How have firearm laws changed in states with unexpected decreases or increases in firearm homicide, 1990-2019?

Firearm homicide Firearm policy Inductive research State outliers

Journal

SSM - population health
ISSN: 2352-8273
Titre abrégé: SSM Popul Health
Pays: England
ID NLM: 101678841

Informations de publication

Date de publication:
Jun 2023
Historique:
received: 25 12 2022
revised: 11 02 2023
accepted: 13 02 2023
entrez: 21 3 2023
pubmed: 22 3 2023
medline: 22 3 2023
Statut: epublish

Résumé

Firearm violence is one of the leading preventable causes of death and injury in the United States and is on the rise. While policies regulating access to firearms offer opportunities to prevent firearm-related deaths, an understanding of the holistic impact of changing state firearm policies on firearm homicide rates over the last 30 years is limited. To identify US states that showed unexpected decreases and increases in firearm homicide rates and summarise their firearm policy changes in the last three decades. We analysed changes in firearm homicide rates by US state and county from 1990 to 2019. We triangulated across three estimation approaches to derive state rankings and identify the top and bottom three states which consistently showed unexpected decreases (low outliers) and increases (high outliers) in firearm homicide rates. We summarised firearm policy changes in state outliers using the RAND State Firearm Law Database. We identified New York, District of Columbia, and Hawaii as low state outliers and Delaware, New Jersey, and Missouri as high state outliers. Low state outliers made more restrictive firearm policy changes than high state outliers, which covered a wider range of policy types. Restrictive changes in high state outliers primarily targeted high-risk populations (e.g., prohibited possessors, safe storage). Specific legislative details, such as the age threshold (18 vs 21 years old) for firearm minimum age requirements, also emerged as important for differentiating low from high state outliers. While no firearm law change emerged as necessary or sufficient, an accumulation of diverse restrictive firearm policies may be key to alleviating the death toll from firearm homicide.

Sections du résumé

Background UNASSIGNED
Firearm violence is one of the leading preventable causes of death and injury in the United States and is on the rise. While policies regulating access to firearms offer opportunities to prevent firearm-related deaths, an understanding of the holistic impact of changing state firearm policies on firearm homicide rates over the last 30 years is limited.
Objectives UNASSIGNED
To identify US states that showed unexpected decreases and increases in firearm homicide rates and summarise their firearm policy changes in the last three decades.
Methods UNASSIGNED
We analysed changes in firearm homicide rates by US state and county from 1990 to 2019. We triangulated across three estimation approaches to derive state rankings and identify the top and bottom three states which consistently showed unexpected decreases (low outliers) and increases (high outliers) in firearm homicide rates. We summarised firearm policy changes in state outliers using the RAND State Firearm Law Database.
Results UNASSIGNED
We identified New York, District of Columbia, and Hawaii as low state outliers and Delaware, New Jersey, and Missouri as high state outliers. Low state outliers made more restrictive firearm policy changes than high state outliers, which covered a wider range of policy types. Restrictive changes in high state outliers primarily targeted high-risk populations (e.g., prohibited possessors, safe storage). Specific legislative details, such as the age threshold (18 vs 21 years old) for firearm minimum age requirements, also emerged as important for differentiating low from high state outliers.
Conclusions UNASSIGNED
While no firearm law change emerged as necessary or sufficient, an accumulation of diverse restrictive firearm policies may be key to alleviating the death toll from firearm homicide.

Identifiants

pubmed: 36941896
doi: 10.1016/j.ssmph.2023.101364
pii: S2352-8273(23)00029-0
pmc: PMC10024039
doi:

Types de publication

Journal Article

Langues

eng

Pagination

101364

Informations de copyright

© 2023 The Authors.

Déclaration de conflit d'intérêts

None.

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Auteurs

Michelle Degli Esposti (M)

Penn Injury Science Center, University of Pennsylvania, Philadelphia, USA.
University of Michigan Institute for Firearm Injury Prevention, University of Michigan, Ann Arbor, USA.

Jason Goldstick (J)

Injury Prevention Center, Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, USA.
University of Michigan Institute for Firearm Injury Prevention, University of Michigan, Ann Arbor, USA.
Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, USA.

Jason Gravel (J)

Department of Criminal Justice, Temple University, Philadelphia, PA, USA.

Elinore J Kaufman (EJ)

Penn Injury Science Center, University of Pennsylvania, Philadelphia, USA.
Division of Traumatology, Surgical Critical Care, and Emergency Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.

M Kit Delgado (MK)

Penn Injury Science Center, University of Pennsylvania, Philadelphia, USA.
Department of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.
Department of Emergency Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.

Therese S Richmond (TS)

Penn Injury Science Center, University of Pennsylvania, Philadelphia, USA.
Biobehavioral Health Sciences Department, University of Pennsylvania School of Nursing, Philadelphia, USA.

Douglas J Wiebe (DJ)

Penn Injury Science Center, University of Pennsylvania, Philadelphia, USA.
Injury Prevention Center, Department of Emergency Medicine, University of Michigan Medical School, Ann Arbor, USA.
Department of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, USA.
University of Michigan Institute for Firearm Injury Prevention, University of Michigan, Ann Arbor, USA.

Classifications MeSH