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Journal Article

Citation

Dong B, Jacoby SF, Morrison CN, Wiebe DJ. J. Adolesc. Health 2019; 64(4): 502-508.

Affiliation

Department of Biostatistics, Epidemiology and Informatics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.jadohealth.2018.09.026

PMID

30455034

Abstract

PURPOSE: To determine longitudinal patterns of handgun-carrying behavior among urban American youth and identify modifiable risk factors associated with distinct carrying patterns that should be targeted at different life stages.

METHODS: Using panel data from the National Longitudinal Survey of Youth 1997, we estimated longitudinal trajectories of handgun carrying among urban Americans, who carried a handgun at least once between 1997 and 2011 (N = 1,574). Multinomial logistic regression analyses examined risk factors associated with handgun-carrying trajectory groups during late adolescence (ages 16-20), emerging adulthood (ages 20-24), and young established adulthood (ages 24-28).

RESULTS: Group-based trajectory analyses identified four groups: Declining (35.0%, N = 560), bell-shaped (35.5%; N = 561), late-initiating (19.6%; N = 303), and high-persistent (9.9%; N = 150). During late adolescence, lower risks of mental health problems, hard drug use, police arrest, and presence of a gang in the neighborhood or school differentiated the late-initiating group from the other higher risk groups. During emerging and young established adulthood, higher risks of alcohol use, police arrest, and presence of a gang in the neighborhood or school were associated with trajectory groups with higher likelihood of handgun carrying than the declining group.

CONCLUSIONS: There are more than one profile of adolescents and young adults who carry handguns. Preventive interventions should have distinct priorities that address different patterns of handgun-carrying behavior at different life stages.

Copyright © 2018. Published by Elsevier Inc.


Language: en

Keywords

Handgun carrying; Intervention priorities; Longitudinal heterogeneity; Trajectory groups; Urban; Youth

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