Department of Surgery, Medical University of South Carolina, Charleston. Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle., Kuhls DA; Katherine T. Flynn-O'Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children's Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of Surgery, University of Washington, Seattle. Deborah A. Kuhls is with the Department of Surgery, Kirk Kerkorian School of Medicine, Las Vegas, NV. Avery Nathens is with Sunnybrook Health Sciences Center, Toronto, Ontario, Canada. Ashley B. Hink is with the Department of Surgery, Medical University of South Carolina, Charleston. Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle., Nathens A; Katherine T. Flynn-O'Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children's Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of Surgery, University of Washington, Seattle. Deborah A. Kuhls is with the Department of Surgery, Kirk Kerkorian School of Medicine, Las Vegas, NV. Avery Nathens is with Sunnybrook Health Sciences Center, Toronto, Ontario, Canada. Ashley B. Hink is with the Department of Surgery, Medical University of South Carolina, Charleston. Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle., Hink AB; Katherine T. Flynn-O'Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children's Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of Surgery, University of Washington, Seattle. Deborah A. Kuhls is with the Department of Surgery, Kirk Kerkorian School of Medicine, Las Vegas, NV. Avery Nathens is with Sunnybrook Health Sciences Center, Toronto, Ontario, Canada. Ashley B. Hink is with the Department of Surgery, Medical University of South Carolina, Charleston. Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle., Rivara FP; Katherine T. Flynn-O'Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children's Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of Surgery, University of Washington, Seattle. Deborah A. Kuhls is with the Department of Surgery, Kirk Kerkorian School of Medicine, Las Vegas, NV. Avery Nathens is with Sunnybrook Health Sciences Center, Toronto, Ontario, Canada. Ashley B. Hink is with the Department of Surgery, Medical University of South Carolina, Charleston. Frederick P. Rivara is with the Departments of Pediatrics and Epidemiology, University of Washington, Seattle.
Jazyk: angličtina
Zdroj: American journal of public health [Am J Public Health] 2024 Oct; Vol. 114 (10), pp. 1097-1109. Date of Electronic Publication: 2024 Aug 15.
DOI: 10.2105/AJPH.2024.307754
Abstrakt: 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, χ 2 , 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).
Databáze: MEDLINE
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