PDF(Pubmed)
Abstract：
Exposure to firearm violence is widespread and disproportionately experienced by communities of color, with implications for broad health disparities. Survey data were collected from 2 nationally representative samples of Black (n = 3015) and American Indian/Alaska Native (AI/AN) (n = 527) adults in the United States in April and May 2023. The exposure measures were 4 types of firearm violence exposure. The outcome measures were self-rated health, number of poor physical health days, and number of poor mental health days. Regression results demonstrate that being threatened with a firearm and hearing about or witnessing a shooting were associated with poorer self-rated, mental, and physical health across both samples. Cumulative exposure to firearm violence was particularly associated with increasing harms to health for all outcomes. In general, individual and cumulative firearm violence exposures are linked to poorer health among Black and AI/AN adults in the United States. Significant enhancements and long-term investment are needed for firearm violence prevention to yield improvements to population health, particularly among communities burdened with high levels of exposure to firearm violence.
摘要：
有色人种社区普遍遭受枪支暴力，而且经历得不成比例，影响广泛的健康差异。调查数据来自2023年4月和5月在美国的2个全国代表性的黑人（n=3015）和美洲印第安人/阿拉斯加原住民（AI/AN）（n=527）成年人样本。暴露措施是4种枪支暴力暴露。结果衡量标准是自我评估的健康状况，身体健康状况不佳的天数，以及精神健康不良天数。回归结果表明，受到枪支威胁，听到或目睹枪击事件与自我评价较差有关，心理，以及两个样本的身体健康。枪支暴力的累积暴露与所有结果对健康的危害增加特别相关。总的来说,个人和累积的枪支暴力暴露与美国黑人和AI/AN成年人的健康状况较差有关。需要在预防枪支暴力方面进行重大改进和长期投资，以改善人口健康，特别是在遭受高度枪支暴力的社区中。
