在COVID-19大流行之前和期间,儿童枪支伤害和社会经济脆弱性
Maya Haasz1, Kiesha Fraser Doh2, Holly R Hanson3
1Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA.
The American journal of emergency medicine
|November 28, 2024
概括
儿童枪支伤害在COVID-19大流行期间上升,特别是在社会经济上脆弱的社区. 针对性的暴力预防对资源不足的人群至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 儿科创伤 儿童创伤
背景情况:
- 儿童枪支伤害不成比例地影响社会经济弱势群体.
- 在COVID-19大流行期间,枪支伤害增加,对弱势社区的影响尚不清楚.
- 这项研究检查了社会经济脆弱性和疫情前和期间儿童枪支伤害变化之间的联系.
研究的目的:
- 评估社会经济脆弱性与儿科枪支伤害的变化之间的关联,从大流行前到COVID-19大流行期间.
- 分析枪支伤害的比例如何在不同程度的社会经济贫困中发生变化.
- 为了确定特定的伤害类型和受疫情期间枪支伤害增加影响最大的年龄组.
主要方法:
- 关于儿童受伤相关急诊室访问 (18岁以下) 的多中心回顾性研究的二次分析.
- 儿科伤害在流行病前 (2019年3月17日 - 2020年3月14日) 与流行病期间 (2020年3月15日 - 2020年12月31日) 的比较.
- 利用贫困指数 (DI) 四分位数 (Q1-Q4,增加贫困) 和中断时间序列分析来评估大流行对枪支伤害比例的影响.
主要成果:
- 在疫情期间,枪支伤害占所有伤害的比例增加了 (0.16%至0.27%,p<0.0001).
- 在第二个 (Q2),第三个 (Q3) 和第四个 (Q4) 剥夺四分位数中,枪支伤害的比例显著上升.
- 与攻击相关的枪支伤害在第二季度,第三季度和第四季度显著增加;在这些四分位数中,老年人 (10-17岁) 的无意伤害和伤害也增加了.
结论:
- 在COVID-19大流行期间,儿科枪支伤害的增加影响了所有社会经济贫困水平的年轻人,除了最不需要的人.
- 调查结果强调了枪支暴力在公共卫生危机期间对弱势群体造成的不成比例影响.
- 未来的枪支暴力预防工作必须满足资源不足的社区的需求,并放大保护因素.
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