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1.
AJS ; 128(5): 1529-1571, 2023 Mar.
Article in English | MEDLINE | ID: mdl-38298548

ABSTRACT

This paper examines causal sibling spillover effects among students from different family backgrounds in elementary and middle school. Family backgrounds are captured by race, household structure, mothers' educational attainment, and school poverty. Exploiting discontinuities in school starting age created by North Carolina school-entry laws, we adopt a quasi-experimental approach and compare test scores of public school students whose older siblings were born shortly before and after the school-entry cutoff date. We find that individuals whose older siblings were born shortly after the school-entry cutoff date have significantly higher test scores in middle school, and that this positive spillover effect is particularly strong in disadvantaged families. We estimate that the spillover effect accounts for approximately one third of observed statistical associations in test scores between siblings, and the magnitude is much larger for disadvantaged families. Our results suggest that spillover effects from older to younger siblings may lead to greater divergence in academic outcomes and economic inequality between families.

2.
JAMA Netw Open ; 5(12): e2246434, 2022 12 01.
Article in English | MEDLINE | ID: mdl-36512362
3.
JAMA ; 328(12): 1191-1192, 2022 09 27.
Article in English | MEDLINE | ID: mdl-36166010

ABSTRACT

This Viewpoint discusses the history and current status of assault weapons bans in the US, provides evidence of the potential effectiveness of a US ban and information regarding the Australian ban, and explores potential next steps.


Subject(s)
Crime Victims , Firearms , Crime Victims/legislation & jurisprudence , Firearms/legislation & jurisprudence , Humans , Weapons/legislation & jurisprudence
4.
Prev Med ; 165(Pt A): 107129, 2022 12.
Article in English | MEDLINE | ID: mdl-35803350

ABSTRACT

For every fatal shooting in the United States, detailed information from reports of coroners or medical examiners, police departments, and other sources is recorded in the National Violent Death Reporting System. There is no such system in place for nonfatal shootings, which far outnumber fatalities. Hospital data systems are in place that could, with some improvements, provide access to reliable local, state and national estimates of firearm injuries. Such estimates are possible because most firearms injuries are treated in hospitals, and hospitals routinely assign "external cause of injury" codes to all injury encounters. Federal health agencies supervise a number of data systems that centralize hospital data. Challenges currently being addressed are public access, timeliness, and accuracy of coding of intent. (Hospitals misclassify many firearm assaults as accidents.) Law enforcement agencies provide detailed data on shootings in criminal circumstances, including shootings that are not treated in a hospital. The FBI's Uniform Crime Reports (UCR) system aggregates data from agencies. The FBI instituted a radical reform of this system beginning in 2021, resulting in a sharp agency participation drop that prevents valid national estimates. The reform requires agencies to report incident-level data instead of summary counts, which is all that was required for the previous 90 years. There are ongoing efforts to increase participation in the new system and restore its former status as the leading source of national crime estimates. In the meantime, data on nonfatal gunshot cases are available from a number of police departments. We discuss additional reforms needed to generate timely, accurate, publicly accessible data from hospitals and police.


Subject(s)
Firearms , Suicide , Wounds, Gunshot , Humans , United States/epidemiology , Homicide , Wounds, Gunshot/epidemiology , Violence , Cause of Death
5.
6.
Proc Natl Acad Sci U S A ; 119(6)2022 02 08.
Article in English | MEDLINE | ID: mdl-35101975

ABSTRACT

Early life exposure to environmental lead (Pb) has been linked to decreased IQ, behavior problems, lower lifetime earnings, and increased criminal activity. Beginning in the 1970s, limits on Pb in paint, gasoline, food cans, and regulated water utilities sharply curtailed US environmental Pb exposure. Nonetheless, hundreds of thousands of US children remain at risk. This study reports on how unregulated private well water is an underrecognized Pb exposure source that is associated with an increased risk of teenage juvenile delinquency. We build a longitudinal dataset linking blood Pb measurements for 13,580 children under age 6 to their drinking water source, individual- and neighborhood-level demographics, and reported juvenile delinquency records. We estimate how early life Pb exposure from private well water influences reported delinquency. On average, children in homes with unregulated private wells had 11% higher blood Pb than those with community water service. This higher blood Pb was significantly associated with reported delinquency. Compared to children with community water service, those relying on private wells had a 21% (95% CI: 5 to 40%) higher risk of being reported for any delinquency and a 38% (95% CI: 10 to 73%) increased risk of being reported for serious delinquency after age 14. These results suggest that there could be substantial but as-yet-unrecognized social benefits from intervention programs to prevent children's exposure to Pb from private wells, on which 13% of the US population relies.


Subject(s)
Drinking Water , Environmental Exposure/adverse effects , Juvenile Delinquency , Lead/toxicity , Water Pollutants, Chemical/toxicity , Child , Child, Preschool , Female , Humans , Infant , Male , Risk Factors , United States/epidemiology
7.
Prev Med ; 143: 106381, 2021 02.
Article in English | MEDLINE | ID: mdl-33358736

ABSTRACT

Just one in ten nonfatal shootings in Chicago lead to an arrest. Unlike in fatal cases, gunshot victims who survive can often provide information of use in the police investigation. Nonetheless, nonfatal shooting cases in Chicago and elsewhere have much lower arrest rates than fatal cases, in part because most victims do not cooperate. We use data from the Chicago Inmate Survey (CIS) to analyze the potential value that gunshot-victim cooperation could have for increasing arrest rates. Half of CIS respondents reported they had been shot before. Very few cooperated with police investigations of these shootings, although at least half of them could have provided useful information. In fact, victims were more likely to speak with the police when they did not have any information on their shooter. Respondents explained their choice not to cooperate by reference to "street codes" against snitching, mistrust of the police, and the desire to retaliate against the shooter personally. If more shooting victims could be persuaded to cooperate, the police could solve more cases and hence be more effective in curtailing gun violence.


Subject(s)
Gun Violence , Wounds, Gunshot , Chicago , Humans , Police , Surveys and Questionnaires
8.
J Urban Health ; 98(5): 596-608, 2021 10.
Article in English | MEDLINE | ID: mdl-32888157

ABSTRACT

New York City (NYC) has experienced large reductions in violent crime over the last two decades, but gun-related violence continues to pose a threat to public safety. Despite strong gun laws, high-risk individuals in NYC neighborhoods are unfortunately still able to access and misuse firearms. This research analyzes NYC's underground gun market by closely examining the flow of guns into the two boroughs where gun violence and crime gun recoveries are most prevalent: the Bronx and Brooklyn. A mixed methods approach is utilized that consists of an assessment of firearms trace data and in-depth interviews with individuals considered to be at high risk for involvement in gun violence. Findings suggest that guns recovered in the Bronx and Brooklyn were significantly more likely to originate in states with less restrictive gun laws and more likely to have changed ownership in unregulated transactions relative to guns recovered elsewhere in NYC. Interviews revealed three primary avenues for illegal guns reaching Bronx and Brooklyn neighborhoods: high-volume gun brokers, middlemen, and individuals who make episodic low-level acquisitions from straw purchasers in other states. No subjects identified theft as a meaningful source of crime guns.


Subject(s)
Firearms , Gun Violence , Commerce , Crime , Humans , Ownership
9.
Proc Natl Acad Sci U S A ; 117(29): 16898-16907, 2020 07 21.
Article in English | MEDLINE | ID: mdl-32631989

ABSTRACT

Although the Flint, Michigan, water crisis renewed concerns about lead (Pb) in city drinking water, little attention has been paid to Pb in private wells, which provide drinking water for 13% of the US population. This study evaluates the risk of Pb exposure in children in households relying on private wells. It is based on a curated dataset of blood Pb records from 59,483 North Carolina children matched with household water source information. We analyze the dataset for statistical associations between children's blood Pb and household drinking water source. The analysis shows that children in homes relying on private wells have 25% increased odds (95% CI 6.2 to 48%, P < 0.01) of elevated blood Pb, compared with children in houses served by a community water system that is regulated under the Safe Drinking Water Act. This increased Pb exposure is likely a result of corrosion of household plumbing and well components, because homes relying on private wells rarely treat their water to prevent corrosion. In contrast, corrosion control is required in regulated community water systems. These findings highlight the need for targeted outreach to prevent Pb exposure for the 42.5 million Americans depending on private wells for their drinking water.


Subject(s)
Drinking Water/standards , Lead Poisoning, Nervous System, Childhood/epidemiology , Lead/blood , Private Sector/statistics & numerical data , Public Sector/statistics & numerical data , Water Wells , Child, Preschool , Female , Humans , Infant , Male , North Carolina , Water Purification/economics , Water Purification/statistics & numerical data
10.
J Urban Health ; 96(5): 784-791, 2019 10.
Article in English | MEDLINE | ID: mdl-31144102

ABSTRACT

Guns that are used in crime and recovered by the police typically have changed hands often since first retail sale and are quite old. While there is an extensive literature on "time to crime" for guns, defined as the elapsed time from first retail sale to known use in a crime, there is little information available on the duration of the "last link"-the elapsed time from the transaction that actually provided the offender with the gun in question. In this article, we use data from the new Chicago Inmate Survey (CIS) to estimate the duration of the last link. The median is just 2 months. Many of the gun-involved respondents to the CIS (42%) did not have any gun 6 months prior to their arrest for the current crime. The CIS respondents were almost all barred from purchasing a gun from a gun store because of their prior criminal record-as a result, their guns were obtained by illegal transactions with friends, relatives, and the underground market. We conclude that more effective enforcement of the laws governing gun transactions may have a quick and pervasive effect on gun use in crime.


Subject(s)
Criminals/statistics & numerical data , Firearms/statistics & numerical data , Chicago , Commerce/statistics & numerical data , Crime/statistics & numerical data , Humans , Male , Police , Surveys and Questionnaires , Time Factors
11.
Ann Intern Med ; 169(10): 723-724, 2018 11 20.
Article in English | MEDLINE | ID: mdl-30383127
12.
J Urban Health ; 95(3): 337-343, 2018 06.
Article in English | MEDLINE | ID: mdl-29671187

ABSTRACT

Intimate partner homicide (IPH) is a critical public health and safety issue in the USA. In this study, we determine the prevalence and correlates of perpetrator suicide and additional homicides following intimate partner homicide (IPH) in a large, diverse state with high quality data. We extract IPHs from the North Carolina Violent Death Reporting System for 2004-2013 and identify suicides and other homicides that were part of the same incidents. We analyze the likelihood (in odds ration form) of perpetrator suicide and additional homicides using logistic regression analysis. Almost all IPH-suicide cases were by men with guns (86.6%). Almost one-half of IPHs committed by men with guns ended with suicide. Male-perpetrated IPH incidents averaged 1.58 deaths if a gun was used, and 1.14 deaths otherwise. It is well-known that gun access increases the chance that a violent domestic relationship will end in death. The current findings demonstrate that gun IPH is often coupled with additional killings. As suicidal batterers will not be deterred from IPH by threat of punishment, the results underline the importance of preemption by limiting batterers' access to guns.


Subject(s)
Domestic Violence/statistics & numerical data , Domestic Violence/trends , Homicide/statistics & numerical data , Homicide/trends , Intimate Partner Violence/statistics & numerical data , Intimate Partner Violence/trends , Suicide/statistics & numerical data , Suicide/trends , Adult , Age Distribution , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , North Carolina , Population Surveillance , Sex Distribution
13.
J Urban Health ; 95(3): 305-312, 2018 06.
Article in English | MEDLINE | ID: mdl-29675608

ABSTRACT

Some law enforcement officials and other observers have asserted that theft is the primary source of guns to crime. In fact, the role of theft in supplying the guns used in robbery, assault, and murder is unknown, and current evidence provides little guidance about whether an effective program to reduce gun theft would reduce gun violence. The current article analyzes publicly available national data on gun theft together with a unique data set for Chicago. The results tend to support a conclusion that stolen guns play only a minor role in crime. First, publicly available data are used to calculate that thefts are only about 1% of all gun transactions nationwide. Second, an analysis of original data from Chicago demonstrates that less than 3% of crime guns recovered by the police have been reported stolen to the Chicago Police Department (CPD). If a gun is reported stolen, there is a 20% chance that it will be recovered, usually in conjunction with an arrest for illegal carrying. Less than half of those picked up with a stolen gun have a criminal record that includes violent offenses. Third, results from surveys of convicted criminals, both nationally and in Chicago, suggest that it is rare for respondents to have stolen the gun used in their most recent crime. The data on which these results are based have various shortcomings. A research agenda is proposed that would provide more certainty about the role of theft.


Subject(s)
Criminals/statistics & numerical data , Firearms/legislation & jurisprudence , Gun Violence/prevention & control , Gun Violence/statistics & numerical data , Law Enforcement/methods , Theft/legislation & jurisprudence , Theft/prevention & control , Adult , Aged , Aged, 80 and over , Chicago , Female , Firearms/statistics & numerical data , Humans , Male , Middle Aged , Program Evaluation , Public Policy , Surveys and Questionnaires , Theft/statistics & numerical data
14.
JAMA Netw Open ; 1(3): e180833, 2018 07 06.
Article in English | MEDLINE | ID: mdl-30646040

ABSTRACT

Importance: A foundational issue in firearms policy has been whether the type of weapon used in an assault affects the likelihood of death. Objective: To determine whether the likelihood of death from gunshot wounds inflicted in criminal assaults is associated with the power of the assailant's firearm as indicated by its caliber. Design, Setting, and Participants: Cross-sectional study with multivariate analysis of data on shooting cases extracted by the authors from police investigation files for assaults that took place in Boston, Massachusetts, between January 1, 2010, and December 31, 2014. These data were analyzed between October 1, 2017, and February 18, 2018. In all cases the victim sustained 1 or more gunshot wounds in circumstances that the Boston Police Department deemed criminal. The working sample included all 221 gun homicides and a stratified random sample of 300 nonfatal cases drawn from the 1012 that occurred during the 5-year period. Seven nonfatal cases were omitted because they had been misclassified. Exposures: The primary source of variation was the caliber of the firearm used to shoot the victim. Main Outcomes and Measures: Whether the victim died from the gunshot wound(s). Results: The final sample of 511 gunshot victims and survivors (n = 220 fatal; n = 291 nonfatal) was predominantly male (n = 470 [92.2%]), black (n = 413 [80.8%]) or Hispanic (n = 69 [13.5%]), and young (mean [SD] age, 26.8 [9.4] years). Police investigations determined firearm caliber in 184 nonfatal cases (63.2%) and 183 fatal cases (83.2%). These 367 cases were divided into 3 groups by caliber: small (.22, .25, and .32), medium (.38, .380, and 9 mm), or large (.357 magnum, .40, .44 magnum, .45, 10 mm, and 7.62 × 39 mm). Firearm caliber had no systematic association with the number of wounds, the location of wounds, circumstances of the assault, or victim characteristics, as demonstrated by χ2 tests of each cluster of variables and by a comprehensive multinomial logit analysis. A logit analysis of the likelihood of death found that compared with small-caliber cases, medium caliber had an odds ratio of 2.25 (95% CI, 1.37-3.70; P = .001) and large caliber had an odds ratio of 4.54 (95% CI, 2.37-8.70; P < .001). Based on a simulation using the logit equation, replacing the medium- and large-caliber guns with small-caliber guns would have reduced gun homicides by 39.5%. Conclusions and Relevance: Firearms caliber was associated with the likelihood of death from gunshot wounds in criminal assault. Shootings with larger-caliber handguns were more deadly but no more sustained or accurate than shootings with smaller-caliber handguns. This conclusion is of direct relevance to the design of gun policy.


Subject(s)
Firearms , Gun Violence , Wounds, Gunshot/mortality , Adult , Boston , Crime , Cross-Sectional Studies , Female , Humans , Male , Time Factors
18.
Am J Public Health ; 107(8): 1324-1328, 2017 08.
Article in English | MEDLINE | ID: mdl-28640677

ABSTRACT

OBJECTIVES: To investigate the validity of the apparent downward trend in the national case-fatality rate for gunshot wounds from assault. METHODS: We reanalyzed the estimated annual number of nonfatal firearm injuries the National Electronic Injury Surveillance System reported from 2003 to 2012. We adjusted the estimates for discontinuities created by the substitution of 1 hospital for another in the sample and for a downward trend in the percentage of gunshot injuries classified as "unknown circumstance." Firearm homicide data are from the Centers for Disease Control and Prevention, Web-based Injury Statistics Query and Reporting System. RESULTS: The unadjusted National Electronic Injury Surveillance System estimate increased by 49%, yielding a decline in the case-fatality rate from 25% to 18%. Our adjustments eliminated these trends; the case-fatality rate was 22% in both 2003 and 2012. CONCLUSIONS: With reasonable adjustments, the trend in nonfatal injuries from interpersonal firearms assault tracks the flat trend in firearms homicides, suggesting that there was no increase in firearms violence during this period. The case-fatality rate did not change, and trauma care improvements did not influence the firearms homicide trend.


Subject(s)
Mortality/trends , Wounds, Gunshot/mortality , Databases, Factual , Hospitals , Humans , United States/epidemiology
19.
Science ; 355(6327): 803, 2017 Feb 24.
Article in English | MEDLINE | ID: mdl-28232542
20.
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