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Risk factors associated with non-fatal adolescent firearm injuries.

C A Paris1, E A Edgerton, M Sifuentes

  • 1Department of Pediatrics, Children's Hospital and Regional Medical Center, Seattle, WA 98105, USA. cparis@chmc.org

Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention
|July 18, 2002
PubMed
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Adolescent firearm injuries are linked to family structure, school behavior, and prior arrests. Interventions should focus on creating supportive environments to prevent these injuries.

Area of Science:

  • Public Health
  • Epidemiology
  • Adolescent Medicine

Background:

  • Non-fatal firearm injuries pose a significant threat to adolescent well-being in urban settings.
  • Understanding the multifaceted risk factors is crucial for developing effective prevention strategies.

Purpose of the Study:

  • To identify behavioral, environmental, and sociodemographic risk factors associated with non-fatal firearm injuries in inner-city adolescents.
  • To inform targeted interventions for injury prevention.

Main Methods:

  • A case-control study was conducted at a Level I trauma center in a metropolitan area.
  • Cases included 45 adolescents (11-18 years) with non-fatal firearm injuries; controls were 50 age- and gender-matched patients with acute medical conditions.
  • Statistical analysis used odds ratios (OR) and 95% confidence intervals (CI) to assess risk factor associations.

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Main Results:

  • Multivariate analysis, adjusted for age, gender, and socioeconomic status, identified significant risk factors.
  • Living with fewer than two parents (OR 3.8), skipping class (OR 7.1), and previous arrest (OR 6.2) were independently associated with firearm injury.
  • Being African-American was also a significant risk factor (OR 4.2).

Conclusions:

  • Sociodemographic and environmental factors, in addition to behavioral ones, contribute to adolescent firearm injuries.
  • Interventions promoting protective and supportive environments are essential for preventing firearm injuries in this population.