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Carter PM, Cunningham RM. Clinical Approaches to the Prevention of Firearm-Related Injury. N Engl J Med 2024; 391:926-940. [PMID: 39259896 DOI: 10.1056/nejmra2306867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/13/2024]
Affiliation(s)
- Patrick M Carter
- From the Institute for Firearm Injury Prevention, University of Michigan (P.M.C., R.M.C.), the Department of Emergency Medicine, University of Michigan Medical School (P.M.C., R.M.C.), and the Department of Health Behavior and Health Education (P.M.C., R.M.C.) and the Youth Violence Prevention Center (P.M.C.), University of Michigan School of Public Health - all in Ann Arbor
| | - Rebecca M Cunningham
- From the Institute for Firearm Injury Prevention, University of Michigan (P.M.C., R.M.C.), the Department of Emergency Medicine, University of Michigan Medical School (P.M.C., R.M.C.), and the Department of Health Behavior and Health Education (P.M.C., R.M.C.) and the Youth Violence Prevention Center (P.M.C.), University of Michigan School of Public Health - all in Ann Arbor
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2
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Testa A, Semenza DC, Anestis M. Storage of firearms in vehicles: findings from a sample of firearm owners in nine U.S. states. Inj Epidemiol 2024; 11:50. [PMID: 39256878 PMCID: PMC11386107 DOI: 10.1186/s40621-024-00525-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2024] [Accepted: 08/06/2024] [Indexed: 09/12/2024] Open
Abstract
BACKGROUND In recent years, there has been a growing number of thefts of firearms stored in vehicles. Despite this trend, there is limited research on firearm storage patterns in vehicles in the United States. This study investigates these storage patterns and evaluates the relationship between the surge in firearm purchases after March 2020 and the practice of storing firearms in vehicles. METHODS Firearm storage practices were classified into four categories: (a) no vehicle storage, (b) locked vehicle storage only, (c) unlocked vehicle storage only, and (d) both locked and unlocked vehicle storage. Multinomial logistic regression analyses were conducted to determine the association between vehicle firearm storage practices and the main independent variable (firearm purchases since March 2020), adjusting for covariates. RESULTS Those who purchased a firearm since March 2020 were significantly more likely to store at least one firearm in a vehicle unlocked only (RRR = 2.41, 95% CI 1.45-3.99) or both locked and unlocked (RRR = 2.57, 95% CI .180-3.67) compared to the reference category of no vehicle storage. CONCLUSION Individuals who purchased a firearm after March 2020 were more likely to report storing a firearm in a vehicle. Given the limited research on patterns of firearm storage in vehicles, these findings provide novel evidence suggesting that firearm purchases following the March 2020 firearm purchasing surge may have fomented behaviors that increased the likelihood of firearm storage in automobiles. Moving forward, there is a need for additional quantitative and qualitative research that can better understand patterns and motivations of firearm storage in vehicles.
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Affiliation(s)
- Alexander Testa
- Department of Management, Policy and Community Health, University of Texas Health Science Center at Houston, 1200 Pressler Street, Houston, TX, 77030, USA.
| | - Daniel C Semenza
- Department of Sociology, Anthropology, and Criminal Justice, Rutgers University, Camden, NJ, USA
- Department of Urban-Global Public Health, School of Public Health, Rutgers University, Piscataway, NJ, USA
- New Jersey Gun Violence Research Center, Rutgers University, Piscataway, NJ, USA
| | - Michael Anestis
- Department of Urban-Global Public Health, School of Public Health, Rutgers University, Piscataway, NJ, USA
- New Jersey Gun Violence Research Center, Rutgers University, Piscataway, NJ, USA
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3
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Adams M, Gong C, Heinze JE. Firearm ownership and storage among US college students: results from the healthy minds study, 2021-2022. J Behav Med 2024; 47:662-671. [PMID: 38460062 DOI: 10.1007/s10865-024-00467-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 01/15/2024] [Indexed: 03/11/2024]
Abstract
The purpose of this study is to address a significant gap in knowledge on firearm ownership rates and storage characteristics in a national sample of college students. We used 2021-2022 survey data from the Healthy Minds Study, which included approximately 88,500 students at over 100 US colleges and universities. We conducted analyses using descriptive statistics and two-sample proportion tests. About 4% of respondents reported having a firearm on or around campus. Among firearm owners, 68.8% reported storing firearms at their permanent address within an hour's drive from campus, and 43.1% reported storing their firearms unloaded and locked. Firearm ownership rates were significantly higher for respondents who were positive for specific risk factors (i.e., in a relationship, suicide ideation, recent binge drinking, and having been physically assaulted) versus those who were negative. These findings support the need for targeted messaging and firearm safety training for college students to reduce firearm-related risks.
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Affiliation(s)
- Mackenzie Adams
- University of Michigan School of Public Health, Ann Arbor, MI, USA.
| | - Catherine Gong
- University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Justin E Heinze
- University of Michigan School of Public Health, Ann Arbor, MI, USA
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4
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Sola JL, Pickett JT. Widespread, bipartisan aversion exists to neighbors owning AR-15s or storing guns insecurely. Proc Natl Acad Sci U S A 2024; 121:e2311825121. [PMID: 38588423 PMCID: PMC11032460 DOI: 10.1073/pnas.2311825121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 12/28/2023] [Indexed: 04/10/2024] Open
Abstract
Over 45,000 gun deaths occur annually in the United States, a country with more than 100 million gun owners and more than 350 million guns. Nevertheless, passing legislation to reduce gun violence is difficult because the issue is intensely polarized. Polls asking about general gun policies (e.g., AR-15 restrictions) demonstrate that, at least in the abstract, Americans disagree vehemently about whether civilians should be able to keep and bear arms. It is possible, however, that a hidden consensus exists in America, which has thus far escaped attention-specifically, that when the focus is on their immediate environments and daily lives, even traditionally pro-gun groups may exhibit aversion to certain types of gun ownership and storage practices. To test this, we conducted two preregistered survey experiments with a large national sample. The first was a conjoint analysis where respondents chose between neighbors (n = 33,596 choices) who randomly varied on seven attributes, including gun ownership (none, pistol, AR-15). No group of respondents, not even traditionally pro-gun groups (e.g., Republicans), exhibited a significant preference for living near gun owners, and every group was averse to AR-15-owning neighbors. The second experiment, per debates about safe-storage laws, was a picture-based factorial vignette that randomized a neighbor's gun storage practices (n = 2,098). Every group of respondents was averse to interacting with a neighbor who stored guns outside of a locked safe. Our findings demonstrate that there is widespread agreement that certain types of gun ownership and storage practices are undesirable for communities.
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Affiliation(s)
- Justin L. Sola
- Department of Sociology and School of Data Science and Society, University of North Carolina-Chapel Hill, Chapel Hill, NC27599-3210
| | - Justin T. Pickett
- School of Criminal Justice, University at Albany, State University of New York, Albany, NY12222
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5
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Abstract
Firearms are the leading cause of death for US youth, overtaking motor vehicle collisions in 2020. Approximately 65% are due to homicide, 30% are due to suicide, 3.5% are due to unintentional injuries, 2% are undetermined intent, and 0.5% are from legal interventions. In homes with firearms, the likelihood of unintentional death, suicide, and homicide is three to four times higher than those without firearms. Secure storage of firearms, having them locked, unloaded, and separate from ammunition can prevent unintentional firearm injuries.
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Affiliation(s)
- Kelsey A B Gastineau
- Department of Pediatrics, Monroe Carell Jr Children's Hospital at Vanderbilt and Vanderbilt University Medical Center.
| | - Sandra McKay
- Department of Pediatrics, McGovern Medical School at the University of Texas Health Science Center at Houston, 6431 Fannin Street, JJL 480, Houston, TX 77030, USA
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6
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Palumbo SA, Levine RS, Robishaw JD, Hennekens CH. Temporal trends and geographic variations in mortality rates from tobacco and firearms in the United States. Prev Med 2023; 175:107622. [PMID: 37454875 PMCID: PMC10591857 DOI: 10.1016/j.ypmed.2023.107622] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Revised: 07/04/2023] [Accepted: 07/13/2023] [Indexed: 07/18/2023]
Abstract
We explored temporal trends and geographic variations in United States of America (US) mortality rates from smoking and firearms from 1999 to 2019. To do so, we used the publicly available Centers for Disease Control and Prevention (CDC) Wide Ranging Online Data for Epidemiologic Research (WONDER) with Multiple Cause of Death files from 1999 to 2019. Using age-specific rates and ArcGIS Pro Advanced software for Optimized Hot Spot Analyses from Esri, we generated maps of statistically significant spatial clusters with 90-99% confidence intervals with the Getis-Ord Gi* statistic for mortality from smoking-related causes and firearms. These data show temporal trends and geographic variations in mortality from smoking and firearms in the US. Smoking and firearm-related mortality from assault and suicide increased throughout the US and clustered in the Southeast. Firearm-related suicide also clustered in the continental West and Alaska. These descriptive data generate many hypotheses which are testable in analytic epidemiologic studies designed a priori to do so. The trends suggest smoking and firearm-related causes pose particular challenges to the Southeast and firearms also to the West and Alaska. These data may aid clinicians and public health authorities to implement evidence-based smoking avoidance and cessation programs as well as address firearm mortality, with particular attention to the areas of highest risks. As has been the case with cigarettes, individual behavior changes as well as societal changes are likely to be needed to achieve decreases in premature mortality.
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Affiliation(s)
- Sarah A Palumbo
- Charles E. Schmidt College of Medicine at Florida Atlantic University, 777 Glades Road, Boca Raton, FL 33431, United States of America.
| | - Robert S Levine
- Charles E. Schmidt College of Medicine at Florida Atlantic University, 777 Glades Road, Boca Raton, FL 33431, United States of America; Baylor College of Medicine, 1 Baylor Plaza, Houston, TX 77030, United States of America
| | - Janet D Robishaw
- Charles E. Schmidt College of Medicine at Florida Atlantic University, 777 Glades Road, Boca Raton, FL 33431, United States of America
| | - Charles H Hennekens
- Charles E. Schmidt College of Medicine at Florida Atlantic University, 777 Glades Road, Boca Raton, FL 33431, United States of America
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7
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Hemenway D. How the US can have guns but fewer gun problems. BMJ 2022; 377:o1416. [PMID: 35680149 DOI: 10.1136/bmj.o1416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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8
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Stansfield R, Semenza D, Steidley T. Public guns, private violence: The association of city-level firearm availability and intimate partner homicide in the United States. Prev Med 2021; 148:106599. [PMID: 33957154 DOI: 10.1016/j.ypmed.2021.106599] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2020] [Revised: 04/26/2021] [Accepted: 05/01/2021] [Indexed: 11/25/2022]
Abstract
This city-level study examines the association of federally licensed firearm dealers (FFLs) and measures of illegal firearm availability with the risk of intimate partner homicide. Annual data for a sample of 286 large cities in the United States were collected for the years 2010-2019, incorporating city-level information on the number of gun-perpetrated homicides, the rate of licensed firearm dealers, and guns reported lost or stolen. All data were compiled and analyzed in 2020. Negative binomial models were used to assess the relation of firearm availability and gun homicide by intimate partners, in comparison to gun homicide between non-intimates. Results indicate that a higher rate of licensed firearm dealers was associated with a higher risk of intimate partner homicide, although more pronounced in states with lower-than-average existing gun ownership. This association was robust to different analytical methods and alternate ways of capturing illegal guns. A supplementary analysis using unique data from The Trace further supports the argument that FFL presence is a risk factor for intimate partner firearm homicide specifically, but not necessarily firearm homicide characterized by other motives.
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Affiliation(s)
- Richard Stansfield
- Sociology, Anthropology, and Criminal Justice, Rutgers University, Camden, NJ, USA.
| | - Daniel Semenza
- Sociology, Anthropology, and Criminal Justice, Rutgers University, Camden, NJ, USA
| | - Trent Steidley
- Sociology and Criminology, University of Denver, Denver, CO, USA
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9
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Firearm injury research and epidemiology: A review of the data, their limitations, and how trauma centers can improve firearm injury research. J Trauma Acute Care Surg 2020; 87:678-689. [PMID: 31033891 DOI: 10.1097/ta.0000000000002330] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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10
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Timsina LR, Qiao N, Mongalo AC, Vetor AN, Carroll AE, Bell TM. National Instant Criminal Background Check and Youth Gun Carrying. Pediatrics 2020; 145:peds.2019-1071. [PMID: 31792166 PMCID: PMC6939841 DOI: 10.1542/peds.2019-1071] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/14/2019] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Despite being unable to purchase firearms directly, many adolescents have access to guns, leading to increased risk of injury and death. We sought to determine if the National Instant Criminal Background Check System (NICS) changed adolescents' gun-carrying behavior. METHODS We performed a repeated cross-sectional study using National Youth Risk Behavior Survey data from years 1993 to 2017. We used a survey-weighted multivariable logistic regression model to determine if the NICS had an effect on adolescent gun carrying, controlling for state respondent characteristics, state laws, state characteristics, the interaction between the NICS and state gun laws, and time. RESULTS On average, 5.8% of the cohort reported carrying a gun. Approximately 17% of respondents who carried guns were from states with a universal background check (U/BC) provision at the point of sale, whereas 83% were from states that did not have such laws (P < .001). The model indicated that the NICS together with U/BCs significantly reduced gun carrying by 25% (adjusted relative risk = 0.75 [95% confidence interval: 0.566-0.995]; P = .046), whereas the NICS independently did not (P = .516). CONCLUSIONS Adolescents in states that require U/BCs on all prospective gun buyers are less likely to carry guns compared with those in states that only require background checks on sales through federally licensed firearms dealers. The NICS was only effective in reducing adolescent gun carrying in the presence of state laws requiring U/BCs on all prospective gun buyers. However, state U/BC laws had no effect on adolescent gun carrying until after the NICS was implemented.
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Affiliation(s)
| | - Nan Qiao
- Department of Economics, School of Liberal Arts,
Indiana University, Indianapolis, Indiana
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11
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Schleimer JP, Kravitz-Wirtz N, Pallin R, Charbonneau AK, Buggs SA, Wintemute GJ. Firearm ownership in California: A latent class analysis. Inj Prev 2019; 26:456-462. [PMID: 31601624 DOI: 10.1136/injuryprev-2019-043412] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Revised: 09/08/2019] [Accepted: 09/11/2019] [Indexed: 12/20/2022]
Abstract
OBJECTIVE To examine whether firearm ownership and ownership-related motivations and practices can be classified into reasonably distinct types. METHODS Cross-sectional data on firearm owners (n=429) were obtained from the 2018 California Safety and Well-Being Survey, a state-representative web-based survey. We conducted a latent class analysis using six self-reported indicators of firearm ownership: (1) number of firearms owned, (2) types of firearms owned, (3) primary reason for firearm ownership, (4) firearm storage, (5) loaded handgun carrying and (6) high-capacity magazine ownership. RESULTS We identified five markedly different classes of firearm ownership. There were two classes of single-firearm owners and three classes of multiple-firearm owners. Only members of one class (9% of owners) were likely to have carried a loaded handgun and to own high-capacity magazines or assault-type weapons. Members of this class were also likely to own 5+ firearms, own for protection against people, and store a firearm in the least secure manner (loaded and unlocked). CONCLUSION There were distinct classes of firearm ownership in California, and all higher-risk behaviours studied were exhibited disproportionately by members of a single class. This latent class structure, which may help identify higher-risk groups of firearm owners, could inform future research on risk assessment and on focused interventions to reduce firearm injury and death.
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Affiliation(s)
- Julia P Schleimer
- Violence Prevention Research Program, Department of Emergency Medicine, University of California Davis, Sacramento, California, USA
| | - Nicole Kravitz-Wirtz
- Violence Prevention Research Program, Department of Emergency Medicine, University of California Davis, Sacramento, California, USA
| | - Rocco Pallin
- Violence Prevention Research Program, Department of Emergency Medicine, University of California Davis, Sacramento, California, USA
| | - Amanda K Charbonneau
- Violence Prevention Research Program, Department of Emergency Medicine, University of California Davis, Sacramento, California, USA
| | - Shani A Buggs
- Violence Prevention Research Program, Department of Emergency Medicine, University of California Davis, Sacramento, California, USA
| | - Garen J Wintemute
- Violence Prevention Research Program, Department of Emergency Medicine, University of California Davis, Sacramento, California, USA
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12
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Policies to Prevent Illegal Acquisition of Firearms: Impacts on Diversions of Guns for Criminal Use, Violence, and Suicide. CURR EPIDEMIOL REP 2019. [DOI: 10.1007/s40471-019-00199-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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13
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Can Statewide Emergency Department, Hospital Discharge, and Violent Death Reporting System Data Be Used to Monitor Burden of Firearm-Related Injury and Death in Rhode Island? JOURNAL OF PUBLIC HEALTH MANAGEMENT AND PRACTICE 2019. [DOI: 10.1097/phh.0000000000000744] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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14
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Hemenway D. Injury prevention class exercise: three-pronged list making. Inj Prev 2018; 25:565-569. [PMID: 30291155 DOI: 10.1136/injuryprev-2018-042930] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2018] [Revised: 08/27/2018] [Accepted: 08/30/2018] [Indexed: 11/04/2022]
Abstract
It is difficult to find classroom exercises that have been specifically designed for injury prevention students. The suggested list-making classroom exercise forces students to recognise and devise many policy and programmatic options over and above the ones that normally spring to mind. Most important, it helps give students a better understanding of what is meant by, and the potential usefulness of, the public health approach to injury prevention.
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Affiliation(s)
- David Hemenway
- Harvard Injury Control Research Center, Harvard TH Chan School of Public Health, Boston, Massachusetts, USA
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15
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Crifasi C. Gun Policy in the United States: Evidence-Based Strategies to Reduce Gun Violence. APPLIED HEALTH ECONOMICS AND HEALTH POLICY 2018; 16:579-581. [PMID: 30051253 DOI: 10.1007/s40258-018-0413-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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16
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Affiliation(s)
- Philip J Cook
- Sanford School of Public Policy, Duke University, Durham, NC 27708, USA.
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Crifasi CK, Doucette ML, McGinty EE, Webster DW, Barry CL. Storage Practices of US Gun Owners in 2016. Am J Public Health 2018; 108:532-537. [PMID: 29470124 DOI: 10.2105/ajph.2017.304262] [Citation(s) in RCA: 108] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
OBJECTIVES To examine gun storage practices and factors influencing those practices among gun owners. METHODS We conducted a nationally representative online survey of US gun owners (n = 1444) in 2016 to assess gun storage practices and attitudes, factors influencing storage practices, and groups that might effectively communicate regarding safe storage. We generated descriptive statistics by using cross-tabulations and used logistic regression to estimate characteristics that influenced safe storage practices. RESULTS Forty-six percent of gun owners reported safely storing all of their guns. Factors associated with higher odds of reporting safe storage were having a child in the home (adjusted odds ratio [AOR] = 1.44; 95% confidence interval [CI] = 1.03, 2.03), only owning handguns (AOR = 1.84; 95% CI = 1.24, 2.73), and reporting that storage decisions were influenced by a gun safety course (AOR = 2.05; 95% CI = 1.54, 2.74) or discussions with family members (AOR = 1.39; 95% CI = 1.05, 1.86). Gun owners ranked law enforcement, hunting or outdoors groups, active-duty military, and the National Rifle Association as most effective in communicating safe storage practices. CONCLUSIONS Public health campaigns to promote safe gun storage should consider partnering with groups that garner respect among gun owners for their experience with safe use of guns.
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Affiliation(s)
- Cassandra K Crifasi
- All of the authors are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Mitchell L Doucette
- All of the authors are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Emma E McGinty
- All of the authors are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Daniel W Webster
- All of the authors are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
| | - Colleen L Barry
- All of the authors are with the Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
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18
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Perez Esparza D, Hemenway D. What is the level of household gun ownership in urban Mexico? An estimate from the first Mexican survey on gun ownership 2017. Inj Prev 2017; 25:93-97. [PMID: 29263089 DOI: 10.1136/injuryprev-2017-042607] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2017] [Revised: 11/23/2017] [Accepted: 11/27/2017] [Indexed: 11/03/2022]
Abstract
Gun violence has increased in Mexico since the mid-2000s, but little is known about patterns of gun ownership. We examine the size and composition of the privately held urban firearm stock in Mexico, motivations for ownership, and attitudes about gun laws. To this end, a household telephone survey of 1361 adults living in nine Mexican cities was conducted in the summer of 2017. We find that few urban Mexican households contain guns. Most of those who report ownership possess one gun, having purchased it recently for self-defense. Few urban Mexican citizens plan to purchase a gun in the future. Respondents are more likely to believe that crime in Mexico would increase if guns were allowed in more places (ie, workplaces and motor vehicles). Evidence suggests urban Mexico has relative low rates of firearm ownership. Few city dwellers plan on obtaining a firearm in the near future.
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Affiliation(s)
- David Perez Esparza
- Jill Dando Institute of Security and Crime Science, University College London (UCL), London, UK
| | - David Hemenway
- Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
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Runyan CW, Brooks-Russell A, Brandspigel S, Betz M, Tung G, Novins D, Agans R. Law Enforcement and Gun Retailers as Partners for Safely Storing Guns to Prevent Suicide: A Study in 8 Mountain West States. Am J Public Health 2017; 107:1789-1794. [PMID: 28933926 PMCID: PMC5637667 DOI: 10.2105/ajph.2017.304013] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/07/2017] [Indexed: 11/04/2022]
Abstract
OBJECTIVES To examine the extent to which law enforcement agencies (LEAs) and gun retailers are willing to offer voluntary, temporary storage as a part of an overall suicide prevention effort. METHODS We invited all LEAs and gun retailers in 8 US states to respond to questionnaires asking about their willingness to offer temporary gun storage and their recommendations to gun owners about safe storage. RESULTS We collected data in 2016 from 448 LEAs and 95 retailers (response rates of 53% and 25%, respectively). Three quarters of LEAs (74.8%; 95% confidence interval [CI] = 72.1, 77.5) indicated they already provided temporary storage compared with 47.6% (95% CI = 39.2, 56.0) of retailers. LEAs were most willing to provide storage when a gun owner was concerned about the mental health of a family member. Retailers were more receptive than were LEAs to providing storage when visitors were coming or for people wanting storage while traveling. Both groups recommended locking devices within the home, but LEAs were slightly more favorable to storing guns away from the home. CONCLUSIONS Law enforcement agencies and gun retailers are important resources for families concerned about suicide.
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Affiliation(s)
- Carol W Runyan
- Carol W. Runyan and Sara Brandspigel are with the Department of Epidemiology, Ashley Brooks-Russell is with the Department of Community and Behavioral Health, and Gregory Tung is with the Department of Health Systems Management and Policy, Colorado School of Public Health, Aurora. Marian Betz is with the Department of Emergency Medicine and Douglas Novins is with the Department of Psychiatry, University of Colorado School of Medicine, Aurora. Robert Agans is with the Department of Biostatistics, University of North Carolina, Chapel Hill
| | - Ashley Brooks-Russell
- Carol W. Runyan and Sara Brandspigel are with the Department of Epidemiology, Ashley Brooks-Russell is with the Department of Community and Behavioral Health, and Gregory Tung is with the Department of Health Systems Management and Policy, Colorado School of Public Health, Aurora. Marian Betz is with the Department of Emergency Medicine and Douglas Novins is with the Department of Psychiatry, University of Colorado School of Medicine, Aurora. Robert Agans is with the Department of Biostatistics, University of North Carolina, Chapel Hill
| | - Sara Brandspigel
- Carol W. Runyan and Sara Brandspigel are with the Department of Epidemiology, Ashley Brooks-Russell is with the Department of Community and Behavioral Health, and Gregory Tung is with the Department of Health Systems Management and Policy, Colorado School of Public Health, Aurora. Marian Betz is with the Department of Emergency Medicine and Douglas Novins is with the Department of Psychiatry, University of Colorado School of Medicine, Aurora. Robert Agans is with the Department of Biostatistics, University of North Carolina, Chapel Hill
| | - Marian Betz
- Carol W. Runyan and Sara Brandspigel are with the Department of Epidemiology, Ashley Brooks-Russell is with the Department of Community and Behavioral Health, and Gregory Tung is with the Department of Health Systems Management and Policy, Colorado School of Public Health, Aurora. Marian Betz is with the Department of Emergency Medicine and Douglas Novins is with the Department of Psychiatry, University of Colorado School of Medicine, Aurora. Robert Agans is with the Department of Biostatistics, University of North Carolina, Chapel Hill
| | - Gregory Tung
- Carol W. Runyan and Sara Brandspigel are with the Department of Epidemiology, Ashley Brooks-Russell is with the Department of Community and Behavioral Health, and Gregory Tung is with the Department of Health Systems Management and Policy, Colorado School of Public Health, Aurora. Marian Betz is with the Department of Emergency Medicine and Douglas Novins is with the Department of Psychiatry, University of Colorado School of Medicine, Aurora. Robert Agans is with the Department of Biostatistics, University of North Carolina, Chapel Hill
| | - Douglas Novins
- Carol W. Runyan and Sara Brandspigel are with the Department of Epidemiology, Ashley Brooks-Russell is with the Department of Community and Behavioral Health, and Gregory Tung is with the Department of Health Systems Management and Policy, Colorado School of Public Health, Aurora. Marian Betz is with the Department of Emergency Medicine and Douglas Novins is with the Department of Psychiatry, University of Colorado School of Medicine, Aurora. Robert Agans is with the Department of Biostatistics, University of North Carolina, Chapel Hill
| | - Robert Agans
- Carol W. Runyan and Sara Brandspigel are with the Department of Epidemiology, Ashley Brooks-Russell is with the Department of Community and Behavioral Health, and Gregory Tung is with the Department of Health Systems Management and Policy, Colorado School of Public Health, Aurora. Marian Betz is with the Department of Emergency Medicine and Douglas Novins is with the Department of Psychiatry, University of Colorado School of Medicine, Aurora. Robert Agans is with the Department of Biostatistics, University of North Carolina, Chapel Hill
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Hemenway D, Rausher S, Violano P, Raybould TA, Barber CW. Firearms training: what is actually taught? Inj Prev 2017; 25:123-128. [PMID: 28988203 DOI: 10.1136/injuryprev-2017-042535] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2017] [Revised: 09/25/2017] [Accepted: 09/26/2017] [Indexed: 11/03/2022]
Abstract
INTRODUCTION Firearm safety instructors and public health professionals are natural allies in the quest to prevent firearm injuries. We audited basic firearm classes to provide information that can help familiarise public health professionals and others with the content covered. METHODS With the advice of expert instructors, we created an audit form. Volunteers audited 20 basic firearm classes in seven north-eastern states. RESULTS All trainers covered a wide variety of safety issues. Some specific basics were covered in 90+% of the classes, including how to safely load/unload a gun, keeping your finger off the trigger until ready to shoot, and being aware of your target and what is behind it. In 50%-75% of the classes, the trainer covered topics such as operating a safety, clearing jams and cartridge malfunctions, and recommended storing guns unloaded and locked when not in use. Few instructors covered firearm suicide prevention (10%) or domestic violence (10%). Most encouraged gun ownership, gun carrying, gun use in self-defence and membership in a gun rights group. DISCUSSION From a public health standpoint, we would like to see more instructors covering topics such as firearm suicide and alternatives to gun use in self-defence, and to recommend safer storage of firearms.
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Affiliation(s)
- David Hemenway
- Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
| | - Steven Rausher
- McDonough School of Business, Georgetown University, Washington, District of Columbia, USA
| | - Pina Violano
- Department of Injury Prevention, Community Outreach & Research, Yale-New Haven Hospital, New Haven, Connecticut, USA
| | - Toby A Raybould
- Trauma Injury Prevention and Outreach Program, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Catherine W Barber
- Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
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