Responding to the Crisis of Firearm Violence in the US (2013)

TITLE: Responding to the Crisis of Firearm Violence in the United States
SOURCE: JAMA Intern Med. 2013;173(9):740. doi:10.1001/jamainternmed.2013.1292.
AUTHOR: Garen J. Wintemute, MD, MPH
URL: http://archinte.jamanetwork.com/article.aspx?articleid=1661391

FINDINGS/NOTES:

(1) Gun violence in the US is a public health problem: More than 30 000 people are purposely shot to death each year—more than 300 000 since the World Trade Center was destroyed in 2001. Rates of firearm-related violent crime have increased 26% since 2008.

(2) More research and researchers are needed: The government has abandoned its commitment to understanding the problem and devising evidence-based solutions. There’s almost no funding for firearm violence research, and there are almost no researchers.  There are no more than a dozen active, experienced investigators in the United States have focused their careers primarily on firearm violence. Only 2 are physicians. Only 1 has evaluated the effectiveness of an assault weapons ban.  No CDC researcher has done more than occasional work in this field in 15 years.

(3) Motor vehicle connection: In the 1960s, the nation recognized a fast-growing crisis related to motor vehicle traffic fatalities. We created an agency, led by internist-epidemiologist William Haddon, MD, to launch an aggressive research effort and recommend and implement evidence-based interventions. The motor vehicle industry waged what the Supreme Court called the “regulatory equivalent of war” against airbags, one of the most important of those interventions. On airbags and other matters, the industry lost; the public’s health and safety won

On Firearm Ownership, Alcohol, & Risk-Related Behaviors (2011)

TITLE: Association between firearm ownership, firearm-related risk and risk reduction behaviours and alcohol-related risk behaviours
PUBLISHED IN: Injury Prevention 2011;17:422-427 doi:10.1136/ip.2010.031443
JOURNAL URL: http://injuryprevention.bmj.com/content/17/6/422.abstract?sid=fc7bd591-f7f2-4c3a-a443-bdf28521ff34
AUTHOR: Dr Garen J Wintemute, Violence Prevention Research Program, School of Medicine, UC-Davis, gjwintemute@ucdavis.edu

ABSTRACT: Alcohol use and firearm ownership are risk factors for violent injury and death. To determine whether firearm ownership and specific firearm-related behaviours are associated with alcohol-related risk behaviours, the author conducted a cross-sectional study using Behavioral Risk Factor Surveillance System data for eight states in the USA from 1996 to 1997 (the most recent data available). Altogether, 15 474 respondents provided information on firearm exposure. After adjustment for demographics and state of residence, firearm owners were more likely than those with no firearms at home to have ≥5 drinks on one occasion (OR 1.32; 95% CI 1.16 to 1.50), to drink and drive (OR 1.79; 95% CI 1.34 to 2.39) and to have ≥60 drinks per month (OR 1.45; 95% CI 1.14 to 1.83). Heavy alcohol use was most common among firearm owners who also engaged in behaviours such as carrying a firearm for protection against other people and keeping a firearm at home that was both loaded and not locked away. The author concludes that firearm ownership (and specific firearm-related behaviours) are associated with alcohol-related risk behaviours.