Community distress predicts youth gun violence
Autor: | Kathryn Bailey, Brett M. Tracy, Tatiana Eversley-Kelso, Randi N. Smith, Carrol Gerrin, Eric Clayton, Krista Miller, Heather MacNew, David Carney |
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Rok vydání: | 2019 |
Předmět: |
Male
Georgia Adolescent Psychological intervention Poison control Suicide Attempted Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Poverty Areas 030225 pediatrics Suicide Completed Injury prevention Humans Medicine Child Gun Violence Socioeconomic status Retrospective Studies business.industry Incidence (epidemiology) General Medicine Distress Physical Abuse Socioeconomic Factors Accidents 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Housing Income Educational Status Female Wounds Gunshot Surgery Homicide business Demography |
Zdroj: | Journal of Pediatric Surgery. 54:2375-2381 |
ISSN: | 0022-3468 |
Popis: | The purpose of this study was to investigate our institution's experience with pediatric firearm events. We sought to determine the relationship between a community's level of socioeconomic distress and the incidence of youth gun violence.We performed a retrospective review of children18 years involved in firearm events. Using visual cluster analysis, we portrayed all firearm events and violent firearm events (assaults + homicides). Distressed community indices (DCIs) were obtained from an interface that uses US Census Bureau data. Incident rate ratios (IRRs) were calculated for firearm circumstances (i.e. assault, homicide, suicide) using a DCI. Significant IRRs were analyzed to discern which DCI metrics contributed most to gun violence.There were 114 children involved in firearm events; 66 were county residents. The DCI of injury location significantly predicted total firearm events (IRR 1.02, 95% CI 1.01-1.03), assaults (IRR 1.02, 95% CI 1.01-1.05), and violent firearm events (IRR 1.03, 95% CI 1.01-1.05). The proportion of adults without a high school diploma, poverty rate, median income ratio, and housing vacancy rate were highly predictive of gun violence (VIP1).Community distress significantly predicts pediatric firearm violence. Local interventions should target neighborhoods with high levels of distress to prevent further youth gun violence.Retrospective study, IV. |
Databáze: | OpenAIRE |
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