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DTSTART:20241103T020000
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DESCRIPTION:Program: Injury Control and Emergency Health Services Session:
  Special Topics in Firearm Injury Prevention Posters Authors: Adrianne Ka
 trina Nelson\, Megan L. Ranney See all authors and presenters → Abstract 
 Background Firearm injury is the leading cause of death for American yout
 h. Few firearm injury prevention (FIP) interventions have been co-designe
 d with communities with high rates of firearm ownership. Given the excell
 ent firearm safety record within 4-H Shooting Sports (4HSS) and the influ
 ence 4HSS youth have in their communities\, we conducted a CDC-funded clu
 ster randomized controlled trial of a bystander FIP intervention\, Guardi
 ans 4 Health (G4H)\, with 4HSS youth ages 12-18\, in collaboration with n
 ational 4HSS leadership. This abstract reports on the secondary outcome o
 f change in youth knowledge of firearm injury in the United States (US). 
 Methods Fifty sites from 28 states were recruited\, consented\, and rando
 mized to immediate (N=26 sites\; N=250 youths) or delayed (N=24 sites\; N
 =174 youths) intervention groups\; total youth sample size was 424. Youth
  in both groups responded to eight knowledge questions related to US fire
 arm injury at baseline\, three-month\, and six-month follow-up surveys. R
 esponse options included true/false (e.g.\, “There are 100 gun deaths eve
 ry day in the US”)\, agreement ratings (e.g.\, “Having access to a gun at
  home increases the likelihood of suicide.”)\, and multiple choice (e.g.\
 , “For every 10 people who survive a suicide attempt\, how many will late
 r die by suicide?”). A sum score of total correct items was computed for 
 each participant. Linear mixed-effects models were fitted while adjusting
  for baseline knowledge score. Exploratory subgroup analyses were perform
 ed on key sociodemographic subgroups. Results Intervention youth demonstr
 ated significant increases in knowledge at the three-month follow-up (β=1
 .98\, p<0.001) as well as six month follow-up (β=1.81\, p<0.001). At both
  time points\, youth with a significant knowledge increase were more like
 ly to be: aged 12-14 (3m: 1.69\, p<0.001\; 6m: 1.74\, p<0.001)\, female (
 3m: 1.97\, p<0.002\; 6m: 1.58\, p<0.001)\, from the Midwestern US (3m: 2.
 43\, p<0.001\; 6m: 2.20\, p<0.001)\, and from families with parents who w
 ere married (3m: 1.86\, p<0.001\; 6m: 1.57\, p<0.001)\, nonveterans (3m: 
 1.87\, p<0.001\; 6m: 1.66\, p<0.001)\, and with only high school educatio
 n\, (3m: 1.91\, p<0.001\; 6m: 1.81\, p=0.03). Discussion The intervention
  yielded a strong\, sustained impact on youth knowledge about firearm inj
 ury at 3 and 6 months. Subgroup results may reflect demographic differenc
 es in receptiveness in intervention material and in 4HSS activities. Fami
 ly background also appeared to shape the impact of the program. These fin
 dings underscore the importance of tailoring interventions to consider de
 mographic and familial contexts\n\nSpeakers:\nAdrianne Katrina Nelson\; M
 egan Ranney\n\nAdmission:\nRegistrationFees: APHA Event Registration is R
 equired\n\nDetails URL:\nhttps://medicine.yale.edu/event/increases-in-you
 th-knowledge-about-us-firearm-injury-from-guardians-4-health/\n
DTEND;TZID=America/New_York:20251103T113000
DTSTAMP:20260514T231840Z
DTSTART;TZID=America/New_York:20251103T103000
GEO:38.903500;-77.022987
LOCATION:801 Allen Y Lew Pl NW\, Washington\, DC\, United States
SEQUENCE:0
STATUS:Confirmed
SUMMARY:3082.0 - Increases in youth knowledge about US firearm injury from
  Guardians 4 Health: A cluster-randomized bystander intervention with 4-H
  Shooting Sports
UID:16a3763b-12f9-4768-a8cf-ae00de31e164
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