Abstract：
The purpose of this review was to provide an evidence-based recommendation for community-based programs to mitigate gun violence, from the Eastern Association for the Surgery of Trauma (EAST).
Firearm Injury leads to >40,000 annual deaths and >115,000 injuries annually in the United States. Communities have adopted culturally relevant strategies to mitigate gun related injury and death. Two such strategies are gun buyback programs and community-based violence prevention programs.
The Injury Control and Violence Prevention Committee of EAST developed Population, Intervention, Comparator, Outcomes (PICO) questions and performed a comprehensive literature and gray web literature search. Using GRADE methodology, they reviewed and graded the literature and provided consensus recommendations informed by the literature.
A total of 19 studies were included for analysis of gun buyback programs. Twenty-six studies were reviewed for analysis for community-based violence prevention programs. Gray literature was added to the discussion of PICO questions from selected websites. A conditional recommendation is made for the implementation of community-based gun buyback programs and a conditional recommendation for community-based violence prevention programs, with special emphasis on cultural appropriateness and community input.
Gun violence may be mitigated by community-based efforts, such as gun buybacks or violence prevention programs. These programs come with caveats, notably community cultural relevance and proper support and funding from local leadership.Level of Evidence: Review, Decision, level III.
Firearm Injury leads to >40,000 annual deaths and >115,000 injuries annually in the United States. Communities have adopted culturally relevant strategies to mitigate gun related injury and death. Two such strategies are gun buyback programs and community-based violence prevention programs.
The Injury Control and Violence Prevention Committee of EAST developed Population, Intervention, Comparator, Outcomes (PICO) questions and performed a comprehensive literature and gray web literature search. Using GRADE methodology, they reviewed and graded the literature and provided consensus recommendations informed by the literature.
A total of 19 studies were included for analysis of gun buyback programs. Twenty-six studies were reviewed for analysis for community-based violence prevention programs. Gray literature was added to the discussion of PICO questions from selected websites. A conditional recommendation is made for the implementation of community-based gun buyback programs and a conditional recommendation for community-based violence prevention programs, with special emphasis on cultural appropriateness and community input.
Gun violence may be mitigated by community-based efforts, such as gun buybacks or violence prevention programs. These programs come with caveats, notably community cultural relevance and proper support and funding from local leadership.Level of Evidence: Review, Decision, level III.
摘要：
这项审查的目的是为社区减少枪支暴力的计划提供基于证据的建议，来自东方创伤外科协会（EAST）。
在美国，枪支伤害每年导致>40,000人死亡，每年导致>115,000人受伤。社区采取了与文化相关的战略来减轻与枪支有关的伤害和死亡。两种策略是枪支回购计划和基于社区的暴力预防计划。
EAST发展人口的伤害控制和暴力预防委员会，干预,比较器,结果（PICO）问题，并进行了全面的文献和灰色网络文献检索。使用等级方法，他们对文献进行了回顾和分级,并根据文献提供了共识建议.
共有19项研究被纳入对枪支回购计划的分析。审查了26项研究，以分析基于社区的暴力预防计划。灰色文献被添加到选定网站的PICO问题的讨论中。提出了有条件的建议，以实施基于社区的枪支回购计划，并提出了有条件的建议，以社区为基础的暴力预防计划，特别强调文化适宜性和社区投入。
枪支暴力可以通过社区的努力来缓解，例如枪支回购或预防暴力计划。这些程序带有警告，特别是社区文化相关性以及当地领导层的适当支持和资金。证据水平：审查，决定，三级。
在美国，枪支伤害每年导致>40,000人死亡，每年导致>115,000人受伤。社区采取了与文化相关的战略来减轻与枪支有关的伤害和死亡。两种策略是枪支回购计划和基于社区的暴力预防计划。
EAST发展人口的伤害控制和暴力预防委员会，干预,比较器,结果（PICO）问题，并进行了全面的文献和灰色网络文献检索。使用等级方法，他们对文献进行了回顾和分级,并根据文献提供了共识建议.
共有19项研究被纳入对枪支回购计划的分析。审查了26项研究，以分析基于社区的暴力预防计划。灰色文献被添加到选定网站的PICO问题的讨论中。提出了有条件的建议，以实施基于社区的枪支回购计划，并提出了有条件的建议，以社区为基础的暴力预防计划，特别强调文化适宜性和社区投入。
枪支暴力可以通过社区的努力来缓解，例如枪支回购或预防暴力计划。这些程序带有警告，特别是社区文化相关性以及当地领导层的适当支持和资金。证据水平：审查，决定，三级。
