D W Webster1, M Starnes. 1. Center for Gun Policy and Research, Johns Hopkins University School of Public Health, Baltimore, Maryland, USA. dwebster@jhsph.edu
Abstract
CONTEXT: A previous study estimated that child access prevention (CAP) laws, which hold adults criminally liable for unsafe firearm storage in the environment of children, were associated with a 23% decline in unintentional firearm mortality rates among children. OBJECTIVE: To reassess the effects of CAP laws and more fully examine the consistency of the estimated law effects across states. DESIGN: A pooled time-series study of unintentional firearm mortality among children from 1979 through 1997. Setting. The 50 states and the District of Columbia. PARTICIPANTS: All children <15 years. MAIN OUTCOME MEASURES: Rates of unintentional deaths attributable to firearms. RESULTS: When the effects of all 15 state CAP laws enacted before 1998 were aggregated, the laws were associated with a 17% decline unintentional firearm death rates among children. The laws' effects were not equal across states. Florida's CAP law was associated with a 51% decline; however, there were no statistically significant aggregate or state-specific law effects in the other 14 states with CAP laws. CONCLUSIONS: Florida's CAP law-1 of only 3 such laws allowing felony prosecution of violators-appears to have significantly reduced unintentional firearm deaths to children. However, there is no evidence of effects in the other 14 states with CAP laws.
CONTEXT: A previous study estimated that child access prevention (CAP) laws, which hold adults criminally liable for unsafe firearm storage in the environment of children, were associated with a 23% decline in unintentional firearm mortality rates among children. OBJECTIVE: To reassess the effects of CAP laws and more fully examine the consistency of the estimated law effects across states. DESIGN: A pooled time-series study of unintentional firearm mortality among children from 1979 through 1997. Setting. The 50 states and the District of Columbia. PARTICIPANTS: All children <15 years. MAIN OUTCOME MEASURES: Rates of unintentional deaths attributable to firearms. RESULTS: When the effects of all 15 state CAP laws enacted before 1998 were aggregated, the laws were associated with a 17% decline unintentional firearm death rates among children. The laws' effects were not equal across states. Florida's CAP law was associated with a 51% decline; however, there were no statistically significant aggregate or state-specific law effects in the other 14 states with CAP laws. CONCLUSIONS: Florida's CAP law-1 of only 3 such laws allowing felony prosecution of violators-appears to have significantly reduced unintentional firearm deaths to children. However, there is no evidence of effects in the other 14 states with CAP laws.
Authors: Joseph A Simonetti; Ali Rowhani-Rahbar; Brianna Mills; Bessie Young; Frederick P Rivara Journal: Am J Public Health Date: 2015-06-11 Impact factor: 9.308