A TIDDLER OF A BONUS! 

S3 BONUS 12 

Today’s bonus episode is another installment of the interviews Katherine recorded at the Firearm Injury Research Conference at the end of 2022. 

Katherine talked to Justin Hatchimonji and Danielle R. Hatchimonji about their research below:

Trends in Youth Risk Behaviors and Firearm Injury in the US Over 20 Years: 

 For the first time in the US, firearm injuries are the leading cause of death in children and adolescents. Little is known about the correlation between youth risk behaviors and firearm injury. We hypothesized that high rates of risky behavior in high school students are associated with higher rates of firearm injury in this population. Methods: We obtained data from the Youth Behavior Risk Survey (YRBS) of the Centers for Disease Control and Prevention (CDC) and combined it with data from the CDC Web-based Injury Statistics Query and Reporting System (WISQARS) and CDC Wide-ranging Online Data for Epidemiologic Research (WONDER) databases. Population and demographic data were obtained from the American Community Survey (ACS), 2001-2020. We examined trends over time using a nonparametric test for trend and assessed correlation between behaviors and injuries using linear regression. Results: The percentage of high school aged youth carrying a weapon in the preceding 30 days ranged from 13.2% in 2019 to 18.5% in 2005, without a statistically significant trend over time (p=0.051). Those carrying a weapon to school peaked at 6.5% in 2005 and steadily down-trended to 2.8% in 2019 (p=0.004). Fighting and the presence of drugs on school grounds also decreased over time. Conversely, firearm deaths among adolescents 14-18 years old showed no significant change, ranging from 4.0 per 100k in 2013 to 8.3 per 100k in 2020. Non-fatal shootings (26.0-47.1/100k) and total shootings (31.3-53.7/100k) also showed no change. There was no correlation between risky behaviors and these outcomes. Conclusion/Significance: Self-reported firearm carriage, school fighting and the presence of drugs on high school grounds in the US have steadily down-trended over time. However, shooting injuries and deaths have not. While the former suggests progress, the latter remains concerning. Further work to investigate the relationship between behavior and injury is needed.

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