背景:在美国,与枪支相关的伤害是一个重大的公共卫生问题。全国范围内的枪支采购有所增加,并且在枪支机构内部署伤害预防计划的努力也越来越多。然而,在这些高暴露环境中可能发生的与枪支相关的风险和危害没有得到很好的表征。
方法:此二次分析利用枪支暴力档案数据来量化2015年1月1日至2022年12月31日不同类型枪支机构内的枪支伤害患病率。数据仅限于在枪支范围内发生的事件,枪支商店,以及公共和私人范围。个人级别数据中提供了以下事件特征:日期,location,损伤计数,死亡人数,受害者人口统计数据(年龄,sex),射击意图(自杀/自残,袭击/凶杀,无意中,未确定)和机构类型。
结果:超过7年,在576个独特的机构中发生了445起非致命和183起致命的枪击事件。非致命的,意外伤害在独立射击范围内占主导地位,而致命伤害,自我伤害集中在零售店,伴随着射击场。与枪支有关的袭击在独立零售店中很普遍。
结论:总体而言,这项次要分析强调,在美国各地的枪支机构中,枪支伤害的患病率很低,这些设置应继续作为干预的重要背景进行研究。将公共卫生干预措施交织到枪支设施中提供了一个机会,可以潜在地减少对在这些环境中进行交互的消费者的相关伤害。
BACKGROUND: Firearm-related injury represents a significant public health problem in the USA. Firearm purchasing has risen nationwide and there has been increased efforts to deploy injury prevention initiatives within gun establishments. However, firearm-related risks and harms that may occur inside these high-exposure settings are not well characterized.
METHODS: This secondary analysis leveraged Gun Violence Archive data to quantify firearm injury prevalence rates within different types of gun establishments from 1 January 2015 to 31 December 2022. Data were restricted to incidents that occurred in gun ranges, gun shops, and public and private ranges. The following incident characteristics were available in the individual-level data: date, location, injury count, fatality count, victim demographics (age, sex), shooting intent (suicide/self-inflicted, assault/homicide, unintentional, undetermined) and establishment type.
RESULTS: Over 7 years, 445 non-fatal and 183 fatal shooting events occurred across 576 unique establishments. Non-fatal, unintentional injuries predominated in stand-alone firing ranges whereas fatal, self-inflicted injuries concentrated in retail shops with accompanying firing ranges. Firearm-related assaults were prevalent among stand-alone retail shops.
CONCLUSIONS: Overall, this secondary analysis underscores that the prevalence of firearm injury in gun establishments across the USA is low, and these settings should continue to be studied as important contexts for intervention. Interweaving public health interventions into gun establishments presents an opportunity to potentially reduce associated harms to consumers interacting within these environments.