美国印第安人和阿拉斯加原住民之间致命的枪支暴力
James H Price1, Jagdish Khubchandani2
1University of Toledo, 43606, Toledo, OH, USA. jprice@utnet.utoledo.edu.
Journal of community health
|December 21, 2023
概括
美国印第安人和阿拉斯加土著人口面临高枪支死亡率,自杀和杀人是主要原因. 扩大法律干预和关注文化因素可能有助于减少这种暴力.
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:
- 有限的基于人口的研究存在于美国印第安人和阿拉斯加原住民 (AI/AN) 中的枪支死亡和生命损失.
- 了解AI/AN社区的枪支暴力趋势对于有针对性的干预至关重要.
研究的目的:
- 分析AI/AN枪支相关死亡的人口特征和潜在生命损失的年份 (YPLL80).
- 检查AI/AN中枪支死亡率的趋势.
- 评估法律干预对AI/AN枪支死亡率的潜在影响.
主要方法:
- 使用了来自CDC的WISQARS数据库 (2018-2020) 的数据.
- 分析了人口因素,死亡原因 (自杀,杀人) 和AI/ANs的YPLL80.
- 与AI/AN人口增长相比,枪支死亡率的增长.
主要成果:
- 每年,AI/AN几乎有500人死于枪支,主要是西方的20-39岁男性.
- 自杀 (48.9%) 和杀人 (43.5%) 是枪支死亡的主要原因.
- 根据年龄调整的枪支死亡率比AI/AN人口的增长速度要快得多,因枪支暴力造成的死亡人数为67,050 YPLL80.
结论:
- 枪支自杀在AI/AN人群中显著导致YPLL80.
- 在高死亡率的州中,缺乏广泛的儿童访问预防 (CAP) 法律和极端风险保护命令 (ERPO) 凸显了干预差距.
- 解决AI/AN枪支暴力问题需要将法律策略与文化连续性和土著保护因素相结合.
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