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Biomedical subjects

Susan B Sorenson

Publications and source records attributed to Susan B Sorenson.

17 recordsLinked to original sources

Risk-taking among adolescents who say they can get a handgun.

In a survey of 5657 community-residing adolescents, those who said they could get a handgun in two days reported similar and those who said they could not get a handgun reported fewer risk behaviors and less violence perpetration and victimization than adolescents who have their own handgun. Adolescents who said they could get a handgun reported more exposure to and experience with firearms than those who said they could not get a handgun. Risk reduction efforts regarding adolescents should be expanded to include adolescents who say they can get a handgun.

Adolescent↗

Taking guns from batterers: public support and policy implications.

Federal law prohibits the purchase or possession of a firearm by persons convicted of misdemeanor domestic violence and those under certain domestic violence restraining orders. The purpose of this investigation is to examine public sentiment about the removal of firearms in the absence of a restraining order or misdemeanor conviction following domestic violence. An experimental vignette design was used in a telephone survey of a cross-sectional statewide sample of 522 community-residing adults in California. Study design and population weights were applied; the findings, thus, are a reasonable approximation for the population of California. In more than 3,500 vignettes, the abusive behavior was judged to be wrong, illegal, or should be illegal (98.7%, 73.1%, and 77.7%, respectively). Although only about one half (56.5%) of the scenarios were thought to merit the issuance of a restraining order, three fourths (77.4%) were thought to merit the removal of firearms. Multivariate analyses indicated greater support for firearms removal when the abuse involved sexual or physical abuse (adjusted odds ratio [AOR] ranged from 2.65 to 5.64) or a gun (AOR = 6.54). Men were the sole population group with significantly lower support for firearm removal following domestic violence (AOR = 0.39). The men who wanted firearms to remain did not differ from other men on any of the measured variables. In sum, there is substantial support, especially when a gun is displayed in a domestic violence incident, for policies requiring the removal of firearms from abusers.

Adult↗

Firearm use in intimate partner violence: a brief overview.

Readers of this volume are likely to have specific interests in domestic violence or in firearms policy. It is not assumed, however, that the typical reader will know about the interface of the two fields. Thus, the volume begins with a synopsis of the epidemiology of weapon use in intimate partner violence. The purpose of this article is to help readers better understand the nature of the problem, obtain knowledge that will provide a context for the policy, and understand practice implications of the articles that follow.

Adolescent↗

Are temporary restraining orders more likely to be issued when applications mention firearms?

Restraining orders, an important legal intervention for victims of domestic violence, have broad potential for injury prevention. Using data from one of the busiest restraining order clinics in the nation, the authors examined 1,354 applicants' descriptions of abuse. Most (89.2%) applicants were issued a restraining order. A total of 16.0% of applicants mentioned a firearm in their descriptions of abuse; doing so was not associated with restraining order issuance. About 1 in 20 applicants, even if issued a restraining order, would not be protected by the federal firearm purchase and possession prohibitions because they had not lived with or had a child with the defendant. However, the proportion of these individuals who report threatened or actual use of firearms against them is similar to that of other applicants. Federal and, when relevant, state law should be modified to include these persons.

Adolescent↗

Developing a practical forecasting screener for domestic violence incidents.

In this article, the authors report on the development of a short screening tool that deputies in the Los Angeles Sheriff's Department could use in the field to help forecast domestic violence incidents in particular households. The data come from more than 500 households to which sheriff's deputies were dispatched in fall 2003. Information on potential predictors was collected at the scene. Outcomes were measured during a 3-month follow-up. Data were analyzed with modern data-mining procedures in which true forecasts were evaluated. A screening instrument was developed based on a small fraction of the information collected. Making the screening instrument more complicated did not improve forecasting skill. Taking the relative costs of false positives and false negatives into account, the instrument correctly forecasted future calls for service about 60% of the time. Future calls involving domestic violence misdemeanors and felonies were correctly forecast about 50% of the time. The 50% figure is important because such calls require a law enforcement response and yet are a relatively small fraction of all domestic violence calls for service.

Domestic Violence↗

Restraining orders in California: a look at statewide data.

The authors tabulated statewide administrative data for all types of restraining orders. On June 6, 2003, there were 227,941 active restraining orders against adults in California; most were for domestic violence. Rates of restraining orders (i.e., restrained persons) were highest for men, African Americans, and 25- to 34-year-olds. In 72.2% of the orders, a woman was to be protected and a man was to be restrained; in 19.3%, the restrained and protected persons were of the same sex. Although state law prohibits the purchase or possession of a firearm by persons against whom a restraining order is issued, 9.2% of the orders documented no firearm restrictions.

Adult↗

Recreational gun use by California adolescents.

Most research on adolescents and firearms focuses on urban populations, handguns, and homicide. This study examines the prevalence and correlates of recreational gun use (RGU)--for hunting or target shooting--among 5,801 community-residing 12- to 17-year-old Californians. Data are from the first statewide California Health Interview Survey (CHIS), and person, design, and population weights were applied to the data. About one fifth (22.4%) of California adolescents report that they have gone hunting or target shooting. Nearly two thirds (62.8%) have hunted with a family member, typically (67.3%) their father. Recreational gun use among adolescents appears to be linked to a few basic demographic characteristics; most notably, male adolescents had an adjusted odds ratio of RGU nearly five times that of female adolescents. Some of the variables associated with RGU are consistent with those for violent gun use; differences, however, suggest that separate approaches to preventing firearm-related injury may be warranted.

Adolescent↗

Injunctive social norms of adults regarding teen dating violence.

PURPOSE: To assess applied injunctive social norms of adults regarding teen dating violence (TDV) and compare them with those regarding adult domestic violence (ADV). METHODS: A total of 3679 California adults from six ethnic groups (roughly equal numbers of African-American, Hispanic, Korean-American, Vietnamese-American, other Asian-American, and white respondents) participated in a 27-minute interview. An experimental vignette design was used to test for associations among contextual (i.e., victim, assailant, and situational) characteristics of TDV and ADV, respondent demographic characteristics, and injunctive social norms (i.e., whether adults thought the behavior was wrong, illegal, or should be illegal, police should be called, or a restraining order issued). Data were analyzed using multivariate logistic regression, controlling for vignette variables (i.e., contextual characteristics) and respondent characteristics. Interactions were examined to test for differences in responses to TDV and ADV. RESULTS: Nearly all adults report that most forms of TDV are wrong (97%) and should be illegal (81%), and a majority support interventions for TDV such as calling police and issuing a restraining order. TDV involving sexual assault, physical assault, or weapons received the greatest levels of support for societal intervention. Differences in respondent judgments regarding TDV and ADV were evident when the victim had been raped. Respondent characteristics generally were not associated with responses. CONCLUSIONS: Findings suggest that there is general public support for prevention and intervention strategies aimed at reducing and responding to TDV, and may inform efforts to alter social norms and expectations regarding TDV.

Adolescent↗

Firearm advertising: product depiction in consumer gun magazines.

In contrast to tobacco, alcohol, and other consumer products associated with health risks, we know very little about how firearm manufacturers advertise their products. The authors examined advertisements for firearms in all 27 ad-accepting magazines listed in Bacon's Magazine Directory "guns and shooting" category. Sixty-three manufacturers spent an estimated $1,195,680 on firearm advertising during the month studied. Annual advertising costs ranged widely; manufacturers spent an estimated $28.16 in advertising per firearm produced. Firearms generally were presented as a part of a lifestyle. Self-protection was noted infrequently in the advertisements. By contrast, attributes of the gun, typically technological characteristics, were noted in almost every advertisement.

Advertising↗

Adolescents and firearms: a California statewide survey.

OBJECTIVES: We assessed the prevalence and correlates of adolescents' reports regarding firearms in their homes, of their own, of close friends, and of same-aged peers. METHODS: Random-digit-dialed interviews were conducted with 5801 adolescents as part of the California Health Interview Survey. RESULTS: One fifth (19.6%) of California adolescents reported having a firearm in their homes; few (3.0%) reported having their own gun. Characteristics associated with having one's own gun and with perceptions regarding others' guns generally were consistent with characteristics associated with having a firearm in the home. The 2 exceptions were related to socioeconomic status and to ethnicity. CONCLUSIONS: The source from which adolescents obtain guns, especially adolescents from less wealthy households, merits further investigation. Further research is needed to ascertain the accuracy of Black and Latino adolescents' perceptions regarding handguns among their peers.

Adolescent↗

Weapons in the lives of battered women.

OBJECTIVES: We assessed weapon use in intimate partner violence and perspectives on hypothetical firearm policies. METHODS: We conducted structured in-person interviews with 417 women in 67 battered women's shelters. RESULTS: Words, hands/fists, and feet were the most common weapons used against and by battered women. About one third of the battered women had a firearm in the home. In two thirds of these households, the intimate partner used the gun(s) against the woman, usually threatening to shoot/kill her (71.4%) or to shoot at her (5.1%). Most battered women thought spousal notification/consultation regarding gun purchase would be useful and that a personalized firearm ("smart gun") in the home would make things worse. CONCLUSIONS: A wide range of objects are used as weapons against intimate partners. Firearms, especially handguns, are more common in the homes of battered women than in households in the general population.

Adolescent↗

High school students' attitudes about firearms policies.

PURPOSE: To examine high school students' attitudes about firearm policies and to compare their attitudes with those of adults. METHODS: The Hamilton Youth and Guns Poll is the first national survey of high school students about their attitudes concerning firearm policies. Questions were asked of 1005 sophomores, juniors, and seniors about their actual (i.e., direct) exposure (e.g., presence of a gun in the home) and about their social (i.e., indirect) exposure (e.g., whether the student could get a gun) to firearms and related violence. Population weights were applied, and multivariate logistic regression was used to examine the relationship between demographic and exposure variables and opinions about firearm policies. RESULTS: Most high school students supported more restrictive firearm policies. Opinions varied little by demographic variables with the exception of gender. Females were significantly more supportive of most firearm policies. Actual exposure was a more consistent predictor than social exposure. Students living in a home with a gun, particularly a handgun, were less likely to support most restrictive gun policies. CONCLUSIONS: Most high school students in the United States favor stringent policies governing firearms. Adolescents' attitudes about firearm policies parallel those of adults.

Adolescent↗

Funding public health: The public's willingness to pay for domestic violence prevention programming.

OBJECTIVES: The author investigated the willingness of the general public to pay for domestic violence prevention programs. METHODS: An experimental design was used in a telephone survey of 522 California adults. One of 11 funding methods and one of 4 dollar amounts were randomly assigned to each respondent. RESULTS: Most respondents (79.4%) reported support for domestic violence prevention programming. They were most willing to pay 5 US dollars or less via "user fees" (e.g., increased fines for batterers) and humanitarian "donations" (e.g., sales of special postage stamps). CONCLUSIONS: Health departments that want to increase their domestic violence prevention programming need to identify widely accepted methods by which funds can be raised. The methods used here can be applied to numerous public health activities and issues.

Adolescent↗

Personal awareness of domestic violence: implications for health care providers.

OBJECTIVES: To estimate how many Californians know a victim of domestic violence, to examine their knowledge of certain characteristics of the violence, and to estimate and examine such knowledge among specific demographic groups. METHOD: A total of 3713 California adults (similar numbers of whites, blacks, Hispanics, Korean Americans, Vietnamese Americans, and other Asian Americans) completed a random-digit-dial interview. Respondents were asked whether a friend, relative, or coworker had been threatened or harmed by an intimate partner. Weights were applied to the cross-sectional sample to obtain estimates for the general population. Descriptive statistics and multivariate regressions were used with the full sample. RESULTS: Nearly half (45.5%) of the adult general population of California knows a victim of domestic violence (DV); 40.5% know a woman and 5.0% know a man. More than one-third of the population (35.7%) knew the victim while the abuse was happening. Although 86.5% of those who reported knowing a DV victim indicated that the victim incurred physical harm, only 18.3% of the injured victims were reported to have sought medical care. Gender was the most consistent respondent predictor: Men were less likely to know someone who was a victim of DV and to have specific information about the violence. Ethnic differences were fewer, but distinctions among groups were documented. CONCLUSIONS: Knowing a victim of DV is common among California adults. Implications for medical practice are discussed in terms of the ethnicity, gender, and work force status of the population served and geographic location of the medical practice.

Adult↗

Preventing traumatic stress: public health approaches.

Population-based approaches to the primary prevention of posttraumatic stress disorder (PTSD) focus on the prevention of the stressor itself. Policy decisions also consider ways to allocate resources to best reduce potential damage from traumatic stressors and to ameliorate any resulting harm. A balance between broad risk prevention approaches and narrower treatment and recovery strategies can redistribute the risk of exposure and lead to fewer cases. Understanding that PTSD and its costs affect not only individuals who seek care, but also many others whose lives over-lap with these individuals as well as society as a whole, further informs and shapes prevention decisions.

Health Policy↗

Judgments about intimate partner violence: a statewide survey about immigrants.

OBJECTIVES: The purpose of this research was to: (1) examine judgments about immigrants who are victims of and assailants in intimate partner violence, and (2) assess whether immigrants to the U.S., a diverse and growing population, know that intimate partner violence is illegal in the United States and their judgments about what sanctions, if any, should follow. METHODS: A random-digit-dial telephone survey was conducted in four languages with 3,679 California adults. There were roughly comparable numbers of white, black, Latino, Korean American, Vietnamese American, and other Asian American participants; 60.1% were born outside the U.S. An experimental vignette design was used to vary victim, assailant, and contextual factors about incidents of intimate partner violence and to assess respondents' judgments about the behavior and what should be done about it. Multivariate analyses were conducted to examine the independent effect of these predictor variables and characteristics of the respondents. RESULTS: Respondent judgments about whether an incident of intimate partner violence was wrong, illegal, or about what sanctions should follow were not related to nativity of either the victim or the assailant. Immigrant respondents differed from native-born respondents on two outcomes: immigrants were more likely to think that the behavior was illegal and that guns should be removed from the assailant. CONCLUSIONS: Concerns that immigrants do not know that intimate partner violence is illegal in the U.S. are largely misplaced--immigrants know it soon after their arrival in the U.S. In addition, it appears that a cultural defense regarding domestic violence is not likely to sway others.

Adult↗