枪支与机动车辆相关伤害的成年人受到社区层面的不利影响
Lauren L Agoubi1, Samantha Banks2, Ashley B Hink3
1Harborview Injury Prevention and Research Center and the Department of Surgery, University of Washington, Seattle.
JAMA network open
|July 5, 2024
概括
与机动车事故伤害相比,来自困境社区的患者面临着更高的枪支伤害几率. 这凸显了为弱势群体提供有针对性的放电后资源的需要.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 社会流行病学 社会流行病学
背景情况:
- 机动车事故 (MVC) 和枪支伤害是美国死亡的主要原因.
- 了解社区劣势和伤害类型之间的联系对于预防和资源分配至关重要.
研究的目的:
- 调查社区层面的劣势与与枪支相比MVC伤害的可能性之间的关联.
- 为特定机制的预防策略和放电后的资源分配提供信息.
主要方法:
- 一项多中心横截面研究分析了美国外科医生学院 (ACS) 枪支研究的数据.
- 包括在104个创伤中心治疗枪支伤害 (2021-2022) 或MVC伤害 (2021) 的患者.
- 社区的困境是使用困境社区指数 (DCI) 来衡量的,并分为五分之一.
主要成果:
- 与MVC伤害患者相比,枪支伤害患者更年轻,更有可能是男性,黑人和无保险/医疗补助受益者.
- 在最困难的社区中,受枪伤的几率是MVC受伤的1.50倍.
- 住房空置率和贫困率高与枪支伤害的几率增加有显著关联.
结论:
- 来自高度困难社区的患者比MVC伤害更有可能遭受枪支伤害.
- 枪支伤害幸存者中很大一部分 (54.3%) 没有获得出院后的服务,这表明需要改善资源配置.
- 社区一级的劣势指标可以指导对最有需要的患者分配出院后护理资源.
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