Child access prevention legislative language and pediatric firearm injury rates

• Published in: World journal of pediatric surgery Vol. 4; no. 4; p. e000223
• Main Authors: James, Bradford, Khallouq, Bertha Ben, Swana, Hubert
• Format: Journal Article
• Language: English
• Published: England BMJ Publishing Group Ltd 01.09.2021; BMJ Publishing Group LTD; BMJ Publishing Group
• Subjects: adolescent health; Age; child health; Criminal liability; Firearm laws & regulations; Firearms; Forensic ballistics; Forensic medicine; Injuries; Language; Legislation; Original Research; Pediatrics; Prevention; preventive medicine; Suicides & suicide attempts; Violence; Vermont; Rhode Island; Wyoming; United States > US; Maine; Hawaii; California; Delaware; Utah; Nebraska; West Virginia; Washington DC; Massachusetts; New Hampshire; Connecticut; Georgia; North Dakota; forensic medicine; child health; adolescent health; preventive medicine
• ISSN: 2516-5410; 2096-6938; 2516-5410
• DOI: 10.1136/wjps-2020-000223

BackgroudFirearm injuries are a significant public health problem facing young people in the USA. In 2015, a total of 16 878 people under 19 years old were injured or killed by firearms. To reduce firearm injuries, 29 states and Washington, DC have enacted child access prevention (CAP) legislation. CAP legislation is intended to reduce the likelihood of a minor obtaining a weapon and subsequent injury or death. This study evaluates the impact of CAP legislation based on language of the legislation, specifically it evaluates a relationship of the legal threshold of liability and the number of firearm injuries per capita of minors.MethodsData were collected from the Web-based Injury Statistics Query and Reporting System for patients less than 19 years of age who presented to emergency departments with firearm injuries in 2016. The Giffords Law Center classification was used to group states into three categories (strong/weak/no CAP) based on CAP language. Differences of firearm-related injury rates per capita were assessed.ResultsWhen controlling for population, states with CAP legislation had a 22% decrease in firearm injuries per capita compared with states without CAP legislation. States with ‘strong’ CAP legislation had a 41% decrease in firearm injuries per capita compared with states with ‘weak’ or no CAP legislation when controlling for population.ConclusionsStates with ‘strong’ CAP legislation had lower pediatric firearm injury rates per capita, but more complete data and further studies are needed to evaluate this relationship as well as other factors that may impact firearm injury rates.