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Journal Article

Citation

Rubens M, Shehadeh N. Front. Public Health 2014; 2: 17.

Affiliation

Health Administration Program, Florida Atlantic University , Boca Raton, FL , USA.

Copyright

(Copyright © 2014, Frontiers Editorial Office)

DOI

10.3389/fpubh.2014.00017

PMID

24624371

Abstract

From the public health perspective, the issue of gun violence could be evaluated based on the theoretical framework of social ecological model (SEM) by the Center for Disease Control and Prevention (CDC). The SEM uses four levels of influence to describe a framework that identifies factors that either places a person at-risk for or guards them from being subjected to or causing a health problem such as violence. The levels of influence in the SEM structure include the individual or intrapersonal, relationships or interpersonal, community, and society (see Figure A1 in Appendix). Each level represents a key point in the process of violence, and thereby, offers an opportunity to intervene in violence for prevention. The framework also provides a tool to use in evaluation of public health issues of firearm violence.

Controlling gun violence is a complex and formidable task. It is well established that multi-level approach is needed to end gun violence. We provided some suggestions for policymakers and practitioners based on the SEM. The association between violence and the interaction between different factors, from individual to societal, suggest that addressing risk factors or devising prevention plans across various levels of the SEM may lead to decrease in incidences like Sandy Hook massacre and Navy Yard shooting. However, we acknowledge that implementing all these suggestions at a time is practically impossible. Since we don’t have a false proof mechanism to identify and intervene with people who might be potential culprits, the initial step should be to prevent the weapons getting into the hands of these people. This initial steps could be achieved by changing the social norms on guns and implementing some immediately workable policies. As the norm on the propriety of driving has changed over time, there is no reason to believe that norms about guns will not change. One such norm should be keeping the guns in safe and secure places as many perpetrators used guns which were stolen. Some of the policy changes we recommend are stricter provisions in obtaining gun license and its periodic renewal. In addition, people should undergo rigorous background checks and extensive gun safety trainings before obtaining gun. However, the challenges remain and require long term solutions.

- See more at: http://journal.frontiersin.org/Journal/10.3389/fpubh.2014.00017/full#sthash.MAIQSRJD.dpuf


Language: en

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