Introduction to Gun Violence Among Children
More American children and teens die from firearms than any other cause, but there are more deaths — and wider racial disparities — in states with more permissive gun policies, according to a new study.
Study Findings
The study, published in the medical journal JAMA Pediatrics on June 9, analyzes trends in state firearm policies and kids’ deaths since 2010, after the landmark U.S. Supreme Court decision in McDonald v. City of Chicago. The ruling struck down the city’s handgun ban, clearing the way for many states to make it easier for people to buy and carry guns.
State Firearm Policies
The study authors split states into three groups: “most permissive,” “permissive” and “strict,” based on the stringency of their firearm policies. Those policies include safe storage laws, background checks and so-called Stand Your Ground laws. The researchers analyzed homicide and suicide rates and the children’s race.
Excess Deaths
Using statistical methods, the researchers calculated 6,029 excess deaths in the most permissive states between 2011 and 2023, compared with the number of deaths that would have been expected under the states’ pre-McDonald rules. There were 1,424 excess deaths in the states in the middle category.
Total Deaths
In total, about 17,000 deaths were expected in the post-decision period, but 23,000 occurred, said lead author Dr. Jeremy Faust, an emergency physician at Brigham and Women’s Hospital in Boston, in an interview.
State Variations
Among the eight states with the strictest laws, four — California, Maryland, New York and Rhode Island — saw statistically significant decreases in their pediatric firearm death rates. Illinois, which was directly affected by the court’s decision in the McDonald case, and Connecticut saw increases in their rates. In Massachusetts and New Jersey, the changes were not statistically significant.
Racial Disparities
Non-Hispanic Black children and teens saw the largest increase in firearm deaths in the 41 states with looser gun laws. Those youths’ mortality rates increased, but by a much smaller amount, in the states with strict laws.
Expert Opinions
Experts say the study underscores the power of policy to help prevent firearm deaths among children and teens. The analysis comes less than a month after the release of a federal report on children’s health that purported to highlight the drivers of poor health in America’s children but failed to include anything on firearm injuries — the leading cause of death for children and teens in 2020 and 2021, according to the federal Centers for Disease Control and Prevention.
Preventive Strategies
Trauma surgeon Dr. Marie Crandall, chair of surgery at MetroHealth medical center and a professor at Case Western Reserve University School of Medicine in Cleveland, researches gun violence. She previously practiced at a Jacksonville, Florida, urban trauma unit, where she frequently saw children and teens caught in gun violence.
Community-Based Interventions
Community-based interventions are important to stemming violence, experts said. Crandall, the Cleveland surgeon, said there’s emerging evidence that hospital-based and community-based violence prevention programs decrease the likelihood of violent and firearm-related injury.
Conclusion
The study highlights the need for stricter gun policies and community-based interventions to prevent firearm deaths among children and teens. By implementing safe storage laws, background checks, and other preventive strategies, states can reduce the number of deaths and disparities in firearm deaths among children.
FAQs
- What is the leading cause of death for children and teens in the United States?
Answer: Firearm deaths are the leading cause of death for children and teens in the United States. - Which states have the strictest gun laws?
Answer: California, Maryland, New York, and Rhode Island have the strictest gun laws. - What is the impact of permissive gun policies on firearm deaths among children and teens?
Answer: Permissive gun policies are associated with more deaths and wider racial disparities in firearm deaths among children and teens. - What can be done to prevent firearm deaths among children and teens?
Answer: Implementing safe storage laws, background checks, and community-based interventions can help prevent firearm deaths among children and teens. - Why is it important to address gun violence as a public health issue?
Answer: Addressing gun violence as a public health issue can help reduce the number of deaths and disparities in firearm deaths among children and teens.