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Disparities in Firearms Ownership and Storage Practices in North Carolina

Tamera Coyne-Beasley, MD, MPH, Donna R. Miles, PhD, Abigail C. Lees, BA, Scott K. Proescholdbell, MPH, Carol A. Ford, MD
Volume: 105 Issue: 4 April, 2012

Abstract:

Objective: Because household firearms pose a risk to children, this study examined firearms accessibility in North Carolina households with children.


Methods: In 2008, parents completing the North Carolina Child Health Assessment and Monitoring Program survey were asked how many firearms they owned and their firearms storage practices. Weighted analyses provided estimates of ownership and storage practices and examined variation by sociodemographics.


Results: A total of 37% of 2885 parents reported owning firearms. Whites (adjusted odds ratio [aOR] 3.9 [95% confidence interval {CI} 2.9–5.2]), households with income >200% of the federal poverty level (aOR 1.7 [95% CI 1.2–2.5]) and married parents (aOR 2.4 [95% CI 1.8–3.4]) were more likely to own firearms. Ownership of more than one firearm was greater among whites (aOR 2.2 [95% CI 1.4–3.4]) and married parents (aOR 1.8 [95% CI 1.5–2.8]) than other groups. The number of firearms owned increased with children’s age. Although most parents reported keeping firearms locked and unloaded (57%), many reported unsafe storage practices, which varied by race/ethnicity. Whites were more likely (45%) to store firearms unlocked and/or loaded than other groups (35%).


Conclusions: Many North Carolina youth have access to household firearms, with white youth being more likely to have firearms, a greater number of firearms, and less safely stored firearms than other race/ethnicity groups. Further interventions and policies to reduce youth access to household firearms are needed. Future research should examine and address why whites, married couples, and those with socioeconomic advantages are more likely than individuals not belonging to these groups to own household firearms and store them unsafely.

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References:

1. The North Carolina violent death reporting system: 2004–2007. http://www.injuryfreenc.ncdhhs.gov/About/ncVDRS.htm. Published August 19, 2010. Accessed February 14, 2012.
 
2. Shah S, Hoffman RE, Wake L, et al. Adolescent suicide and household access to firearms in Colorado: results of a case-control study. J Adolesc Health 2000; 26: 157–163.
 
3. American Academy of Pediatrics. Firearm-related injuries affecting the pediatric population. Pediatrics 2000; 115: 888–895.
 
4. Brent DA. Firearms and suicide. Ann N Y Acad Sci 2001; 932: 225–240.
 
5. American Academy of Pediatrics. Safety and first aid. http://www.aap.org/healthtopics/safety.cfm. Published July 28, 2010. Accessed February 14, 2012.
 
6. Grossman DC, Cummings P, Koepsell TD, et al. Firearm safety counseling in primary care pediatrics: a randomized, controlled trial. Pediatrics 2000; 106: 22–26.
 
7. McGhee KS, Coyne-Beasley T, Johnson RM. Review of evaluations of educational approaches to promote safe storage of firearms. Inj Prev 2003; 9: 108–111.
 
8. Cook PJ, Cukier W, Krause K. The illicit firearms trade in North America. Criminol Criminal Justice 2009; 9: 265–286.
 
9. Legal Community Against Violence. Locking devices. http://www.lcav.org/content/locking_devices.pdf. Published August 19, 2010. Accessed February 14, 2012.
 
10. US Department of Health and Human Services. The 2004 HHS poverty guidelines. One version of the [U.S.] federal poverty measure. http://aspe.hhs.gov/poverty/04poverty.shtml. Accessed June 29, 2010.
 
11. Johnson RM, Miller M, Vriniotis M, et al. Are household firearms stored less safely in homes with adolescents? Analysis of a national random sample of parents. Arch Pediatr Adolesc Med 2006; 160: 788–792.
 
12. Coyne-Beasley T, Runyan CW, Baccaglini L, et al. Storage of poisonous substances and firearms in homes with young children visitors and older adults. Am J Prev Med 2005; 28: 109–115.
 
13. Johnson RM, Coyne-Beasley T, Runyan CW. Firearm ownership and storage practices, U.S. households, 1992–2002. A systematic review. Am J Prev Med 2004; 27: 173–182.
 
14. Centers for Disease Control and Prevention. Injury prevention & control: data & statistics (WISQARS). http://www.cdc.gov/injury/wisqars/index.html. Accessed February 14, 2012.
 
15. Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance System (YRBSS). http://www.cdc.gov/HealthyYouth/yrbs/index.htm. Accessed February 14, 2012.
 
16. Johnson RM, Barber C, Azrael D, et al. Who are the owners of firearms used in adolescent suicides? Suicide Life Threat Behav 2010; 40: 609–611.
 
17. Source of firearms used by students in school-associated violent deaths—United States, 1992–1999. MMWR Morb Mortal Wkly Rep 2003; 52: 169–172.
 
18. Ludwig J, Cook PJ, Smith TW. The gender gap in reporting household gun ownership. Am J Public Health 1998; 88: 1715–1718.
 
19. Azrael D, Miller M, Hemenway D. Are household firearms stored safely? It depends on whom you ask. Pediatrics 2000; 106: E31.
 
20. Coyne-Beasley T, Baccaglini L, Johnson RM, et al. Do partners with children know about firearms in their home? Evidence of a gender gap and implications for clinicians. Pediatrics 2005; 115: e662–e667.

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