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Keeping Children Safe at Home: Parent Perspectives to Firearms Safety Education Delivered by Pediatric Providers
Annalyn S DeMello1, Eric H Rosenfeld1, Brian Whitaker1
1From the Department of Pediatric Surgery, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas.
Insights
Parents are receptive to pediatricians discussing firearms safety, with most owners storing guns securely. This indicates a key opportunity for healthcare providers to deliver crucial gun safety education.
Area of Science:
- Pediatric Health
- Public Health
- Firearms Safety Education
Background:
- Firearms are a leading cause of death and injury among children in the United States.
- There is a need to understand parental attitudes towards firearms safety education in clinical settings.
- Assessing parental engagement in firearms safety dialogues and storage practices is crucial for injury prevention.
Purpose of the Study:
- To evaluate parent acceptance of firearms education provided by clinical professionals.
- To determine if parents discuss firearms safety with their children.
- To examine the motivations behind firearm ownership and current storage behaviors.
Main Methods:
- A survey was administered to parents of children aged 0–18 years in a Texas pediatric inpatient setting.
- Data collected included demographics, acceptance of safety advice, current behaviors, and storage practices.
- Statistical analysis, including Fisher exact and chi-squared tests, compared responses between firearm owners and non-owners.
Main Results:
- 41% of 115 surveyed parents owned firearms.
- A majority of parents were receptive to pediatrician's gun safety advice (67%), safety videos (59%), and firearm locks (69%).
- Firearm owners were more likely to discuss gun safety with children than non-owners (P=0.004). Most owners stored firearms unloaded (75%) with safety devices (95%).
Conclusions:
- Discussions about firearms safety in healthcare settings are generally well-received by parents, irrespective of firearm ownership.
- Healthcare providers have a significant opportunity to deliver effective and efficient firearms safety education.
- Parental acceptance suggests that clinical settings can be a viable venue for promoting safer firearm storage and practices.
Objectives:
The aims of this study were to assess parent acceptance of firearms education delivered by clinical providers, determine whether parents engage in firearms safety dialog with their children, and evaluate reasons for ownership and storage behaviors.
Methods:
The parents of children ages 0 to 18 years completed surveys while in a pediatric inpatient setting in Texas. Demographics, acceptability, current behaviors, and storage practices were queried. Responses between firearms owners and nonowners were analyzed using the Fisher exact and χ2 tests.
Results:
Of the 115 parents who completed surveys, 41% reported owning firearms. Most parents were likely or highly likely to follow their pediatrician's gun safety advice (67%), were accepting of safety videos in waiting rooms (59%), and accepted firearms locks distributed by clinical providers (69%). Nonowners were less likely than owners to have spoken to their children about gun safety (P = 0.004). Parents owned firearms for self-protection and recreation (50%), self-protection only (38%), or recreation only (12%). Owners stored them unloaded (75%), used safety devices (95%), and stored them in the closet of the master bedroom (54%).
Conclusions:
Talking about firearms safety in a healthcare setting was not a contentious issue in the majority of our sample. Parents were accepting of provider-led firearms guidance regardless of ownership status. This provides an opportunity for providers to focus on effective messaging and time-efficient delivery of firearms safety education.
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