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IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Injury Epidemiology Pub Date : 2025-02-28 DOI:10.1186/s40621-025-00568-y

Tyler Lennon, Samaa Kemal, Sanjana Shankar, Robert Tunick, Doug Lorenz, Jennifer A Hoffmann

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引用次数: 0

摘要

背景：大约 40% 有孩子的美国家庭在家中存放枪支。本研究旨在描述儿科急诊室（ED）儿童看护者的枪支存放习惯和锁定装置偏好：我们对 2023 年 8 月至 2024 年 5 月期间到儿科急诊室就诊并认可家中藏有枪支的儿童看护者进行了横断面调查。自我管理的电子调查询问了目前的枪支存放方法和上锁装置偏好。对于认可任何不安全枪支存放方式（即枪支未上锁、上膛和/或与弹药一起存放）的护理人员，我们会根据他们的偏好向其提供免费的缆绳枪锁、锁盒或枪支保险箱以及安全枪支存放教育材料。30 天后，对获得装置的看护人进行调查，以重新评估枪支存放行为。McNemar 检验用于评估报告的锁定装置使用基线的差异。Wilcoxon 符号秩检验用于评估从基线到 30 天随访期间枪支储存行为（上锁、卸载和与弹药分开存放）的变化：在 139 名家中有枪支的看护人中，91%（n = 126）称家中有手枪，41%（n = 57）称枪支存放在三层保险柜中。保险箱/保险柜的使用率（40%，n = 56）高于缆绳枪锁（20%，n = 28）（p = 0.003）。护理人员偏好枪支上锁装置的因素包括：存取枪支的速度（47%，n = 66）、装置的强度（45%，n = 63）和装置的成本（42%，n = 58）。17 名护理人员根据自己的喜好免费获得了一个装置：15 个枪支保险箱、2 个锁盒和 0 个缆绳枪锁。在 30 天的随访中，70.6%（n = 12）符合条件的护理人员做出了回应，报告所有枪支均上锁存放的受访者比例较基线显著增加（从 67% 增加到 100%，p = 0.036）：结论：儿科急诊室的护理人员表示最常使用保险箱，而且在获得装置后，他们更愿意使用保险箱而不是其他上锁装置。在获得他们喜欢的免费装置后，所有完成后续调查的护理人员都表示所有枪支都已上锁。医疗保健和社区组织应根据护理人员的偏好调整资源。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Understanding caregiver preferences for firearm locking devices in a pediatric emergency department.

Background: Around 40% of US households with children have a firearm kept in the home. This study sought to describe firearm storage practices and locking device preferences among caregivers of children presenting to a pediatric emergency department (ED).

Methods: We conducted a cross-sectional survey of caregivers of children presenting to a pediatric ED who endorsed having a firearm in the home from August 2023 to May 2024. A self-administered electronic survey inquired about current firearm storage practices and locking device preferences. Caregivers who endorsed any unsafe firearm storage practice (i.e., firearm stored unlocked, loaded, and/or with ammunition) were offered, based on their preference, a free cable gun lock, lock box, or gun safe along with safe firearm storage education materials. Caregivers given a device were surveyed 30 days later to reevaluate firearm storage behavior. McNemar's test was used to evaluate differences in reported baseline locking device use. Wilcoxon signed rank test was used to evaluate changes in storage behaviors (locked, unloaded, and stored separate from ammunition) from baseline to 30-day follow-up.

Results: Of 139 caregivers with a firearm in the home, 91% (n = 126) reported having a handgun and 41% (n = 57) reported storing firearms with triple safe storage. Safes/vaults were more frequently used (40%, n = 56) than cable gun locks (20%, n = 28) (p = 0.003). Factors involved in caregiver preference for firearm locking devices were: speed of access to firearms (47%, n = 66), strength of the device (45%, n = 63), and cost of device (42%, n = 58). Seventeen caregivers were provided a free device based on preference: 15 gun safes, 2 lock boxes, and 0 cable gun locks. At 30-day follow up, 70.6% (n = 12) of eligible caregivers responded, and the proportion of respondents who reported storing all firearms locked increased significantly from baseline (from 67 to 100%, p = 0.036).

Conclusions: Caregivers in a pediatric ED reported using safes most frequently and, when offered a device, preferred safes over other locking devices. After being provided a free device of their preference, all caregivers who completed follow-up surveys reported all firearms were locked. Healthcare and community organizations should align resources with caregiver preferences.

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来源期刊

Injury Epidemiology Medicine-Medicine (all)

CiteScore

3.20

自引率

4.50%

发文量

审稿时长

13 weeks

期刊介绍： Injury Epidemiology is dedicated to advancing the scientific foundation for injury prevention and control through timely publication and dissemination of peer-reviewed research. Injury Epidemiology aims to be the premier venue for communicating epidemiologic studies of unintentional and intentional injuries, including, but not limited to, morbidity and mortality from motor vehicle crashes, drug overdose/poisoning, falls, drowning, fires/burns, iatrogenic injury, suicide, homicide, assaults, and abuse. We welcome investigations designed to understand the magnitude, distribution, determinants, causes, prevention, diagnosis, treatment, prognosis, and outcomes of injuries in specific population groups, geographic regions, and environmental settings (e.g., home, workplace, transport, recreation, sports, and urban/rural). Injury Epidemiology has a special focus on studies generating objective and practical knowledge that can be translated into interventions to reduce injury morbidity and mortality on a population level. Priority consideration will be given to manuscripts that feature contemporary theories and concepts, innovative methods, and novel techniques as applied to injury surveillance, risk assessment, development and implementation of effective interventions, and program and policy evaluation.