Abstract：
BACKGROUND: The high rates of gun violence in the United States are a recognized public health concern with increased attention since the 1990\'s. The predominant studies used in gun violence research have been epidemiological approaches and quantitative analyses. This study, instead, examines lived experiences of gunshot wound survivors to better understand their situations. This study also compared the different census categories and their types of gunshot wound injuries. Ethnographic informed analyses may inform public health interventions to decrease firearm injuries.
METHODS: Data was collected through a series of semi-structured interviews at the emergency department of an urban, Level-1, academic trauma center. 96 patients with gunshot wounds (GSWs) from 2018-2022 were included in the study. Thematic analysis was conducted after coding interview responses.
RESULTS: There was a significant difference found between the 2 census categories (White and Minority populations). Those who self-identified as white had more self-inflicted GSWs (6) than other groups. Those who self-identified in the minority population had more GSWs as a result of an altercation (36) or as an innocent bystander (20). Interview data also demonstrated a trend in changing opinions about firearms in a group of participants with remote previous gunshot wounds (pGSW). When compared to the acute gunshot wound group (aGSW) the previous gunshot wound group (pGSW) responses showed support for increased gun safety and policies that limit firearm access.
CONCLUSIONS: Different injury patterns between census groups demonstrates that multiple public health approaches will be needed to decrease firearm violence. Ethnographically informed approaches, including the support of people with previous GSW injuries, may help craft those interventions to reduce injury. Matched peer support programs represent one potential intervention to decrease secondary injury and firearm violence.
METHODS: Data was collected through a series of semi-structured interviews at the emergency department of an urban, Level-1, academic trauma center. 96 patients with gunshot wounds (GSWs) from 2018-2022 were included in the study. Thematic analysis was conducted after coding interview responses.
RESULTS: There was a significant difference found between the 2 census categories (White and Minority populations). Those who self-identified as white had more self-inflicted GSWs (6) than other groups. Those who self-identified in the minority population had more GSWs as a result of an altercation (36) or as an innocent bystander (20). Interview data also demonstrated a trend in changing opinions about firearms in a group of participants with remote previous gunshot wounds (pGSW). When compared to the acute gunshot wound group (aGSW) the previous gunshot wound group (pGSW) responses showed support for increased gun safety and policies that limit firearm access.
CONCLUSIONS: Different injury patterns between census groups demonstrates that multiple public health approaches will be needed to decrease firearm violence. Ethnographically informed approaches, including the support of people with previous GSW injuries, may help craft those interventions to reduce injury. Matched peer support programs represent one potential intervention to decrease secondary injury and firearm violence.
摘要：
背景：自1990年代以来，美国枪支暴力的高发率是公认的公共卫生问题，受到越来越多的关注。枪支暴力研究中使用的主要研究是流行病学方法和定量分析。这项研究,相反，检查枪伤幸存者的生活经历，以更好地了解他们的情况。这项研究还比较了不同的人口普查类别及其枪伤类型。人种学知情分析可以为公共卫生干预措施提供信息，以减少枪支伤害。
方法：数据是通过城市急诊科的一系列半结构化访谈收集的，一级，学术创伤中心。研究纳入了2018-2022年的96例枪伤（GSWs）患者。主题分析是在编码访谈答复后进行的。
结果：在两个人口普查类别（白人和少数民族）之间发现了显着差异。那些自我认定为白人的人比其他群体有更多的自我造成的GSW（6）。由于争执（36）或无辜的旁观者（20），在少数民族中自我认同的人有更多的GSW。采访数据还表明，在一组先前有枪伤（pGSW）的参与者中，人们对枪支的看法有变化的趋势。与急性枪伤组（aGSW）相比，先前的枪伤组（pGSW）反应显示支持增加枪支安全性和限制枪支进入的政策。
结论：人口普查组之间不同的伤害模式表明，需要多种公共卫生方法来减少枪支暴力。人种学知情的方法，包括以前GSW受伤的人的支持，可能有助于制定这些干预措施以减少伤害。匹配的同伴支持计划代表了减少二次伤害和枪支暴力的一种潜在干预措施。
方法：数据是通过城市急诊科的一系列半结构化访谈收集的，一级，学术创伤中心。研究纳入了2018-2022年的96例枪伤（GSWs）患者。主题分析是在编码访谈答复后进行的。
结果：在两个人口普查类别（白人和少数民族）之间发现了显着差异。那些自我认定为白人的人比其他群体有更多的自我造成的GSW（6）。由于争执（36）或无辜的旁观者（20），在少数民族中自我认同的人有更多的GSW。采访数据还表明，在一组先前有枪伤（pGSW）的参与者中，人们对枪支的看法有变化的趋势。与急性枪伤组（aGSW）相比，先前的枪伤组（pGSW）反应显示支持增加枪支安全性和限制枪支进入的政策。
结论：人口普查组之间不同的伤害模式表明，需要多种公共卫生方法来减少枪支暴力。人种学知情的方法，包括以前GSW受伤的人的支持，可能有助于制定这些干预措施以减少伤害。匹配的同伴支持计划代表了减少二次伤害和枪支暴力的一种潜在干预措施。
