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Principal Investigator: Lauren A Magee
Organization: INDIANA UNIVERSITY INDIANAPOLIS
Fiscal Year: 2024
Award: $79,250
Funding agency: National Center for Advancing Translational Sciences
PROJECT SUMMARY/ABSTRACT
Rates of firearm injuries reached unprecedented levels during the COVID-19 pandemic,
disproportionally represented women and children, and rates remain at historical high levels in
2023. Exposure to firearm injury is associated with increased adverse health outcomes and
mental health needs, further compounding existing health and racial inequities. Prior research
has focused on health outcomes and interventions at the individual level and community level,
with less attention focused on family and household member’s health outcomes due to both
methodological challenges and data limitations. Therefore, current health interventions may
miss the “ripple effect” of traumatic health events. The lack of methods linking family and
household members is a significant roadblock for clinical and translational science. Elucidating
these methods could increase the ‘translational efficiency’ in studying the broader population
health, the mechanisms, and impacts of one of the most pressing public health challenges –
firearm injury – and identify opportunities for health interventions that mitigate adverse health
outcomes. The central objectives of this proposal are 1) to develop methods to identify and
link family and household members at the family and household level and 2) examine change in
clinical care utilization, mental health, chronic conditions, and firearm injury among non-
household family, household family members, and non-family household members of firearm
injury survivors following the injury. To achieve this methodologic goal, we will leverage a
unique longitudinal dataset of individually-linked data and residential addresses from clinical
systems, public health, Medicaid, and police records in Indianapolis (Marion County), Indiana
from 2000 – 2022. The proposed study is focused on nonfatal firearm injury, as an extension of
Dr. Lauren Magee’s KL2 project and research portfolio; however, the methodological
approaches can be applied to a variety of vulnerable populations to identify opportunities for
intervention across a variety of health outcomes. Findings will demonstrate the feasibility of
linking family and household members at the family and household level using administrative
data and will significantly extend our understanding of the racial and health inequities
associated with exposure to firearm injury beyond the direct survivor to inform clinical and
community interventions to prevent future morbidity and mortality. This proposal will also
address a significant roadblock for clinical and translational science and continue Dr. Magee’s
development as a scholar in translational science.
Terms: <0-11 years old><21+ years old><Accident and Emergency department><Acute><Address><Adoption><Adult><Adult Human><Affect><Attention><Birth><Birth Certificates><COVID crisis><COVID epidemic><COVID pandemic><COVID-19 crisis><COVID-19 epidemic><COVID-19 era><COVID-19 global health crisis><COVID-19 global pandemic><COVID-19 health crisis><COVID-19 pandemic><COVID-19 period><COVID-19 public health crisis><COVID-19 years><Care Givers><Caregivers><Cessation of life><Child><Child Youth><Children (0-21)><Chronic><Chronic stress><Clinical><Clinical Sciences><Communities><County><Data><Data Banks><Databanks><Death><Development><Diagnosis><Disease><Disorder><Emergency Department><Emergency room><Event><Exposure to><Family><Family member><Firearms><Future><Goals><Gun injury><Health><Health Inequity><Healthcare><Household><Household and Family><Indiana><Individual><Inequalities in Health><Inequities in Health><Injury><Inpatients><Intervention><Intervention Strategies><Link><Marriage><Medicaid><Mental Health><Mental Hygiene><Methodology><Methods><Morbidity><Morbidity - disease rate><Names><Nature><Out-patients><Outcome><Outpatients><Parents><Parturition><Persons><Police><Population><Psychological Health><Public Health><Qualitative Research><Records><Research><SARS-CoV-2 epidemic><SARS-CoV-2 global health crisis><SARS-CoV-2 global pandemic><SARS-CoV-2 pandemic><SARS-coronavirus-2 epidemic><SARS-coronavirus-2 pandemic><Severe Acute Respiratory Syndrome CoV 2 epidemic><Severe Acute Respiratory Syndrome CoV 2 pandemic><Severe acute respiratory syndrome coronavirus 2 epidemic><Severe acute respiratory syndrome coronavirus 2 pandemic><Single Parent><Social support><Survivors><System><Time><Translational Research><Translational Science><Trauma><Vulnerable Populations><Woman><Work><Youth><Youth 10-21><acute stress><adulthood><clinical care><community intervention><community level intervention><community-based intervention><coronavirus disease 2019 crisis><coronavirus disease 2019 epidemic><coronavirus disease 2019 global health crisis><coronavirus disease 2019 global pandemic><coronavirus disease 2019 health crisis><coronavirus disease 2019 pandemic><coronavirus disease 2019 public health crisis><coronavirus disease crisis><coronavirus disease epidemic><coronavirus disease pandemic><coronavirus disease-19 global pandemic><coronavirus disease-19 pandemic><data depository><data repository><data set repository><dataset repository><developmental><disparities in race><disparity due to race><experience><firearm injury><firearm related injury><gun related injury><health care><health inequalities><health record><high risk><indexing><inequality due to race><inequity due to race><injuries><innovate><innovation><innovative><insurance plan><interventional strategy><kids><longitudinal data set><longitudinal dataset><member><mortality><name><named><naming><parent><population health><prevent><preventing><race based disparity><race based inequality><race based inequity><race disparity><race related disparity><race related inequality><race related inequity><racial disparity><racial inequality><racial inequity><racially unequal><severe acute respiratory syndrome coronavirus 2 global health crisis><severe acute respiratory syndrome coronavirus 2 global pandemic><social support network><translation research><translational investigation><vulnerable group><vulnerable individual><vulnerable people><youngster>