PDF(Pubmed)
Abstract：
We aimed to explore perspectives of teenagers on their exposure to gun violence (GV), their knowledge and attitudes towards firearm injury prevention (FIP) efforts, and how to counsel them about FIP. Teens from two single-sex Bronx Catholic high schools participated in videoconferencing focus groups. Participants completed an online survey collecting demographic information and Likert-scale scoring of attitudes towards GV. Quantitative data was analyzed with descriptive statistics. Focus group discussions were recorded and transcribed. Using Dedoose, two investigators independently coded data and achieved consensus using content analysis. Six focus groups (3 from each school, n = 28 participants) were held from October-November 2020. A total of 27 participants completed the survey. Eighty-one percent of respondents agreed \"Doctors should talk to teens about gun safety.\" During focus groups, participants reported personal, community, and entertainment media exposure to GV. GV elicited many emotions, including fear and frustration. Teens identified factors contributing to GV that should be addressed, including poverty, racism, and mental illness. Most had not received prior FIP education and desired more information from trusted adults. They preferred discussions over written materials and information given over time. Teens were open to doctors counseling on FIP during healthcare visits and suggested including screening questions on surveys, conversations during healthcare maintenance visits, and classroom talks by physicians. Bronx teens are exposed to and distressed by community GV. They desired more FIP education, including physician counseling during healthcare visits. Next steps are to create and test FIP guidance for adolescents.
摘要：
我们的目的是探索青少年对枪支暴力(GV)暴露的观点，他们对枪支伤害预防(FIP)工作的知识和态度，以及如何向他们咨询FIP。来自两所单性布朗克斯天主教高中的青少年参加了视频会议焦点小组。参与者完成了一项在线调查，收集了人口统计信息和对GV态度的李克特量表评分。定量数据采用描述性统计分析。焦点小组讨论被记录和转录。使用Dedoose,两名研究者通过内容分析独立地对数据进行编码并达成共识.六个焦点小组(每个学校三个，n=28名参与者)于2020年10月至11月举行。共有27名参与者完成了调查。81％的受访者同意“医生应该与青少年谈论枪支安全。\"在焦点小组期间，参与者报告个人，社区,和娱乐媒体接触GV。GV引发了许多情绪，包括恐惧和沮丧。青少年确定了导致GV的因素，应该解决，包括贫穷,种族主义,和精神疾病。大多数人没有接受过FIP教育，并希望从可信赖的成年人那里获得更多信息。他们更喜欢讨论，而不是随着时间的推移提供书面材料和信息。青少年在医疗保健访问期间向医生开放FIP咨询，并建议在调查中包括筛查问题，医疗保健维护访问期间的对话，和医生的课堂演讲。布朗克斯青少年受到社区GV的影响和困扰。他们想要更多的FIP教育，包括医疗访问期间的医生咨询。下一步是为青少年创建和测试FIP指南。
