15. A Public Health Approach to Firearm Violence Prevention

Author(s):  
Linda C. Degutis ◽  
Howard R. Spivak
Author(s):  
Thomas Simon ◽  
Kimberly Hurvitz

Violence, including child maltreatment, youth violence, intimate partner violence, and sexual violence, is a significant public health problem in the United States. A public health approach can help providers understand the health burden from violence, evaluate evidence for prevention strategies, and learn where to turn for information about planning and implementing prevention strategies for this preventable problem. For the past three decades, the U.S. Department of Health and Human Services has published “Healthy People” objectives for the next decade. The Healthy People 2020 initiative includes 13 measurable objectives related to violence prevention, one of which was selected as a Healthy People 2020 Leading Health Indicator. Progress to achieve these objectives can save thousands of lives, reduce the suffering of victims and their families, and decrease financial cost to the law enforcement and healthcare systems. The role that nurses can and do play in violence prevention is critical and extends beyond just caring for victims to also include preventing violence before it happens. This article summarizes the violence prevention objectives in Healthy People 2020 and the resources for prevention available to support nurses and others as they move prevention efforts forward in communities to stop violence before it starts.


2021 ◽  
pp. 108876792110471
Author(s):  
Lauren A. Magee

Firearm violence is considered a public health crisis in the United States. Firearm violence spatially concentrates within neighborhoods and is associated with community factors; however, little is understood about the geographic differences in gunshot wound mortality and associated neighborhood social processes. Applying a public health approach through the Haddon’s Matrix, the results demonstrate systematic differences in social and physical features associated with gunshot mortality. These findings have important implications to improve neighborhood physical and social conditions, police transporting gunshot victims, and police-public health partnerships to improve data collection on nonfatal shootings and shots fired.


2012 ◽  
Vol 18 (12) ◽  
pp. 1390-1412 ◽  
Author(s):  
Jennifer A. Wagman ◽  
Fredinah Namatovu ◽  
Fred Nalugoda ◽  
Deus Kiwanuka ◽  
Gertrude Nakigozi ◽  
...  

2019 ◽  
Vol 26 (6) ◽  
pp. 516-523 ◽  
Author(s):  
Nicole Kravitz-Wirtz ◽  
Rocco Pallin ◽  
Matthew Miller ◽  
Deborah Azrael ◽  
Garen J Wintemute

ObjectiveTo describe the prevalence of and factors associated with firearm ownership; the types, subtypes and quantity of firearms owned; and when, where and why firearms were acquired in California.MethodsA cross-sectional analysis of a state-representative, probability-based, internet survey of California adults was conducted in September–October 2018 (n=2558; completion rate 49%). Household firearm ownership was ascertained for all respondents; personal firearm ownership was ascertained only among respondents who reported living in a home with firearms; and information on the types and quantity of firearms owned and details about recently acquired firearms came from firearm owners only.FindingsRoughly one in four (25%, 95% CI 22% to 28%) California adults live in a home with a firearm, including 4.2 million adults—14% (95% CI 13% to 16%) of the adult population—who personally own a firearm. These owners collectively own an estimated 19.9 million firearms (8.9 million handguns). Approximately half (48%, 95% CI 34% to 61%) of the firearm stock in California is owned by the 10% (95% CI 6% to 14%) of owners who own 10 or more firearms, though more than half (54%, 95% CI 47% to 62%) of owners in the state own only one or two firearms. Most (69%, 95% CI 63% to 75%) owners purchased their last firearm from a firearm retailer, usually a handgun purchased primarily for protection against people.ConclusionThis study provides the most detailed and up-to-date information available on firearm ownership and acquisition in California. Results can inform firearm violence prevention efforts and public health, safety and policy development in California and nationally.


2020 ◽  
Vol 5 (2) ◽  
pp. 60-65
Author(s):  
Lara C. Snowdon ◽  
Emma R. Barton ◽  
Annemarie Newbury ◽  
Bryony Parry ◽  
Mark A. Bellis ◽  
...  

Experts from across the globe have warned of the adverse consequences of COVID-19 lockdown and physical distancing restrictions on violence in the home, with the United Nations describing it as a shadow pandemic. This social innovation narra-tive explores how a public health approach to violence prevention is implemented in Wales during the COVID-19 pandemic by the multi-agency Wales Violence Prevention Unit. The article highlights early trends in monitoring data on the impact of COVID-19 restrictions on violence, including likely increases in domestic and sexual violence and abuse, concerns over the safety of children and young people, both online and in the home, and increased reporting of elder abuse. The article supports the notion of a shadow pandemic, emphasizing the lack of data that routinely measures violence in the home and online that disproportionately affects women, children, and older people, as well as vulnerable and minority populations. This renders these forms of violence much less “visible” to policy-makers in comparison with violence in public spaces, but they are of no less public health significance. Through sharing this narrative and early findings, we call for increased focus on the develop-ment of new data collection methods and violence prevention programs during the COVID-19 pandemic and in the future.


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