枪支储存实践和青少年自杀和无意枪支伤害的风险
David C Grossman1, Beth A Mueller, Christine Riedy
1Department of Health Services, University of Washington, Seattle, USA. grossman.d@ghc.org
JAMA
|February 11, 2005
概括
适当的枪支存储,包括锁定枪支和弹药,大大降低了在有孩子的家庭中意外和自我伤害的枪支伤害的风险. 这些安全措施对于防止悲惨事故和自杀至关重要.
科学领域:
- 公共卫生 公共卫生
- 伤害预防 预防伤害
- 流行病学 流行病学
背景情况:
- 家庭枪支增加了居住者中枪支死亡的风险.
- 有建议将枪支和弹药锁定以防止儿童进入,但其有效性尚未得到证实.
研究的目的:
- 评估特定的枪支存储方法与非故意和自我伤害枪支伤害风险之间的关联.
- 调查锁定枪支,锁定弹药和存储没有装载的枪支的影响.
主要方法:
- 一项病例控制研究使用了法医办公室和创伤中心的数据进行.
- 案例枪支涉及到儿童或青少年获取并造成伤害的事件.
- 控制枪支来自拥有枪支和儿童的家庭,通过随机数字拨号采样确定.
主要成果:
- 来自案例家庭的枪支存储不加载的可能性明显较小 (OR,0.30;95% CI,0.16-0.56).
- 案例枪也不太可能被锁定 (OR,0.27;95% CI,0.17-0.45) 或弹药被锁定 (OR,0.39;95% CI,0.23-0.66).
- 这些发现与手枪,长枪,自杀未遂和无意伤害一致.
结论:
- 锁定枪支,储存它们没有装载,并单独安装弹药都与保护作用有关.
- 这些枪支储存实践提供了一种可行的策略,以减少有儿童和青少年的家庭中枪支伤害.
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