Risk factors associated with non-fatal adolescent firearm injuries

Carolyn A. Paris · Elizabeth A. Edgerton · Monica Sifuentes · James S. Seidel · Roger J. Lewis · Marianne Gausche

24 citations0/0 files storedInjury Prevention

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Gun Ownership and Violence Research Crime Patterns and Interventions Injury Epidemiology and Prevention

Abstract

STUDY OBJECTIVES: To identify behavioral, environmental, and sociodemographic risk factors associated with non-fatal firearm injuries among inner city adolescents in the United States. DESIGN: A case-control study in which patients with firearm injury serve as cases and those with medical conditions serve as controls. SETTING: A level I trauma center in a metropolitan area serving a predominately lower socioeconomic status population. PARTICIPANTS: Cases were 45 consecutive patients 11-18 years presenting to the emergency department with non-fatal firearm injury; controls were 50 age and gender matched patients presenting with acute medical problems. OUTCOME MEASURE: Odds ratios (OR) and associated 95% confidence interval (CI) as estimates of the magnitude of association between risk factors and non-fatal firearm injury. RESULTS: After adjusting for age, gender and socioeconomic status, multivariate analysis identified four risk factors independently associated with firearm injury: living with less than two parents (OR 3.8, 95% CI 1.2 to 12.2), skipping class (OR 7.1, 95% CI 1.7 to 28.9), previous arrest (OR 6.2, 95% CI 1.9 to 20.7), and being African-American (OR 4.2; 95%CI 1.4 to 14.9). CONCLUSION: Risk factors for adolescents sustaining a non-fatal firearm injury are sociodemographic and environmental, not just behavioral. Thus interventions that foster protective and supportive environments may help prevent firearm injuries.

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References

1997The Associations of Suicide Attempts in Adolescents 1992Firearm and nonfirearm homicide among persons 15 through 19 years of age. Differences by level of urbanization, United States, 1979 through 1989 1996Injuries Due to Firearms in Three Cities 1992Firearm and Nonfirearm Homicide Among Persons 15 Through 19 Years of Age 1996Epidemiology and Prevention of Severe Assault and Gun Injuries to Children in an Urban Community 1999Child and adolescent injury and death from urban firearm assaults: association with age, race, and poverty 1995Children who are shot: A 30-year experience 1997Firearm injury among urban youth during the last decade: An escalation in violence

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