The smoking gun : Do clinicians follow guidelines on firearm safety counseling ?
To describe clinicians'behavior regarding firearm safety counseling practices, develop a model to predict current counseling behavior, and identify resources that might positively influence willingness to counsel according to medical guidelines.
Four hundred sixty-five primary care Los Angeles County, California, pediatricians, family physicians, and pediatric nurse practitioners who serve families with children aged 5 years and younger received mailed questionnaires ; 325 (70%) responded.
Main Outcome Measure
Clinician self-reported behavior.
Of the respondents, 80% stated that they should counsel on firearm safety ; only 38% do so.
Of those clinicians who currently counsel, only 20% counsel more than 10% of their patient families.
Firearm safety counseling behavior is positively associated with a clinician being 49 years or younger (odds ratio [OR]=2.19, P=02) ; a perception that counseling is beneficial (OR=2.62, P=02) ; and household handgun ownership (OR=2.47, P=02).
Clinician households that report gun ownership counsel differently than those clinicians who report not possessing a household gun.
There are no significant differences in the rates of counseling across specialties and crime area types.
Forty-one percent of clinicians report that patient education handouts would increase their likelihood of counseling. (...)
Mots-clés Pascal : Politique sanitaire, Education, Information, Sécurité, Manipulation, Arme à feu, Aptitude professionnelle, Exécution programme, Médecin, Infirmier, Enquête, Etude statistique, Homme, Prévention
Mots-clés Pascal anglais : Health policy, Education, Information, Safety, Manipulation, Fire arm, Vocational aptitude, Program execution, Physician, Nurse, Survey, Statistical study, Human, Prevention
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0404309
Code Inist : 002B30A05. Création : 25/01/1999.