{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T15:09:23Z","timestamp":1788188963589,"version":"build-2803163510"},"reference-count":26,"publisher":"American Public Health Association","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:p> Objectives. To assess differences in contextual factors by intent among pediatric firearm injury patients and determine factors associated with data missingness. <\/jats:p><jats:p> Methods. We retrospectively queried the American College of Surgeons Firearm Study database (March 1, 2021\u2013February 28, 2022) for patients aged 18\u2009years or younger. We stratified preinjury, firearm-related, and event-related factors by intent and compared them by using Fisher exact, \u03c7<jats:sup>2<\/jats:sup>, or 1-way analysis of variance testing. Secondary analysis estimated the adjusted odds of missingness by using generalized linear modeling with binominal logit link. <\/jats:p><jats:p> Results. Among 17\u2009395 patients, 2974 (17.1%) were aged 18\u2009years or younger; 1966 (66.1%) were injured by assault, 579 (19.5%) unintentionally, and 76 (2.6%) by self-inflicted means. Most contextual factors differed by intent, including proportion of youths with previous adverse childhood experiences, mental illness, and violent assaults or injury, firearm type and access, perpetrator relationship, and injury location. In adjusted analyses, age, trauma center designation, intent, and admission status were associated with missingness. <\/jats:p><jats:p> Conclusions. Contextual factors related to pediatric firearm injury vary by intent. Specific predictors associated with missingness may inform improved future data collection. <\/jats:p><jats:p> Public Health Implications. Contextual factors related to pediatric firearm injury can be obtained in a systematic manner nationally to inform targeted interventions. ( Am J Public Health. 2024;114(10):1097\u20131109. https:\/\/doi.org\/10.2105\/AJPH.2024.307754 ) <\/jats:p>","DOI":"10.2105\/ajph.2024.307754","type":"journal-article","created":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T20:07:24Z","timestamp":1723752444000},"page":"1097-1109","source":"Crossref","is-referenced-by-count":6,"title":["Preinjury and Event-Related Characteristics of Pediatric Firearm Injuries: The American College of Surgeons Firearm Study, United States, March 2021\u2012February 2022"],"prefix":"10.2105","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5450-7278","authenticated-orcid":false,"given":"Katherine T.","family":"Flynn-O\u2019Brien","sequence":"first","affiliation":[{"name":"Katherine T. Flynn-O\u2019Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children\u2019s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4846-7673","authenticated-orcid":false,"given":"Chethan","family":"Sathya","sequence":"additional","affiliation":[{"name":"Katherine T. Flynn-O\u2019Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children\u2019s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meera","family":"Kotagal","sequence":"additional","affiliation":[{"name":"Katherine T. Flynn-O\u2019Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children\u2019s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2677-6594","authenticated-orcid":false,"given":"Samantha","family":"Banks","sequence":"additional","affiliation":[{"name":"Katherine T. Flynn-O\u2019Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children\u2019s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0727-4365","authenticated-orcid":false,"given":"Lauren L.","family":"Agoubi","sequence":"additional","affiliation":[{"name":"Katherine T. Flynn-O\u2019Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children\u2019s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah A.","family":"Kuhls","sequence":"additional","affiliation":[{"name":"Katherine T. Flynn-O\u2019Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children\u2019s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avery","family":"Nathens","sequence":"additional","affiliation":[{"name":"Katherine T. Flynn-O\u2019Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children\u2019s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley B.","family":"Hink","sequence":"additional","affiliation":[{"name":"Katherine T. Flynn-O\u2019Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children\u2019s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick P.","family":"Rivara","sequence":"additional","affiliation":[{"name":"Katherine T. Flynn-O\u2019Brien is with the Department of Surgery, Medical College of Wisconsin, Milwaukee. Chethan Sathya is with the Division of Pediatric Surgery, Cohen Children\u2019s Medical Center, New Hyde Park, NY. Meera Kotagal is with the Division of Pediatric General and Thoracic Surgery, Cincinnati Children\u2019s Hospital Medical Center, Cincinnati, OH. Samantha Banks is with the Firearm Injury and Policy Research Program, University of Washington, Seattle. Lauren L. Agoubi is with the Department of..."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMc2201761"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-3486"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000384"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2020.02.021"},{"key":"bib7","volume-title":"Firearm Injury Surveillance Study, 1993\u20122021.","author":"US Department of Health and Human Services","year":"2023"},{"key":"bib8","unstructured":"National Trauma Data Standard Data Dictionary: 2020 Admissions. 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