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PEDIATRICS Vol. 106 No. 6 December 2000, pp. 1466-1469

Reexamining the Association Between Child Access Prevention Gun Laws and Unintentional Shooting Deaths of Children

Received Mar 20, 2000; accepted Sep 6, 2000.

Daniel W. Webster and Marc Starnes

From the Center for Gun Policy and Research, Johns Hopkins University School of Public Health, Baltimore, Maryland.

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.  Key words:  child access prevention laws, unintentional firearms deaths.


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