Gun Free Zones in Alcohol-Serving Establishments and Risk for Firearm Violence: A Cross-Sectional, Geospatial Study in Texas.

IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Paul M Reeping, Hannah S Laqueur, Rose M C Kagawa
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Abstract

To date, there have been no peer-reviewed studies in the United States estimating the impact of gun-free zone policies in alcohol-serving establishments on rates of firearm violence in and around such establishments. In this study, we utilized a cross-sectional design to estimate the impact of Texas's 51% alcohol law, which prohibits the carrying of firearms in establishments that generate over half of their revenue from alcohol sales. The analysis focused on the difference in shooting incidents in and around establishments with and without firearm carrying prohibitions in 2021 and 2022. After adjusting for establishment type (bar/restaurant), alcohol sales volume, census tract level demographic factors, and the number of nearby restaurants and bars, results indicated that gun-prohibiting bars experienced significantly fewer shootings compared to those that allowed guns. Specifically, establishments that were gun-prohibited had 37% fewer shootings within 50 m than those that were gun-allowing, with a 95% confidence interval ranging from 60% fewer to 0.2% fewer. This association was more prominent in bars than in restaurants. The protective association with gun-prohibited status diminished with increased distance from the establishments; results were not significant at 100 m. Our study findings align with research suggesting that gun-free zones can reduce firearm violence. However, future studies using quasi-experimental designs that can better support causal inference are needed to support such a conclusion, as are studies exploring the efficacy of such policies in various settings and over longer periods.

酒类供应场所的无枪区与枪支暴力风险:德克萨斯州的一项横断面地理空间研究。
迄今为止,美国还没有同行评议研究估计过酒类供应场所的无枪区政策对此类场所内及周边枪支暴力事件发生率的影响。在本研究中,我们采用横截面设计来估算得克萨斯州 51% 酒精法的影响,该法禁止在酒类销售收入超过一半的场所携带枪支。分析的重点是 2021 年和 2022 年禁止携带枪支和不禁止携带枪支的场所及其周围发生的枪击事件的差异。在对场所类型(酒吧/餐馆)、酒类销售量、人口普查区人口因素以及附近餐馆和酒吧的数量进行调整后,结果表明,与允许持枪的场所相比,禁止持枪的酒吧发生的枪击事件要少得多。具体而言,与允许持枪的场所相比,禁止持枪的场所在 50 米范围内发生的枪击事件要少 37%,95% 的置信区间从少 60% 到少 0.2% 不等。这种关联在酒吧比在餐馆更为突出。与禁枪区的保护性关联随着与禁枪区距离的增加而减弱;在距离禁枪区 100 米时,结果并不显著。然而,未来的研究还需要使用准实验设计来更好地支持因果推论,以支持这一结论,同时还需要研究探索此类政策在不同环境和较长时间内的有效性。
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来源期刊
Journal of Urban Health-Bulletin of the New York Academy of Medicine
Journal of Urban Health-Bulletin of the New York Academy of Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
3.00%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Journal of Urban Health is the premier and authoritative source of rigorous analyses to advance the health and well-being of people in cities. The Journal provides a platform for interdisciplinary exploration of the evidence base for the broader determinants of health and health inequities needed to strengthen policies, programs, and governance for urban health. The Journal publishes original data, case studies, commentaries, book reviews, executive summaries of selected reports, and proceedings from important global meetings. It welcomes submissions presenting new analytic methods, including systems science approaches to urban problem solving. Finally, the Journal provides a forum linking scholars, practitioners, civil society, and policy makers from the multiple sectors that can influence the health of urban populations.
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