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1.
Urol Clin North Am ; 48(2): 233-244, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33795057

RESUMEN

Independent urology practices are under increasing competitive pressure in a changing marketplace. By providing access to capital and business management expertise, private equity can help practices consolidate and scale to unlock new growth opportunities, navigate an increasingly complex regulatory environment, and institute best practice across a network, while retaining physician ownership and an opportunity for equity appreciation. This article examines the role of private equity in urology and the potential benefits of private equity investment. It also looks at what firms look for in investment partners, how to prepare for private equity investment, and how private equity investments are structured.


Asunto(s)
Práctica de Grupo/economía , Inversiones en Salud , Administración de la Práctica Médica/economía , Urología/economía , Financiación del Capital , Toma de Decisiones en la Organización , Humanos , Modelos Organizacionales , Propiedad , Estados Unidos
2.
Environ Sci Technol ; 55(8): 4324-4331, 2021 04 20.
Artículo en Inglés | MEDLINE | ID: mdl-33760596

RESUMEN

Criticality and supply risk models seek to address concerns of potential disruption to global metal supply. These models need to incorporate disruption events that arise from within the mining industry's market structure. In this paper, we review what we refer to as events of "mine life cycle disruption". These include project abandonments, premature closures, care and maintenance, and ownership changes. Life cycle disruptions not only cause production disruptions but also embed social and environmental risks in global metal markets. They arise from the highly variable business environment in which the resources sector operates. Changing commodity prices directly influence mining revenues and drive decisions on whether to halt or push forward a project. While some disruptions are involuntary and induced by external economic conditions, others are purposefully triggered by certain mining companies that use them to their advantage. We examine the frequency of these disruptions based on a contemporary global inventory of 35,000 mining projects and present the findings against recent developments in the research literature. We conclude that life cycle disruption events are an important consideration in balancing the demand for metals and the social and environmental impacts of mining and propose pathways for managing these events and their effects.


Asunto(s)
Minería , Propiedad , Animales , Ambiente , Estadios del Ciclo de Vida , Metales
4.
Atten Percept Psychophys ; 83(4): 1416-1423, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-33665767

RESUMEN

It is well documented that stimuli associated with the self are easier to process than identical material paired with other people (i.e., self-prioritization effect). Surprisingly, however, relatively little is known about how self-relevance impacts core aspects of executive functioning, notably response inhibition. Accordingly, here we used a stop-signal task to establish how effectively responses toward self-relevant (vs. other-relevant) stimuli can intentionally be inhibited. In the context of personal possession, participants were required to classify stimuli (i.e., pens and pencils) based on ownership (i.e., owned-by-self vs. owned-by-friend/stranger), unless an occasional auditory tone indicated that the response should be withheld. The results revealed the benefits of self-relevance on response inhibition. Compared with items owned by a friend or stranger, responses to self-owned objects were inhibited more efficiently. These findings confirm that self-relevance facilitates executive control.


Asunto(s)
Función Ejecutiva , Propiedad , Humanos
5.
J Am Vet Med Assoc ; 258(6): 591-600, 2021 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-33683953

RESUMEN

OBJECTIVE: To explore the role of various factors in the wage gap between male and female veterinarians in the United States in 2016 and 2017. SAMPLE: 2,760 veterinarians across the United States. PROCEDURES: Data from the Census of Veterinarians Survey administered by the AVMA Economics Division in 2016 and 2017 were analyzed. The Kolmogorov-Smirnov 2-sample test was used to determine whether a difference existed between male and female income distributions at various levels of experience. Quantile regression was performed separately for male and female respondents to determine the direct effects of individual factors on incomes and compare the effects of practice ownership versus nonownership on income. RESULTS: Income distributions of men and women were unequal at lower experience ranges but equal at higher experience ranges. Income increased for men with each additional year of experience and with practice ownership. For women, practice owners in the lowest income quantile had a negative return to income; overall, their income benefited most from ownership in the form of partnerships. For certain groups, incomes of both genders were lower when they had absences from the workforce. CONCLUSIONS AND CLINICAL RELEVANCE: Findings suggested that the largest source of gender income disparity for veterinarians was attributable to female practice owners earning less than their male counterparts. Indeed, women earned more from specialty certifications than from owning a clinic. To decrease income disparities between genders, ways should be identified to support women-owned practices and promote equal pay.


Asunto(s)
Veterinarios , Animales , Certificación , Femenino , Humanos , Renta , Masculino , Propiedad , Salarios y Beneficios , Estados Unidos
6.
J Prim Care Community Health ; 12: 21501327211000250, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33769122

RESUMEN

Nigeria recorded her first case of COVID 19 in Lagos State on 27th February 2019, and the number of confirmed cases of COVID 19 has risen to 59 287, with 1113 deaths as of 4th October 2020. The commentary highlighted the importance of a health and demographic surveillance system (HDSS) and its potential in addressing surveillance gap, and the inadequacy of existing sociodemographic database used for palliative administration. The authors examined the HDSS in the context of the COVID-19 pandemic response and learning from the Nahuche model. The Nahuche HDSS model has the potential of identifying poor households as it collects standard data on the socio-economic status of each of the households within the demographic surveillance area (DSA). Standard questionnaire in assessing the household socio-economic status adapted from standard surveys, such as Nigeria Health and Demographic Survey and Malaria Indicator Survey, was administered on the household heads of each household every 2 years to monitor socio-economic advancement of the households. Data on variables such as household possessions, including animals and livestock, were collected and analyzed using factor analysis to group the households into different wealth indices. HDSS provides an opportunity to ameliorate the challenges associated with halting the spread of the virus in the areas of surveillance and administration of palliatives in Nigeria, where there is a paucity of reliable demographic and household-level socio-economic data. This paper calls for the setting up of a functioning HDSS in each region of Nigeria to address the dearth of reliable data for planning health and socio-economic interventions.


Asunto(s)
Composición Familiar , Planificación en Salud , Pandemias , Política Pública , Clase Social , Encuestas y Cuestionarios , Demografía , Análisis Factorial , Programas de Gobierno , Humanos , Malaria , Nigeria , Propiedad , Salud Poblacional , Vigilancia de la Población , Pobreza , Factores Socioeconómicos
7.
Health Aff (Millwood) ; 40(3): 536-539, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33646877

RESUMEN

The demise of Hahnemann University Hospital demonstrates the need for health care and graduate medical education policy reform.


Asunto(s)
Quiebra Bancaria/economía , Educación de Postgrado en Medicina/economía , Hospitales Universitarios/economía , Internado y Residencia/economía , Humanos , Área sin Atención Médica , Propiedad , Philadelphia , Estados Unidos
9.
JAMA Netw Open ; 4(2): e2034208, 2021 02 01.
Artículo en Inglés | MEDLINE | ID: mdl-33538822

RESUMEN

Importance: Preventing firearm violence requires understanding its antecedents. Yet no comprehensive longitudinal study has examined how involvement with firearms during adolescence-use, access, and victimization (defined as threatened with a weapon or gunshot injury)-is associated with the perpetration of firearm violence in adulthood. Objective: To examine the association between firearm involvement during adolescence and subsequent firearm perpetration and ownership in adulthood among youth involved in the juvenile justice system. Design, Setting, and Participants: This cohort study analyzed interview responses of 1829 randomly selected participants as part of the Northwestern Juvenile Project, a longitudinal study of health needs and outcomes of youth sampled from a temporary juvenile detention center in a large US city. Youth aged 10 to 18 years were interviewed in detention from November 1995 through June 1998. Participants were reinterviewed up to 13 times over 16 years through February 2015, for a total of 17 776 interviews. The sample was stratified by sex, race/ethnicity, age, and legal status (juvenile or adult court). Data were analyzed from April 2017, when data preparation began, through November 2020. Exposures: Firearm involvement during adolescence: use (ie, threaten, shoot), access (ownership, ease of access, firearm in household, membership in gang that carries firearms), and victimization (gunshot injury, threatened with a weapon). Main Outcomes and Measures: Firearm involvement during adulthood: perpetration of firearm violence (ie, threatening with or using a firearm) and firearm ownership. Results: Among the 1829 participants, 1388 had a 16-year follow-up interview: 860 males, 528 females; 809 were African American, 203 were non-Hispanic White; 374 were Hispanic; and 2 were other race/ethnicity; median (interquartile range) age of 32 (30-32) years. Eighty-five percent of males and 63.2% of females were involved with firearms as adolescents. Compared with females, males had significantly higher odds of every type of involvement except having a firearm in the home. In adulthood, 41.3% of males and 10.5% of females perpetrated firearm violence. Adolescents who had been threatened with a weapon or injured by firearms had 3.1 (95% CI, 2.0-4.9) and 2.4 (95% CI, 1.2-4.9) times the odds of perpetrating violence during adulthood. Similar associations were found for firearm ownership. Conclusions and Relevance: Involvement with firearms during adolescence-including victimization-is a significant risk factor for firearm perpetration and ownership during adulthood.


Asunto(s)
Víctimas de Crimen/estadística & datos numéricos , Crimen/estadística & datos numéricos , Armas de Fuego/estadística & datos numéricos , Violencia con Armas/estadística & datos numéricos , Adolescente , Adulto , Afroamericanos , Niño , Derecho Penal , Grupo de Ascendencia Continental Europea , Femenino , Violencia con Armas/prevención & control , Hispanoamericanos , Humanos , Estudios Longitudinales , Masculino , Propiedad , Factores de Riesgo , Heridas por Arma de Fuego/epidemiología , Adulto Joven
11.
Behav Brain Sci ; 44: e21, 2021 02 18.
Artículo en Inglés | MEDLINE | ID: mdl-33599578

RESUMEN

Lee and Schwartz procedures of separation offer a much needed interpretation of the literature on moral cleansing. However, body ownership as a grounded mechanism of separation and connection has been neglected. We argue that embodiment may be employed to connect the self to desirable aspects of cognitive and emotional interactions and disembodiment to disconnect from undesirable elements.


Asunto(s)
Emociones , Propiedad , Humanos
12.
J Med Syst ; 45(4): 43, 2021 Feb 22.
Artículo en Inglés | MEDLINE | ID: mdl-33616768

RESUMEN

Personalized medicine (PM) operates with biological data to optimize therapy or prevention and to achieve cost reduction. Associated data may consist of large variations of informational subtypes e.g. genetic characteristics and their epigenetic modifications, biomarkers or even individual lifestyle factors. Present innovations in the field of information technology have already enabled the procession of increasingly large amounts of such data ('volume') from various sources ('variety') and varying quality in terms of data accuracy ('veracity') to facilitate the generation and analyzation of messy data sets within a short and highly efficient time period ('velocity') to provide insights into previously unknown connections and correlations between different items ('value'). As such developments are characteristics of Big Data approaches, Big Data itself has become an important catchphrase that is closely linked to the emerging foundations and approaches of PM. However, as ethical concerns have been pointed out by experts in the debate already, moral concerns by stakeholders such as patient organizations (POs) need to be reflected in this context as well. We used an empirical-ethical approach including a website-analysis and 27 telephone-interviews for gaining in-depth insight into German POs' perspectives on PM and Big Data. Our results show that not all POs are stakeholders in the same way. Comparing the perspectives and political engagement of the minority of POs that is currently actively involved in research around PM and Big Data-driven research led to four stakeholder sub-classifications: 'mediators' support research projects through facilitating researcher's access to the patient community while simultaneously selecting projects they preferably support while 'cooperators' tend to contribute more directly to research projects by providing and implemeting patient perspectives. 'Financers' provide financial resources. 'Independents' keep control over their collected samples and associated patient-related information with a strong interest in making autonomous decisions about its scientific use. A more detailed terminology for the involvement of POs as stakeholders facilitates the adressing of their aims and goals. Based on our results, the 'independents' subgroup is a promising candidate for future collaborations in scientific research. Additionally, we identified gaps in PO's knowledge about PM and Big Data. Based on these findings, approaches can be developed to increase data and statistical literacy. This way, the full potential of stakeholder involvement of POs can be made accessible in discourses around PM and Big Data.


Asunto(s)
Actitud , Macrodatos , Propiedad , Medicina de Precisión/ética , Investigación Empírica , Humanos , Entrevistas como Asunto
13.
Artículo en Inglés | MEDLINE | ID: mdl-33525670

RESUMEN

This work aimed to identify the influence of selected endogenous (internal load) and exogenous (possession duration, game quarter, and defensive pressure) factors in natural game conditions on the efficiency of dribbling and passing skills. Dribbling and passing skills were assessed during four games of U19 female basketball players and five games of senior (2nd division) female basketball players. In total, 551 dribbling and 914 passing executions were evaluated. Binary logistic regression identified defensive pressure of the opponent as a predictor of dribbling and passing skills effectivity. When the defensive pressure of the opponent was medium, the chances for the ineffective pass were 1.997 times more likely (95% CI; 1.179-3.383), as it is at the minimum defensive pressure. When the defensive pressure of the opponent was high, the chances for ineffective dribbling were 7.45 times more likely (95% CI; 3.672-15.113) and for ineffective pass were 8.419 times more likely (95% CI; 4.6-15.409), as it is at minimum defensive pressure. The game quarter and the internal load were not identified as the predictors influencing the dribbling and passing effectivity. Possession duration was also an insignificant predictor of dribbling and passing skills effectivity. However, the passing skill effectivity decreases when the shot clock is winding down. These findings confirm the importance of transferring game situations into the training process. Coaches should take into account these factors when they want to stimulate determinants of player performance in a balanced and systematic way.


Asunto(s)
Rendimiento Atlético , Baloncesto , Femenino , Humanos , Propiedad , Probabilidad
14.
Artículo en Inglés | MEDLINE | ID: mdl-33530475

RESUMEN

In basketball, the end of the ball possession has been described as one of the most important determinants of successful offensive play by a team. The present study aimed to: (i) investigate outcomes according to the play types of ends of the ball possession; (ii) find the most efficient ball possessions during the game; (iii) predict most efficient ends of the ball possession by time in an elite basketball competition. The sample was composed of 38,640 situations of ends of the ball possession from 240 games of the 2017-2018 regular season of the men's Euroleague that were quantitatively analyzed. According to the results, the predictive model can be used in modern basketball. The most efficient ends of the ball possession are the 2-point field goals on the fast break (78.2%), cuts (64.8%), pick and roll (P&R) screener (61.5%), and transition and offensive rebound (57.4%) situations. This information allows a better collective understanding of basketball, and it could be a great tool to use for coaches to prove which tactical solutions are to be considered when improving offense and defense strategies. It also contributes to the design of precise practice tasks of the coach that improve the game.


Asunto(s)
Rendimiento Atlético , Baloncesto , Logro , Humanos , Masculino , Propiedad
15.
J Parasitol ; 107(1): 29-38, 2021 01 01.
Artículo en Inglés | MEDLINE | ID: mdl-33535232

RESUMEN

This study was carried out to identify the ectoparasites that infest owned dogs in the state of Tabasco, Mexico. In total, 1,302 dogs were sampled in the 5 ecological regions of Tabasco. The dog owners were surveyed to identify the factors associated with infestations. Ectoparasites were identified using taxonomic keys. Eleven species of ectoparasites were observed. General prevalence was 26.65%. Rhipicephalus sanguineus and Ctenocephalides felis were the most prevalent and abundant ectoparasites. The most important factors associated with ectoparasite infestations in the studied dogs were living outdoors, being a non-purebred, having short hair, being dark-haired, and having a body condition <3. Ectoparasite studies such as the one presented herein generate important information to create control programs focused on decreasing infestations in companion animals and thus the likelihood of zoonotic transmission of pathogens.


Asunto(s)
Enfermedades de los Perros/epidemiología , Enfermedades de los Perros/parasitología , Perros/clasificación , Infestaciones Ectoparasitarias/veterinaria , Animales , Animales Domésticos , Enfermedades de los Perros/transmisión , Infestaciones Ectoparasitarias/epidemiología , Infestaciones Ectoparasitarias/parasitología , Infestaciones Ectoparasitarias/transmisión , Femenino , Masculino , México/epidemiología , Propiedad , Phthiraptera/clasificación , Prevalencia , Siphonaptera/clasificación , Encuestas y Cuestionarios , Garrapatas/clasificación
16.
JMIR Mhealth Uhealth ; 9(1): e21244, 2021 01 13.
Artículo en Inglés | MEDLINE | ID: mdl-33439136

RESUMEN

BACKGROUND: Mobile phones may help young people (YP) access health information and support health service engagement. However, in low-income settings there is limited knowledge on YP's phone and internet access to inform the feasibility of implementing digital health interventions. OBJECTIVE: We investigated access to information and communication technologies among adolescents and young adults in Zimbabwe. METHODS: A cross-sectional population-based survey was conducted from October to December 2018 among YP aged 13-24 years in 5 communities in urban and peri-urban Harare and Mashonaland East, Zimbabwe. Consenting YP completed a self-completed tablet-based questionnaire on mobile phone ownership and use, and use of the internet. The primary outcome was the proportion who reported owning a mobile phone. Secondary outcomes included phone and internet access and use behavior, and ownership and use of other technological devices. Multivariable logistic regression was used to investigate factors associated with mobile phone ownership and with internet access, with adjustment for the one-stage cluster sampling design. A priori exploratory variables were age, sex, marital status, and urban/peri-urban residence. RESULTS: A total of 634/719 (88.2%) eligible YP, mean age 18.0 years (SD 3.3) and 62.6% (397/634) females, participated. Of the YP interviewed, 62.6% (396/633; 95% CI 58.5-66.5) reported owning a phone and a further 4.3% (27/633) reported having access to a shared phone. Phone ownership increased with age: 27.0% (43/159) of 13-15-year olds, 61.0% (72/118) of 16-17-year olds, 71.5% (103/144) of 18-19-year olds, and 84.7% (171/202) of 20-24-year olds (odds ratio [OR] 1.4, 95% CI 1.3-1.5) per year increase. Ownership was similar among females and males: 61.0% (236/387; 95% CI 55.6-66.1) versus 64.8% (153/236; 95% CI 57.8-71.2), age-adjusted OR 0.7 (95% CI 0.5-1.1); higher in those with secondary level education compared to primary or no education: 67.1% (346/516; 95% CI 62.6-71.2) versus 26% (21/82; 95% CI 16.4-37.7), age-adjusted OR 2.3 (95% CI 1.1-4.8); and similar across other sociodemographic factors. YP reported that 85.3% (361/423) of phones, either owned or shared, were smartphones. Among phone owners, the most commonly used phone app was WhatsApp (71.2%, 282/396), and 16.4% (65/396) reported having ever used their phone to track their health. A total of 407/631 (64.5%; 95% CI 60.3-68.5) currently had access to the internet (used in last 3 months on any device) with access increasing with age (OR 1.2, 95% CI 1.2-1.3 per year increase). In age-adjusted analysis, internet access was higher among males, the unmarried, those with a higher level of education, phone owners, and those who had lived in the community for more than 1 year. The aspect of the internet that YP most disliked was unwanted sexual (29.2%, 136/465) and violent (13.1%, 61/465) content. CONCLUSIONS: Mobile phone-based interventions may be feasible in this population; however, such interventions could increase inequity, especially if they require access to the internet. Internet-based interventions should consider potential risks for participants and incorporate skill-building sessions on safe internet and phone use.


Asunto(s)
Teléfono Celular , Adolescente , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Propiedad , Teléfono Inteligente , Adulto Joven , Zimbabwe
17.
Artículo en Inglés | MEDLINE | ID: mdl-33494301

RESUMEN

Dog training may strengthen the dog-owner bond, a consistent predictor of dog walking behavior. The Stealth Pet Obedience Training (SPOT) study piloted dog training as a stealth physical activity (PA) intervention. In this study, 41 dog owners who reported dog walking ≤3 days/week were randomized to a six-week basic obedience training class or waitlist control. Participants wore accelerometers and logged dog walking at baseline, 6- and 12-weeks. Changes in PA and dog walking were compared between arms with targeted maximum likelihood estimation. At baseline, participants (39 ± 12 years; females = 85%) walked their dog 1.9 days/week and took 5838 steps/day, on average. At week 6, intervention participants walked their dog 0.7 more days/week and took 480 more steps/day, on average, than at baseline, while control participants walked their dog, on average, 0.6 fewer days/week and took 300 fewer steps/day (difference between arms: 1.3 dog walking days/week; 95% CI = 0.2, 2.5; 780 steps/day, 95% CI = -746, 2307). Changes from baseline were similar at week 12 (difference between arms: 1.7 dog walking days/week; 95% CI = 0.6, 2.9; 1084 steps/day, 95% CI = -203, 2370). Given high rates of dog ownership and low rates of dog walking in the United States, this novel PA promotion strategy warrants further investigation.


Asunto(s)
Propiedad , Caminata , Animales , Perros , Femenino , Mascotas , Proyectos Piloto
18.
PLoS One ; 16(1): e0233243, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33493178

RESUMEN

The full-body ownership illusion exploits multisensory perception to induce a feeling of ownership of an entire artificial body. Although previous research has shown that synchronous visuotactile stimulation of a single body part is sufficient for illusory ownership of the whole body, the effect of combining multisensory stimulation across multiple body parts remains unknown. Therefore, 48 healthy adults participated in a full-body ownership illusion with conditions involving synchronous (illusion) or asynchronous (control) visuotactile stimulation to one, two, or three body parts simultaneously (2×3 design). We used questionnaires to isolate illusory ownership of five specific body parts (left arm, right arm, trunk, left leg, right leg) from the full-body ownership experience and sought to test not only for increased ownership in synchronous versus asynchronous conditions but also for potentially varying degrees of full-body ownership illusion intensity related to the number of body parts stimulated. Illusory full-body ownership and all five body-part ownership ratings were significantly higher following synchronous stimulation than asynchronous stimulation (p-values < .01). Since non-stimulated body parts also received significantly increased ownership ratings following synchronous stimulation, the results are consistent with an illusion that engages the entire body. Furthermore, we noted that ownership ratings for right body parts (which were often but not always stimulated in this experiment) were significantly higher than ownership ratings for left body parts (which were never stimulated). Regarding the effect of stimulating multiple body parts simultaneously on explicit full-body ownership ratings, there was no evidence of a significant main effect of the number of stimulations (p = .850) or any significant interaction with stimulation synchronicity (p = .160), as assessed by linear mixed modelling. Instead, median ratings indicated a moderate affirmation (+1) of an illusory full-body sensation in all three synchronous conditions, a finding mirrored by comparable full-body illusion onset times. In sum, illusory full-body ownership appears to be an 'all-or-nothing' phenomenon and depends upon the synchronicity of visuotactile stimulation, irrespective of the number of stimulated body parts.


Asunto(s)
Imagen Corporal/psicología , Ilusiones/psicología , Adolescente , Adulto , Brazo/fisiología , Femenino , Cuerpo Humano , Humanos , Pierna/fisiología , Masculino , Persona de Mediana Edad , Propiedad , Percepción del Tacto/fisiología , Percepción Visual/fisiología , Adulto Joven
19.
JAMA Netw Open ; 4(1): e2033484, 2021 01 04.
Artículo en Inglés | MEDLINE | ID: mdl-33394004

RESUMEN

Importance: Violence is a significant public health problem that has become entwined with the coronavirus disease 2019 (COVID-19) pandemic. Objective: To describe individuals' concerns regarding violence in the context of the pandemic, experiences of pandemic-related unfair treatment, prevalence of and reasons for firearm acquisition, and changes in firearm storage practices due to the pandemic. Design, Setting, and Participants: This survey study used data from the 2020 California Safety and Well-being Survey, a probability-based internet survey of California adults conducted from July 14 to 27, 2020. Respondents came from the Ipsos KnowledgePanel, an online research panel with members selected using address-based sampling methods. Responses were weighted to be representative of the adult population of California. Main Outcomes and Measures: Topics included worry about violence for oneself before and during the pandemic; concern about violence for someone else due to a pandemic-related loss; experiences of unfair treatment attributed to the pandemic; firearm and ammunition acquisition due to the pandemic; and changes in firearm storage practices due to the pandemic. Results: Of 5018 invited panel members, 2870 completed the survey (completion rate, 57%). Among respondents (52.3% [95% CI, 49.5%-55.0%] women; mean [SD] age, 47.9 [16.9] years; 41.9% [95% CI, 39.3%-44.6%] White individuals), self-reported worry about violence for oneself was significantly higher during the pandemic for all violence types except mass shootings, ranging from a 2.8 percentage point increase for robbery (from 65.5% [95% CI, 62.8%-68.0%] to 68.2% [95% CI, 65.6%-70.7%]; P = .008) to a 5.6 percentage point increase for stray bullet shootings (from 44.5% [95% CI, 41.7%-47.3%] to 50.0% [47.3%-52.8%]; P < .001). The percentage of respondents concerned that someone they know might intentionally harm themselves was 13.1% (95% CI, 11.5%-15.3%). Of those, 7.5% (95% CI, 4.5%-12.2%) said it was because the other person had experienced a pandemic-related loss. An estimated 110 000 individuals (2.4% [95% CI, 1.1%-5.0%] of firearm owners in the state) acquired a firearm due to the pandemic, including 47 000 new owners (43.0% [95% CI, 14.8%-76.6%] of those who had acquired a firearm). Of owners who stored at least 1 firearm in the least secure way, 6.7% (95% CI, 2.7%-15.6%) said they had adopted this unsecure storage practice in response to the pandemic. Conclusions and Relevance: In this analysis of findings from the 2020 California Safety and Well-being Survey, the COVID-19 pandemic was associated with increases in self-reported worry about violence for oneself and others, increased firearm acquisition, and changes in firearm storage practices. Given the impulsive nature of many types of violence, short-term crisis interventions may be critical for reducing violence-related harm.


Asunto(s)
Ansiedad/epidemiología , Discriminación Social/estadística & datos numéricos , Violencia/psicología , Adulto , Afroamericanos , Ansiedad/psicología , Americanos Asiáticos , California/epidemiología , Comercio , Grupo de Ascendencia Continental Europea , Miedo/psicología , Femenino , Armas de Fuego/estadística & datos numéricos , Hispanoamericanos , Humanos , Internet , Masculino , Persona de Mediana Edad , Propiedad , Policia , Seguridad , Discriminación Social/etnología , Encuestas y Cuestionarios
20.
Am J Prev Med ; 60(3): 311-317, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33358551

RESUMEN

INTRODUCTION: Given the increase in firearm purchases during the COVID-19 pandemic, this study seeks to determine the extent to which COVID-19 firearm purchasers differ in terms of suicide risk from nonfirearm owners and firearm owners who did not make a purchase during COVID-19. METHODS: Participants (N=3,500) were recruited through Qualtrics Panels to participate in an online survey examining methods for self-protection. ANCOVAs were utilized to assess suicidal ideation. Multivariate ANCOVAs were used to examine firearm storage practices and storage changes during COVID-19. Data were collected in late June and early July 2020, and analyses were conducted in July 2020. RESULTS: Individuals who purchased a firearm during COVID-19 more frequently reported lifetime, past-year, and past-month suicidal ideation than nonfirearm owners and firearm owners who did not make a purchase during COVID-19. COVID-19 purchasers with lifetime ideation were less likely to hide loaded firearms in a closet than those without lifetime ideation. COVID-19 purchasers with past-year or past-month ideation were more likely to use locking devices than COVID-19 purchasers without past-month ideation. CONCLUSIONS: In contrast to firearm owners more generally, COVID-19 firearm purchasers appear far more likely to have experienced suicidal ideation and appear less likely to use certain unsafe firearm storage methods but also report a greater number of storage changes during COVID-19 that made firearms less secure. Future research should seek to further understand those who purchased a firearm during COVID-19 and determine ways to increase secure storage among firearm owners.


Asunto(s)
/psicología , Comportamiento del Consumidor/estadística & datos numéricos , Armas de Fuego/estadística & datos numéricos , Propiedad/estadística & datos numéricos , Ideación Suicida , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad
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