Firearm Possession Among Adolescents Presenting to an Urban Emergency Department for Assault.

BACKGROUND AND OBJECTIVES: Firearm violence is a leading cause of death among youth. The objectives of this study were (1) determine firearm possession rates and associated correlates among youth seeking care for assault in an emergency department (ED); (2) understand differences in risk factors for...

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Publicado en:Pediatrics Vol. 132; no. 2; pp. 213 - 222
Autores principales: Carter, Patrick M., Walton, Maureen A., Newton, Manya F., Clery, Michael, Whiteside, Lauren K., Zimmerman, Marc A., Cunningham, Rebecca M.
Formato: research tables/charts Journal Article
Publicado: American Academy of Pediatrics Aug2013
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2013
      vid: 132
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      pub: American Academy of Pediatrics
      place: Elk Grove Village, Illinois
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        atl: Firearm Possession Among Adolescents Presenting to an Urban Emergency Department for Assault.
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        au:
          Carter, Patrick M.
          Walton, Maureen A.
          Newton, Manya F.
          Clery, Michael
          Whiteside, Lauren K.
          Zimmerman, Marc A.
          Cunningham, Rebecca M.
        affil: Dept. of Emergency Medicine, University of Michigan, Ann Arbor, MI; University of Michigan Injury Center, University of Michigan, Ann Arbor, MI; Dept. of Psychiatry, School of Medicine, University of Michigan, Ann Arbor, MI
      sug:
        subj:
          Firearms
          Emergency Service
          Violence In Adolescence
          Human
          Adolescence
          Adult
          Logistic Regression
          Aggression
          Homicide
          Michigan
          Bivariate Statistics
          Substance Abuse
          Descriptive Statistics
          Multivariate Analysis
          Male
          Female
          Odds Ratio
          Confidence Intervals
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Male
          Female
      ab: BACKGROUND AND OBJECTIVES: Firearm violence is a leading cause of death among youth. The objectives of this study were (1) determine firearm possession rates and associated correlates among youth seeking care for assault in an emergency department (ED); (2) understand differences in risk factors for youth with firearm possession; and (3) identify firearm possession characteristics in this population: type, reason for possession, and source of firearms. METHODS: Youth (14 to 24 years old) presenting to a Level 1 ED with assault were administered a computerized screening survey. Validated instruments were administered, measuring demographics, firearm rates and characteristics, attitudes toward aggression, substance use, and previous violence history. RESULTS: Among 689 assault-injured youth, 23% reported firearm possession in the past 6 months. Only 17% of those reporting firearm possession obtained the gun from a legal source; 22% reported ownership of highly lethal automatic/semiautomatic weapons and 37.1% reported having a firearm for protection. Logistic regression analysis identified significant correlates of firearm possession, including male gender, higher socioeconomic status, illicit drug use, recent serious fight, and retaliatory attitudes. CONCLUSIONS: ED assault-injured youth had high rates of firearm possession (23.1%), most of which were not obtained from legal sources. Youth with firearm possession were more likely to have been in a recent serious fight, and to endorse aggressive attitudes that increase their risk for retaliatory violence. Future prevention efforts should focus on minimizing illegal firearm access among high-risk youth, nonviolent alternatives to retaliatory violence, and substance use prevention. Pediatrics 2013;132:213-221
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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