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Bell R. Confronting School Shootings in America: The Pediatrician's Role. Pediatrics 2024; 153:e2023065281. [PMID: 38433663 DOI: 10.1542/peds.2023-065281] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/25/2024] [Indexed: 03/05/2024] Open
Affiliation(s)
- Rebecca Bell
- University of Vermont Children's Hospital, Burlington, Vermont
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Ellyson AM, Schleimer JP, Dalve K, Gause E, Weybright EH, Kuklinski MR, Oesterle S, Rowhani-Rahbar A. The association of alcohol use and heavy drinking with subsequent handgun carrying among youth from rural areas. J Rural Health 2024; 40:181-191. [PMID: 37534942 PMCID: PMC11000423 DOI: 10.1111/jrh.12789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 07/15/2023] [Accepted: 07/17/2023] [Indexed: 08/04/2023]
Abstract
PURPOSE Alcohol use and handgun carrying are more prevalent among youth in rural than urban areas and their association may be stronger among rural adolescents. Alcohol use may be modifiable with implications for reducing handgun carrying and firearm-related harm. We examined the association between lagged alcohol use and subsequent handgun carrying in rural areas and examined variation in the association by developmental stages, hypothesizing that it would be stronger among adolescents than youth adults. METHODS We used a longitudinal sample of 2,002 adolescents from ages 12 to 26 growing up in 12 rural communities in 7 states with surveys collected from 2004 to 2019. We estimated the association of lagged past-month alcohol use on handgun carrying in the subsequent 12 months using population-average generalized estimating equations with logistic regression on multiply imputed data. FINDINGS During adolescence (ages 12-18), those who drank heavily had 1.43 times the odds (95% CI = [1.01, 2.03]) of subsequent handgun carrying compared to those who did not drink alcohol, and those who consumed alcohol but did not drink heavily had 1.30 times the odds of subsequent handgun carrying compared to those who did not drink (95% CI = [0.98, 1.71]). During young adulthood (ages 19-26), associations of alcohol use (OR = 1.28; 95% CI = [0.94, 1.63]) and heavy drinking (OR = 1.38; 95% CI = [1.08, 1.68]) were similar to adolescence. CONCLUSIONS Alcohol use and subsequent handgun carrying were positively associated during adolescence and young adulthood among individuals who grew up in rural areas, similar to findings in urban areas. Reducing alcohol use may be an important strategy to prevent handgun carrying and firearm-related harm among young people in rural areas.
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Affiliation(s)
- Alice M. Ellyson
- Department of Pediatrics, University of Washington 1959 NE Pacific St. Box 356320, Seattle, WA 98195-6320, United States
- Center for Child Health, Behavior, and Development, Seattle Children’s Research Institute M/S CW8-5, PO BOX 5371, Seattle, WA 98145-5005, United States
| | - Julia P. Schleimer
- Department of Epidemiology, University of Washington Box 351619, Department of Epidemiology, University of Washington, Seattle, WA, United States
| | - Kimberly Dalve
- Department of Epidemiology, University of Washington Box 351619, Department of Epidemiology, University of Washington, Seattle, WA, United States
| | - Emma Gause
- Department of Epidemiology, University of Washington Box 351619, Department of Epidemiology, University of Washington, Seattle, WA, United States
| | - Elizabeth H. Weybright
- Department of Human Development, Washington State University 512 Johnson Tower, PO Box 644852, Pullman, WA 99164-4852, United States
| | - Margaret R. Kuklinski
- Social Development Research Group, School of Social Work, University of Washington 9725 Third Ave NE, Ste 401, Seattle, WA 98115, United States
| | - Sabrina Oesterle
- Southwest Interdisciplinary Research Center, School of Social Work, Arizona State University 201 N Central Ave, Floor 33, Phoenix, AZ 85004, United States
| | - Ali Rowhani-Rahbar
- Department of Pediatrics, University of Washington 1959 NE Pacific St. Box 356320, Seattle, WA 98195-6320, United States
- Department of Epidemiology, University of Washington Box 351619, Department of Epidemiology, University of Washington, Seattle, WA, United States
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