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  1. The smoking gun : Do clinicians follow guidelines on firearm safety counseling ?

    Article - En anglais

    Objectives 

    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.

    Design 

    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.

    Results 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0404309

    Code Inist : 002B30A05. Création : 25/01/1999.