Background

We examine the content of physician professional association statements and assess the extent to which these statements kept gun violence-especially against children-on policymakers’ agendas.

Methods

After constructing a list of U.S. physician professional associations, we located position statements by consulting association websites, conducting a PubMed search, and reviewing the citations of identified statements. Once unique statements were identified (N = 32), two reviewers independently coded content such as major events, pediatric focus, firearm type, and policy recommendations.

Results

Recent statements appear to be timed following mass casualty events such as the Sandy Hook and Parkland school shootings. Associations have increasingly adopted public health framing over time. Nine statements focused on the pediatric population, while an additional 13 made reference to the pediatric population. The most common recommendations include increased gun violence research or research funding (84%), freedom of physician counseling (75%), mandatory background checks (72%), and safe storage (72%).

Conclusion

Based on this analysis, recent statement volume appears to be tied to current events rather than keeping daily gun violence against children continuously on the agenda. Mentions of “gun control” have receded over time and have been replaced by public health framing that places advocacy for firearm injury prevention in the physician's domain.

Level of evidence

III/IV

中文翻译：

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对美国医生关于针对儿童的枪支暴力的专业陈述的分析

背景

我们检查了医师专业协会声明的内容，并评估了这些声明在多大程度上将枪支暴力——尤其是针​​对儿童——列入政策制定者的议程。

方法

在构建了一份美国医师专业协会列表后，我们通过咨询协会网站、进行 PubMed 搜索和审查已识别声明的引用来定位立场声明。一旦确定了独特的陈述 ( N  = 32)，两名审查员独立编码内容，例如重大事件、儿科重点、枪支类型和政策建议。

结果

最近的声明似乎是在桑迪胡克和帕克兰学校枪击等大规模伤亡事件之后发布的。随着时间的推移，协会越来越多地采用公共卫生框架。9 份声明侧重于儿科人群，另有 13 份声明提及儿科人群。最常见的建议包括增加枪支暴力研究或研究经费 (84%)、医生咨询自由 (75%)、强制性背景调查 (72%) 和安全储存 (72%)。

结论

根据这一分析，最近的声明量似乎与时事有关，而不是每天持续针对儿童的枪支暴力问题。随着时间的推移，“枪支管制”的提及已经消退，取而代之的是公共卫生框架，将预防枪支伤害的宣传置于医生的领域。

证据级别

三/四