TY  - JOUR
PY  - 2022//
TI  - Factors associated with firearm injury among pediatric members of a large integrated healthcare system
JO  - Academic pediatrics
A1  - Negriff, Sonya
A1  - Sidell, Margo
A1  - Nau, Claudia
A1  - Sharp, Adam L.
A1  - Koebnick, Corinna
A1  - Contreras, Richard
A1  - Grant, Deborah S. Ling
A1  - Kim, Johnathan K.
A1  - Hechter, Rulin C.
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND AND OBJECTIVES: Few studies have tested multiple socio-ecological predictors of firearm injury among pediatric populations and distinguished self-inflicted from non-self-inflicted injury. To address this gap, the current study examined demographic, individual psychosocial, and neighborhood variables as predictors of firearm injury among a large cohort of children and adolescents. <br><br>METHODS: Retrospective cohort study. Data were obtained from the electronic health records of a large integrated healthcare system. The cohort included children <18 years with at least one clinical encounter between January 1, 2010 and December 31, 2018. Poisson regression was used to examine demographic (age, gender, race/ethnicity, Medicaid status), psychosocial (depression, substance use disorder, medical comorbidities), and neighborhood education variables as potential risk factors for non-self-inflicted and self-inflicted firearm injuries. <br><br>RESULTS: For non-self-inflicted injury, the highest relative risk was found for children age 12-17 years old compared to 0-5 year olds (RR= 37.57); other risk factors included male gender, Black and Hispanic race/ethnicity (compared to White race), being a Medicaid recipient, lower neighborhood education, and substance use disorder diagnosis.  For self-inflicted injury, only age 12-17 years old and male gender were associated with increased risk. <br><br>CONCLUSIONS: These results reinforce the established higher risk for firearm injury among adolescent males, highlight differences between self-inflicted and non-self-inflicted injuries, and the need to consider demographic, psychosocial, and neighborhood variables as risk factors to inform interventions aimed to reduce firearm injuries among adolescents into adulthood.<p />  <p>Language: en</p>
LA  - en
SN  - 1876-2859
UR  - http://dx.doi.org/10.1016/j.acap.2022.09.005
ID  - ref1
ER  -