根据儿童机会指数水平,儿童与枪支相关的医院接触
Gwyneth A Sullivan1,2, John Sincavage2, Yao Tian1,3
1Division of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois.
Pediatrics
|August 24, 2025
概括
儿童枪支伤害住院率在儿童机会较低的地区较高. 无意中受伤是所有机会级别中最常见的原因.
科学领域:
- 公共卫生
- 流行病学
- 健康的社会决定因素
背景情况:
- 邻居健康社会决定因素 (SDOH) 影响儿童健康结果.
- 社区SDOH与儿童枪支相关伤害医院接触之间的联系尚未在全州范围内得到充分评估.
- 童年机会指数 (COI) 是社区级SDOH的衡量标准.
研究的目的:
- 确定邮政编码层面的COI与儿童枪支相关伤害医院遭遇的发生率之间的关系.
- 分析四个具有地理代表性的州之间的关系.
主要方法:
- 使用佛罗里达州,马里兰州,纽约州和威斯康星州2016-2021年排放数据的回顾性观察队列研究.
- 将排放数据与COI 3.0邮政编码数据结合起来.
- 儿童枪支相关伤害病例发生率比较
主要成果:
- 确定了6896起与枪支相关的儿童伤害病例.
- 儿童枪支相关伤害的热点在非常低的COI邮政编码 (28.4%) 和非常高的COI邮政编码 (5.5%) 中更为普遍.
- 随着四个州的COI五分位数的增加,儿童枪支相关伤害病例发生率比例下降.
结论:
- 随着儿童机会的减少,与枪支相关的儿童伤害病例在医院增加.
- 在所有COI级别中,非故意伤害占枪支相关伤害的比例最大.
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