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Prevalence and Correlates of Firearm Screening and Safety Counseling in Pediatric Primary Care.

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Title: Prevalence and Correlates of Firearm Screening and Safety Counseling in Pediatric Primary Care.
Authors: Ladines-Lim, Joseph B.1,2 joseph.ladines-lim@pennmedicine.upenn.edu, Vaishnav, Anjali3 anjaliv@med.umich.edu, Hayse, Caroline3 cahayse@med.umich.edu, Corden, Elise4 ecorden@med.umich.edu, Gard, Candice4 candicga@med.umich.edu, Luger, Grace4 lugerg@med.umich.edu, Litzner, Justin5 jlitzner@umich.edu, Olson, Megan4 maolson@med.umich.edu, Stojan, Jennifer1 jstojan@med.umich.edu, Naughton, Margeaux4 mreizian@med.umich.edu, Esposti, Michelle Degli6 dr.m.degliesposti@gmail.com, Meddings, Jennifer7 meddings@med.umich.edu
Source: Journal of Community Health. Oct2025, Vol. 50 Issue 5, p959-964. 6p.
Subject Terms: *Documentation, *Academic medical centers, *Retrospective studies, *Counseling, *Children, Medical care research, Cross-sectional method, Primary health care, Multiple regression analysis, Firearms, Children's accident prevention, Descriptive statistics, Child mortality, Age distribution, Gunshot wounds, Pediatrics, Odds ratio, Physician practice patterns, Medical records, Acquisition of data, Internal medicine, Medical screening, Sociodemographic factors, Data analysis software, Disease risk factors
Geographic Terms: United States, Michigan
Abstract: Firearm-related injuries remain the leading cause of mortality in children in the United States. It is not well-characterized how often clinicians perform firearms access screening and safety counseling. We examined documentation of these services in a cross-sectional study of well child exams (WCEs) at a tertiary academic center in Southeast Michigan. Overall, we found that clinicians documented screening in 25,469 of 32,582 WCE encounters due to categorical Pediatrics clinicians doing so in 73.8% of encounters; Family Medicine and Internal Medicine-Pediatrics clinicians documented some form of screening in nearly all (> 99%) encounters. Clinicians documented counseling in 21.8% of encounters with Family Medicine clinicians lagging the other two specialties (8.2% versus 23.9% and 18.4% for Pediatrics and Internal Medicine-Pediatrics, respectively). Multinomial logistic regression for screening (conducted only for Pediatrics given the near universal screening by Family Medicine and Internal Medicine-Pediatrics) and counseling (conducted for all specialties) showed decreased likelihood of both screening and counseling for certain age and sociodemographic groups; however, while there was decreased likelihood for non-attending physician clinicians (i.e. advanced practice providers and resident/fellow physicians) and high inter-clinic variability (77.1%) for screening, the opposite was true for counseling with decreased likelihood for attending physicians and inter-clinic variability of 16.7%. Findings suggest that quality improvement efforts and clinician training are needed to eliminate gaps in risk-stratified screening and counseling regarding firearm safety. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Prevalence and Correlates of Firearm Screening and Safety Counseling in Pediatric Primary Care.
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  Data: <searchLink fieldCode="AR" term="%22Ladines-Lim%2C+Joseph+B%2E%22">Ladines-Lim, Joseph B.</searchLink><relatesTo>1,2</relatesTo><i> joseph.ladines-lim@pennmedicine.upenn.edu</i><br /><searchLink fieldCode="AR" term="%22Vaishnav%2C+Anjali%22">Vaishnav, Anjali</searchLink><relatesTo>3</relatesTo><i> anjaliv@med.umich.edu</i><br /><searchLink fieldCode="AR" term="%22Hayse%2C+Caroline%22">Hayse, Caroline</searchLink><relatesTo>3</relatesTo><i> cahayse@med.umich.edu</i><br /><searchLink fieldCode="AR" term="%22Corden%2C+Elise%22">Corden, Elise</searchLink><relatesTo>4</relatesTo><i> ecorden@med.umich.edu</i><br /><searchLink fieldCode="AR" term="%22Gard%2C+Candice%22">Gard, Candice</searchLink><relatesTo>4</relatesTo><i> candicga@med.umich.edu</i><br /><searchLink fieldCode="AR" term="%22Luger%2C+Grace%22">Luger, Grace</searchLink><relatesTo>4</relatesTo><i> lugerg@med.umich.edu</i><br /><searchLink fieldCode="AR" term="%22Litzner%2C+Justin%22">Litzner, Justin</searchLink><relatesTo>5</relatesTo><i> jlitzner@umich.edu</i><br /><searchLink fieldCode="AR" term="%22Olson%2C+Megan%22">Olson, Megan</searchLink><relatesTo>4</relatesTo><i> maolson@med.umich.edu</i><br /><searchLink fieldCode="AR" term="%22Stojan%2C+Jennifer%22">Stojan, Jennifer</searchLink><relatesTo>1</relatesTo><i> jstojan@med.umich.edu</i><br /><searchLink fieldCode="AR" term="%22Naughton%2C+Margeaux%22">Naughton, Margeaux</searchLink><relatesTo>4</relatesTo><i> mreizian@med.umich.edu</i><br /><searchLink fieldCode="AR" term="%22Esposti%2C+Michelle+Degli%22">Esposti, Michelle Degli</searchLink><relatesTo>6</relatesTo><i> dr.m.degliesposti@gmail.com</i><br /><searchLink fieldCode="AR" term="%22Meddings%2C+Jennifer%22">Meddings, Jennifer</searchLink><relatesTo>7</relatesTo><i> meddings@med.umich.edu</i>
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  Data: Firearm-related injuries remain the leading cause of mortality in children in the United States. It is not well-characterized how often clinicians perform firearms access screening and safety counseling. We examined documentation of these services in a cross-sectional study of well child exams (WCEs) at a tertiary academic center in Southeast Michigan. Overall, we found that clinicians documented screening in 25,469 of 32,582 WCE encounters due to categorical Pediatrics clinicians doing so in 73.8% of encounters; Family Medicine and Internal Medicine-Pediatrics clinicians documented some form of screening in nearly all (> 99%) encounters. Clinicians documented counseling in 21.8% of encounters with Family Medicine clinicians lagging the other two specialties (8.2% versus 23.9% and 18.4% for Pediatrics and Internal Medicine-Pediatrics, respectively). Multinomial logistic regression for screening (conducted only for Pediatrics given the near universal screening by Family Medicine and Internal Medicine-Pediatrics) and counseling (conducted for all specialties) showed decreased likelihood of both screening and counseling for certain age and sociodemographic groups; however, while there was decreased likelihood for non-attending physician clinicians (i.e. advanced practice providers and resident/fellow physicians) and high inter-clinic variability (77.1%) for screening, the opposite was true for counseling with decreased likelihood for attending physicians and inter-clinic variability of 16.7%. Findings suggest that quality improvement efforts and clinician training are needed to eliminate gaps in risk-stratified screening and counseling regarding firearm safety. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Community Health is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=188314395
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