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Biomedical subjects

S B Sorenson

Publications and source records attributed to S B Sorenson.

At least 19 recordsLinked to original sources

Buying a handgun for someone else: firearm dealer willingness to sell.

OBJECTIVE: To examine firearm dealer willingness to sell when a handgun is being purchased for another person. US law requires a background check of the purchaser but not the end user of a firearm. SUBJECTS AND METHODS: A total of 120 handgun dealers (six from each of the 20 largest US cities with 10 or more dealers) participated in telephone interviews. Dealers within each city were randomly assigned to a male or female interviewer and then randomly assigned to one of three purchase conditions-when the consumer said that the handgun was for him/herself, a gift for a girl/boyfriend, or for a girl/boyfriend "because s/he needs it". RESULTS: Most dealers were willing to sell a handgun regardless of the end user (self: 87.5%; gift: 70.8%; "need": 52.5%). Multivariate analyses indicate that dealers in the Midwest, South, and West were more willing to sell than those in the Northeast (adjusted odds ratio (AOR) = 21.30, 18.74, and 8.93, respectively) and that willingness to sell is lower when the sale would be illegal, that is, under the "need" condition (AOR = 0.20). CONCLUSIONS: and implications: Dealers are in a position to exercise judgment when a customer is explicit about buying a firearm for someone else. Some appeared willing to ignore or sidestep relevant information even when told that the end user was prohibited from purchasing a firearm him/herself. In the absence of federal handgun registration, which would track ownership changes, resources with which to conduct compliance checks (for example, as are conducted to identify retailers who sell tobacco or alcohol to under-age persons) seem warranted.

Attitude↗

The nature of newspaper coverage of homicide.

OBJECTIVES: Previous research has shown that some homicides are more likely than others to receive newspaper coverage (for example, homicides by strangers). The present investigation examined whether, once the decision has been made to report on a homicide, the nature of the coverage (that is, how much visibility is given to a story, what information is included, and how a story is written) differs according to two key variables, victim ethnicity, and victim-suspect relationship. SETTING: Los Angeles, California (USA). METHODS: Homicide articles from the 1990-94 issues of the Los Angeles Times were stratified according to the predictors of interest (victim ethnicity and victim-suspect relationship) and a sample was drawn. Data that characterized two primary aspects of newspaper coverage, prominence and story framing (including background information, story focus, use of opinions, story tone, and "hook" or leading introductory lines) were abstracted from the articles. Descriptive statistics and cross tabulations were generated. Multivariate analyses were conducted to examine the predictive value of victim ethnicity and victim-suspect relationship on the nature of the newspaper coverage. RESULTS: Newspaper coverage of homicide was generally factual, episodic, and unemotional in tone. Victim-suspect relationship, but not victim ethnicity, was related to how a story was covered, particularly the story frame. Homicides by intimates were covered consistently differently from other types of homicides; these stories were less likely to be opinion dominated, be emotional, and begin with a "hook". CONCLUSION: Victim-suspect relationship was related to the nature of coverage of homicides in a large, metropolitan newspaper. Given the agenda setting and issue framing functions of the news media, these findings have implications for the manner in which the public and policy makers perceive homicides and, consequently, for the support afforded to various types of solutions for addressing and preventing violence.

Bibliometrics↗

Handgun sales, beer sales, and youth homicide, California, 1972-1993.

Whether regulating access to firearms and alcohol will reduce violent injuries is an important policy question. Empirical answers are difficult to obtain because only observational data are available. The present study estimated the association of firearm sales and alcohol sales with subsequent homicides, after adjusting statistically for potential confounders (e.g., unemployment rates) using California data from 1972 through 1993. Handgun sales and beer sales were lagged one year and used to explain variation in the homicides of Californians (e.g., 1990 sales were used to explain 1991 homicides). Differences across population groups were investigated, with a focus on 15- to 34-year-olds, the highest risk age group. Even when taking potential confounders in the base population into account, beer sales and handgun sales generally are associated positively one year later with homicide, particularly among young men. Reducing beer sales may reduce homicides. And, although they represent a small fraction of existing firearms, regulating the number of handguns sold may reduce the number of homicides.

Adolescent↗

Mortality among young immigrants to California: injury compared to disease deaths.

The authors "investigated adolescent and young adult immigrants' risk of death due to disease and injury.... The death certificates of 15- to 34-year-old California residents who died from 1989 through 1993 comprised the study population. Disease and injury deaths were identified using ICD-9 codes on the California Master Mortality data files. Frequencies and gender-standardized rates and risk ratios were calculated by nativity (U.S., non-U.S.) and by ethnicity and nativity." The results suggest that "young immigrants, at least in terms of mortality, do not constitute a burden in that they are at lower or similar risk of death than U.S.-born youth."

Americas↗

Young guns: an empirical study of persons who use a firearm in a suicide or a homicide.

OBJECTIVES: The purpose of this investigation was to identify population groups at highest risk of using a firearm in a fatal incident. SETTING: Los Angeles County (California, USA). METHODS: Data were gathered from vital statistics reports and law enforcement records on the characteristics of suicide victims (n = 4799) and homicide suspects (n = 5369) from 1990 through 1994. Logistic regression was used to identify characteristics of the actor/perpetrator that were associated with firearm use. RESULTS: Persons less than 21 years old and males were more likely to use a firearm to kill themselves or someone else. Even when their other demographic attributes and characteristics of the incident itself were taken into consideration, persons under the age of 18 were substantially more likely than those 21 or more years old to use a firearm in the commission of a homicide (adjusted odds ratio = 2.59). Asians were less likely than white people to use a firearm in the commission of a suicide, whereas black people, Hispanics, and Asians were more likely than whites to use a firearm in the commission of a homicide. CONCLUSIONS: The US enacts and enforces some policies differentially by age. These data support the idea that such an approach may be warranted when addressing fatalities associated with the use of a firearm. Of particular interest, given minimum age requirements for firearm purchases, is the source of the weapons themselves.

Adolescent↗

Support for new policies to regulate firearms. Results of two national surveys.

BACKGROUND: New policy options are emerging in the debate regarding the regulation of firearms in the United States. These options include the treatment of firearms as consumer products, the design of which can be regulated for safety; denial of gun ownership to those convicted of misdemeanors; and strategies to curtail the illegal sale of guns. The public's opinion of these innovative gun-policy options has not been thoroughly assessed. METHODS: We conducted two telephone surveys of 1200 adults each in the United States in 1996 and 1997-1998. Cognitive interviews and pretests were used in the development of the survey instruments. Potential participants were then contacted by random-digit dialing of telephone numbers. RESULTS: A majority of the respondents favored safety standards for new handguns. These standards included childproofing (favored by 88 percent of respondents), personalization (devices that permit firing only by an authorized person; 71 percent), magazine safeties (devices that prevent firing after the magazine or clip is removed; 82 percent), and loaded-chamber indicators (devices that show whether the handgun is loaded; 73 percent). There was strong support for policies prohibiting persons convicted of specific misdemeanors from purchasing a firearm. Support for such prohibitions was strongest for crimes involving violence or the illegal use of a firearm (83 to 95 percent) or substance abuse (71 to 92 percent). There was also widespread support for policies designed to reduce the illegal sale of guns, such as mandatory tamper-resistant serial numbers (90 percent), a limit of one handgun purchase per customer per month (81 percent), and mandatory registration of handguns (82 percent). Even among the subgroup of respondents who were gun owners, a majority were in favor of stricter gun regulations with regard to 20 of the 22 proposals covered in the poll. CONCLUSIONS: Strong public support, even among gun owners, for innovative strategies to regulate firearms suggests that these proposals warrant serious consideration by policy makers.

Adult↗

News media coverage and the epidemiology of homicide.

OBJECTIVES: This study assessed how newspaper coverage of homicides corresponds to the epidemiology of homicide. METHODS: Stories in the Los Angeles Times about homicide (n = 2782) were compared with the homicides that occurred in Los Angeles County from 1990 through 1994 (n = 9442). The generalized linear model assessed how victim, incident, and suspect characteristics related to coverage. RESULTS: Even when multiple variables were taken into account, some homicides (those with female, child, or elderly victims; those in which the suspect was a stranger to the victim; those in wealthier neighborhoods) received more coverage and others (those with Black or Hispanic victims or victims with less than a high school education; those committed with nonfirearm weapons; those in which the suspect was an intimate of the victim) received less coverage than expected. CONCLUSIONS: Some homicides are more newsworthy than others. Potential implications of not providing the public with representative data are discussed.

Adolescent↗

Community and dating violence among adolescents: perpetration and victimization.

PURPOSE: Adolescents are both the perpetrators and victims of violence in the United States. To reduce violence, it is important to identify those most at risk within particular contexts. METHODS: A social learning framework was used to investigate involvement in violence in a survey of 719 high school students. Four outcomes (community violence perpetration, community violence victimization, dating violence perpetration, and dating violence victimization) were examined as a function of demographic characteristics, exposure to violence, and several potential mediating variables. RESULTS: Exposure to weapons and violent injury in the community was the sole consistent predictor across the four outcomes. Gender generally was an important correlate of violence; there were substantial gender differences in the correlates of dating violence perpetration and victimization, but relatively few gender differences in the correlates of community violence involvement. Other demographic characteristics typically were of limited importance, and were largely accounted for by exposure to violence or other mediators. Personal norms about the circumstances under which the use of violence is perceived as justified were important for three of the four outcome: community violence perpetration, and dating violence perpetration and victimization. CONCLUSIONS: Being exposed to violence in one context appears to have crossover effects to victimization and perpetration in another context. Furthermore, victimization and perpetration often co-occur.

Adolescent↗

Undetermined manner of death. A comparison with unintentional injury, suicide, and homicide death.

Injury deaths can be grouped into four general categories: accident, homicide, suicide, and undetermined. The present study investigates the use of the "undetermined" category. External cause of death, as well as demographic and other variables, were abstracted from death certificates of the 386,936 Californians who died of an injury between 1969 and 1991. Differences among the four manner-of-death groups were examined, and characteristics of the decedent and the injury event were used to predict a classification of undetermined. Coroners classified 1.9% of the deaths as undetermined in manner. Deaths of women, Blacks, Asians, and Native Americans; the very young and the middle aged; or those involving poisoning or submersion were most likely to be classified as undetermined. Acknowledging that individual coroner judgment may not be free of bias, these findings can help provide a better estimate of the frequency and the epidemiologic features of injury deaths that are assigned to the category of undetermined.

Accidents↗

Coroner-reviewed infant and toddler deaths. Many "undetermineds" resemble homicides.

Although homicide is a leading cause of death of infants and toddlers, there is some suspicion that an unknown number of additional deaths are unrecognized homicides. The authors used California mortality data from 1969 to 1991 to examine 12,246 injury deaths that occurred before age 5. Characteristics of the dead child, injury event, and postmortem were compared for accidents, homicides, and undetermined deaths. A logistic model was developed to differentiate homicides from accidental deaths and then was used to predict whether undetermined deaths were likely to be homicides or accidents. Unlike accidental deaths, undetermineds and homicides had similar distribution patterns of age, race, sex, and place of injury. The predictive model indicates that 43.8% of the undetermined injury deaths were similar to homicides on several characteristics. True rates of homicide for infants and toddlers may, unfortunately, be nearly one fifth and one tenth higher, respectively, if the undetermined deaths that resemble homicides are taken into account.

Accidents↗

Violence against women. Examining ethnic differences and commonalities.

Ethnic differences and commonalities rarely have been the focus of community-based research on violence against women. The few existing studies typically used survey instruments developed on and used with Anglos and simply applied them to members of other ethnic groups. The proposed conceptual framework is based on a review of the published literature and on information gleaned from focus groups conducted with women and men from four ethnic groups (Black, White, Asian, and Latino). Ethnicity and culture--along with broad social factors and institutions, gender role definitions, kin and friendship networks, and individual life-course factors--influence what behaviors are acceptable in an intimate relationship. The intersection of gender and ethnicity is hypothesized to influence the options that a woman perceives, the help she seeks, and the nature and scope of violence she experiences in an intimate relationship. Observations relevant to research, policy, and service provision are offered.

Adolescent↗

Violence and injury in marital arguments: risk patterns and gender differences.

OBJECTIVES: Community-based research on violence against women typically focuses on marital arguments rather than on resulting injuries. This study investigated patterns of victimization, violence perpetration, and injury in marital arguments. METHODS: Data from the National Survey on Families and Households and binomial and multinomial logit models were used to analyze characteristics of those who experienced physical violence, as well as to determine who was the perpetrator and who was the victim. RESULTS: Men and women reported similar behaviors during verbal arguments. Young persons, urban dwellers, the less educated, those with low incomes, and Blacks were more likely to report that there had been physical violence in their marriages in the past year. Ethnicity, income, education, and number and age of children at home were not associated consistently with injury of the wife, the husband, or both. CONCLUSIONS: Persons who report physical violence in their marriage are very similar to those who are at increased risk of interpersonal violence in general. The co-occurrence of street and other nonfamily violence with spousal violence may be a fruitful area for future research.

Adolescent↗

Homicide risk among immigrants in California, 1970 through 1992.

According to the death certificates of the 65,510. California residents who died of homicide from 1970 through 1992, foreign-born persons are overrepresented in the homicides of California residents. Analysis of homicide data for 15- to 34-year-olds (n = 38,774), who account for a majority of all homicide victims indicated that immigrant-to-nonimmigrant risk patterns differed by ethnicity and across time. During the 23-year study period, foreign-born Whites, Hispanics, and Asians and others were at significantly higher risk and foreign-born Blacks were at a statistically similar risk of homicide compared with their US-born counterparts (risk ratio = 2.12, 1.24, 1.72, and 0.60, respectively).

Adolescent↗

Youth suicide trends in California: an examination of immigrant and ethnic group risk.

Although immigrants are in better health than the U.S.-born population according to a variety of indicators, little research has investigated current foreign-born/U.S.-born differentials in suicide. A review of 32,928 California death certificates from 1970 to 1992 indicates that although foreign-born persons are consistently underrepresented in the suicide deaths of 15- to 34-year-olds (risk ratio = 0.60), any foreign-versus U.S.-born difference by ethnicity appears to be decreasing. Specifically, although Hispanics born outside the United States consistently are at significantly lower risk of suicide than U.S.-born Hispanics, the discrepancy between the two groups has diminished over time. And, in a comparable trend, non-Hispanic white persons born outside the United States were at higher risk of suicide than their U.S.-born counterparts until 1990, when their risk became similar. Black and Asian/other foreign- and U.S.-born persons have been at statistically similar risk since 1970. A man using a firearm at home was the typical pattern for both the foreign- and U.S.-born.

Adolescent↗

Trends in California homicide, 1970 to 1993.

In addition to the need to identify homicide trends among well-documented risk groups, this investigation was conducted to expand the limited existing knowledge about the risk of homicide according to educational attainment and among 2 growing ethnic groups, Hispanics and Asians. We examined the death certificates of the 69,621 persons who died of homicide in California from 1970 through 1993. Age, sex, race and ethnicity, and education level of the victim, along with the homicide method, were abstracted from each record. Frequencies, rates, and relative risk were calculated. Substantial increases in the homicide rates occurred for 15- to 19-year-olds (4.0-fold), men (1.9-fold), Hispanics (2.5-fold), and Asians or others (1.7-fold) from 1970 to 1993. The use of firearms consistently accounted for a growing proportion of all homicides, reaching a high in 1993 of 75% for all persons and 90% for 15- to 19-year-olds. High school dropouts have the highest homicide risk of all education groups. Homicide risk differentials by ethnicity, sex, and age all increased during the study period. Persons of color and youth have been disproportionately affected by homicide for many years, and these data indicate that things are getting worse. Redoubled collaborative prevention and intervention efforts are needed to reverse this trend.

Adolescent↗