Prevention of firearm-related injuries with restrictive licensing and concealed carry laws: An Eastern Association for the Surgery of Trauma systematic review

被引：32

作者：

Crandall, Marie

Eastman, Alexander ^{[1
]}

Violano, Pina ^{[2
]}

Greene, Wendy ^{[3
]}

Allen, Steven ^{[4
]}

Block, Ernest ^{[5
]}

Christmas, Ashley Britton ^{[6
]}

Dennis, Andrew ^{[7
]}

Duncan, Thomas ^{[8
]}

Foster, Shannon ^{[9
]}

Goldberg, Stephanie ^{[10
]}

Hirsh, Michael ^{[11
]}

Joseph, D'Andrea ^{[12
]}

Lommel, Karen ^{[13
]}

Pappas, Peter ^{[5
]}

Shillinglaw, William ^{[14
]}

机构：

[1] Univ Texas Southwestern Med Ctr Dallas, Dept Surg, Dallas, TX USA

[2] Yale New Haven Childrens Hosp, Injury Prevent Ctr, New Haven, CT USA

[3] Emory Univ, Sch Med, Dept Surg, Atlanta, GA 30322 USA

[4] Penn State Milton S Hershey Med Ctr, Dept Surg, Hershey, PA USA

[5] Univ Cent Florida, Dept Surg, Coll Med, Orlando, FL 32816 USA

[6] Carolinas Hlth Care, Dept Surg, Charlotte, NC USA

[7] Cook Cty Hosp, Dept Trauma, Chicago, IL 60612 USA

[8] Ventura Cty Med Ctr, Dept Surg, Ventura, CA USA

[9] Univ Penn Reading Hlth Syst, Dept Surg, Reading, PA USA

[10] Virginia Commonwealth Univ, Dept Surg, Richmond, VA USA

[11] Univ Massachusetts, Dept Surg, Amherst, MA 01003 USA

[12] Univ Connecticut, Dept Surg, Hartford, CT 06112 USA

[13] Univ Kentucky, Dept Surg, Lexington, KY USA

[14] Mission Hosp Asheville, Dept Surg, Asheville, NC USA

来源：

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY | 2016年 / 81卷 / 05期

关键词：

Gun violence; firearm injuries; injury prevention; STATE BACKGROUND CHECKS; SUICIDE RATES; HOMICIDE; PURCHASE; VIOLENCE; REGULATIONS; CONNECTICUT; CONSENSUS; DEATHS; IMPACT;

D O I：

10.1097/TA.0000000000001251

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

BACKGROUND In the past decade, more than 300,000 people in the United States have died from firearm injuries. Our goal was to assess the effectiveness of two particular prevention strategies, restrictive licensing of firearms and concealed carry laws, on firearm-related injuries in the US Restrictive Licensing was defined to include denials of ownership for various offenses, such as performing background checks for domestic violence and felony convictions. Concealed carry laws allow licensed individuals to carry concealed weapons. METHODS A comprehensive review of the literature was performed. We used Grading of Recommendations Assessment, Development, and Evaluation methodology to assess the breadth and quality of the data specific to our Population, Intervention, Comparator, Outcomes (PICO) questions. RESULTS A total of 4673 studies were initially identified, then seven more added after two subsequent, additional literature reviews. Of these, 3,623 remained after removing duplicates; 225 case reports, case series, and reviews were excluded, and 3,379 studies were removed because they did not focus on prevention or did not address our comparators of interest. This left a total of 14 studies which merited inclusion for PICO 1 and 13 studies which merited inclusion for PICO 2. CONCLUSION PICO 1: We recommend the use of restrictive licensing to reduce firearm-related injuries. PICO 2: We recommend against the use of concealed carry laws to reduce firearm-related injuries. This committee found an association between more restrictive licensing and lower firearm injury rates. All 14 studies were population-based, longitudinal, used modeling to control for covariates, and 11 of the 14 were multi-state. Twelve of the studies reported reductions in firearm injuries, from 7% to 40%. We found no consistent effect of concealed carry laws. Of note, the varied quality of the available data demonstrates a significant information gap, and this committee recommends that we as a society foster a nurturing and encouraging environment that can strengthen future evidence based guidelines. LEVEL OF EVIDENCE Systematic review, level III.

引用

页码：952 / 960

页数：9

共 42 条

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