Breaking News
March 23, 2019 - People with peripheral artery disease have lower Omega-3 Index, shows research
March 23, 2019 - Trigger warnings have minimal impact on how people respond to content, shows research
March 23, 2019 - Gilead Announces Data From Two Studies Supporting Further Development of GS-6207, a Novel, Investigational HIV-1 Capsid Inhibitor as a Component of Future Long-Acting HIV Therapies
March 23, 2019 - Selfish genetic elements amplify inflammation and age-related diseases
March 23, 2019 - Study provides new understanding of how the brain recovers from damage caused by stroke
March 23, 2019 - CRISPR/Cas libraries could revolutionize drug discovery
March 23, 2019 - Allergic reaction during pregnancy may alter sexual-development in offspring’s brain
March 23, 2019 - Seeing through a robot’s eyes helps those with profound motor impairments
March 23, 2019 - Recent research shows that ease of breastfeeding after C-section differs culturally
March 23, 2019 - Newly discovered parameters offer more control over efficient release of drugs
March 23, 2019 - ‘De-tabooing’ of abortion- Women would like more support from health care community
March 23, 2019 - Anti-TB drugs can increase susceptibility to Mtb reinfection
March 23, 2019 - New survey indicates need of attention to neglected tropical diseases
March 23, 2019 - Innovative in vitro method to develop easy-to-swallow medicine for children and older people
March 23, 2019 - Sugary drinks could raise risk of early deaths finds study
March 23, 2019 - Lian wins ENGINE grant for stem-cell-based therapy to treat Type 1 diabetes
March 23, 2019 - Overall, Physicians Are Happy and Enjoy Their Lives
March 23, 2019 - Researchers discover how blood vessels protect the brain during inflammation
March 23, 2019 - CDC study shows modest improvement in optimal hospital breastfeeding policy
March 23, 2019 - Family-based prevention program to reduce alcohol use among older teens
March 23, 2019 - Remote monitoring of implanted defibrillators in heart failure patients prevents hospitalizations
March 23, 2019 - Appropriate doffing of personal protective equipment may reduce healthcare worker contamination
March 23, 2019 - Window screens can suppress mosquito populations, reduce malaria in Tanzania
March 23, 2019 - Researchers discover new biomarker for postoperative liver dysfunction
March 23, 2019 - Pregnancy history may be linked to cognitive function in older women, finds study
March 23, 2019 - Study shows ticagrelor is equally safe and effective as clopidogrel after heart attack
March 23, 2019 - FDA Approves First Drug for Postpartum Depression, Zulresso (brexanolone)
March 23, 2019 - New guidelines outline new treatment management for psoriasis
March 23, 2019 - Thermally abused cooking oil may promote progression of breast cancer
March 23, 2019 - High-fructose corn syrup fuels growth of colon tumors in mice
March 23, 2019 - Partnership aims at establishing best practices to promote diversity in clinical trials
March 23, 2019 - New study examines presence of microbes in tap water from residences, office buildings
March 23, 2019 - Early life trauma may affect brain structure, contribute to major depressive disorder
March 23, 2019 - NIH starts clinical trial of drug to treat cravings associated with opioid use disorder
March 23, 2019 - Cervix bacteria, immune factors could be a warning signal of premature birth, reports new research
March 23, 2019 - Worst-ever emergency care performance figures underscore the need to focus on staffing
March 23, 2019 - The Current issue of “The view from here” is concerned with Cancer
March 23, 2019 - Mouse model validates how ‘good’ and ‘bad’ bacteria affect acne
March 23, 2019 - Individual amygdala neurons respond to touch, imagery and sounds
March 23, 2019 - Combination of two topical creams can prevent cancer
March 23, 2019 - Study suggests depression screening when assessing African-Americans for schizophrenia
March 23, 2019 - New electronic support system for choosing drug treatment based on patient’s genotype
March 23, 2019 - First-of-its-kind study provides pregnancy statistics of imprisoned U.S. women
March 23, 2019 - Marinus Pharmaceuticals Initiates Phase 3 Study in Children with PCDH19-Related Epilepsy
March 23, 2019 - Laparoscopy: MedlinePlus Lab Test Information
March 23, 2019 - Shellfish allergies: can they be treated?
March 23, 2019 - Toilet seat heart monitoring system
March 23, 2019 - Researchers identify way to improve common treatment for PTSD
March 23, 2019 - High potency cannabis use linked to psychosis finds study
March 23, 2019 - Evoke Pharma Submits Response to FDA Review Letter for Gimoti NDA
March 23, 2019 - Tracking HIV’s ever-evolving genome in effort to prioritize public health resources
March 23, 2019 - Scientists grow most sophisticated brain organoid to date
March 23, 2019 - ADHD drug raising risk of psychosis
March 22, 2019 - FDA approves brexanolone, first drug developed to treat postpartum depression
March 22, 2019 - Gruesome cat and dog experiments by the USDA exposed
March 22, 2019 - Ball pits used in children’s physical therapy may contribute to germ transmission
March 22, 2019 - Long-term use of inexpensive weight-loss drug may be safe and effective
March 22, 2019 - FDA Approves Sunosi (solriamfetol) for Excessive Daytime Sleepiness Associated with Narcolepsy or Obstructive Sleep Apnea
March 22, 2019 - Anti-Müllerian Hormone Test: MedlinePlus Lab Test Information
March 22, 2019 - Finding the right exercise, diet aids for HIV patients
March 22, 2019 - Health Plans For State Employees Use Medicare’s Hammer On Hospital Bills
March 22, 2019 - Researchers develop new tool for imaging large groups of neurons in living animals
March 22, 2019 - Certain bacteria and immune factors in vagina may cause or protect against preterm birth
March 22, 2019 - Research identifies guidelines for prioritizing hepatitis C treatment in U.S. prisons
March 22, 2019 - Novel breath test could pave new way to non-invasively measure gut health
March 22, 2019 - Pharmaceutical and personal care products may result in new contaminants in waterways
March 22, 2019 - New model could revolutionize the way researchers investigate spread of pathogens
March 22, 2019 - MSU professor receives NSF CAREER grant for biosensor diagnostics
March 22, 2019 - High-fat, high-sugar diet in mouse mothers causes problems in the hearts of offspring
March 22, 2019 - ACC: Catheter Ablation Does Not Cut Mortality, Stroke in A-Fib
March 22, 2019 - Wiedemann-Rautenstrauch syndrome – Genetics Home Reference
March 22, 2019 - Health insurance is not assurance of healthcare
March 22, 2019 - Supporting “curiosity-driven research” at the Discovery Innovation Awards
March 22, 2019 - Must-Reads Of The Week (Some Flying Below The Radar)
March 22, 2019 - Newly engineered nanoscale protein micelles can be tracked by MRI
March 22, 2019 - New model more effective in predicting risk of opioid overdose than traditional models
March 22, 2019 - Mayo Clinic study identifies potential new drug therapy for liver diseases
March 22, 2019 - Pitt engineers win $550,000 NSF CAREER award to develop new intervention for people with ASD
March 22, 2019 - Early discharge does not increase readmission risk for patients after lung surgery
March 22, 2019 - Creating diverse pool of trained scientists to address Alzheimer’s research needs
Trauma researchers develop profile of commonalities among communities where mass shootings occur

Trauma researchers develop profile of commonalities among communities where mass shootings occur

image_pdfDownload PDFimage_print

A trauma research team has developed a profile of commonalities among communities where mass shootings have occurred. It includes a shortage of mental health professionals, a relative lack of socialization opportunities, higher rates of income inequality, and relatively high housing costs, according to findings presented today at the American College of Surgeons Clinical Congress 2018.

The study, led by Stephen F. Markowiak, MD, a general surgery research fellow at the University of Toledo (Ohio), used data from the Federal Bureau of Investigation, the U.S. Census, Centers for Disease Control, National Institutes of Health, and Robert Wood Johnson Foundation to study social factors of communities where 155 mass shootings in the United States occurred. This study defined mass shootings as those with four or more fatalities, excluding those with a clear motive, such as robbery or gang-related activities. “In general, the communities in which these multiple-shooting events have historically happened are much less healthy compared with national averages,” Dr. Markowiak said.

Ironically, study results showed that communities in states with the strictest gun laws had a 53 percent greater risk of mass shootings. “The counties in the states that have strict gun laws, such as California and New York, actually have a high incidence of these multiple-shooting events, and that holds true even when you control for urbanicity,” Dr. Markowiak said. This finding may seem to contradict other studies of gun violence, but Dr. Markowiak explained that apparent discrepancy. “Our data agrees that stricter gun laws are associated with less overall violent crimes,” he added. “It’s just that these multiple-shooting events appear to be an exception to that rule.”

However, study researchers identified two types of gun laws that stood out as having a correlation with a lower incidence of multiple shootings: mandatory reporting of mental health records to the National Incident Criminal Background Check System and restrictions on open carry of firearms. Dr. Markowiak hesitated to conclude that these laws have a protective effect in preventing mass shootings. “The other laws that we looked at really did not have an effect,” he said.

Access to mental-health professionals is one of the key social determinants of communities at risk of mass shootings. “Looking at our data, the mismatch of mental health providers per capita appears to place more urban communities at risk-;greater than the national median of 490 persons per provider,” Dr. Markowiak said.

Another key social determinant of at-risk communities was the average number of social interactions per person. “If you look at communities where these events occurred, the average individual had 10.5 to 11 people that they commonly associate with compared with an average of 13 or so close associations in communities where they didn’t occur,” he said. The study did not determine if this was the result of the rural or urban character of these communities, however.

The researchers also noted that people in at-risk communities engaged in less leisure-time physical activity, and the communities themselves were on average 30.7 percent less rural (p<0.001), 3.38 years younger (p<0.001), had a 3.07 percent higher incidence of overcrowding or lack of utilities (p <0.001), and had a higher ratio of income inequality.

“This study certainly draws attention to the consequences of physician shortages nationwide-;not so much at the level of service, but at the level of the primary-care physician and mental-health practitioners,” Dr. Markowiak said. “Traditionally, these shooting incidents get lot of attention because they come into the hospital as trauma, but they really need to be looked at more from a public health perspective as to the types of services we are going to provide for the community and what the implications are for the community.”

The goal of the study was to not promote any political position on gun violence. “We just wanted to see where the data was going to take us,” Dr. Markowiak said. “That’s what led to some of the more surprising findings.”

From a policy standpoint, the study pointed to a need for better national recordkeeping. “We know that research in the area of gun violence has been stifled dating back to the early 1990s due to Congressional inactions,” he said, referring to the Congressional mandate that bars the CDC from studying gun crimes.

But the study also points to a need for more community involvement. “If we focus on making our communities healthier places where people have access to doctors and healthy spaces, and we restore a sense of community, then I think our project indicates we may be less likely to see these mass shooting events occurring,” Dr. Markowiak said.

Source:

https://www.facs.org/media/press-releases/2018/markowiak102318

Tagged with:

About author

Related Articles