Background/Purpose: Increased morbidity and mortality rates in childre
n injured by firearms has been well documented during this past decade
. The aim of this study was to determine the socioeconomic factors aff
ecting firearm ownership in families with children living in suburban/
rural versus inner-city environments, and to identify predictors oi fi
rearm ownership in these families. Methods: Parents of children less t
han 19 years old seen in a suburban (n = 751) or inner-city hospital (
n = 406) anonymously completed a questionnaire regarding firearm owner
ship. Results: Firearm ownership was 54% in rural locations, versus 18
% among inner-city residents (P < .05). Firearm ownership in while hou
seholds was 45% versus 20% in African-American households (P < .05). M
ean number of all types of firearms in white households was 3.38 versu
s 1.78 in black households (P < .001). Firearm ownership was 19% in th
e less than $20,000 income bracket, significantly lower than household
s with greater incomes: and was significantly lower in households in w
hich parents had the least education (19.7%) versus those with college
degrees (38.5%; P < .05). Firearm owners of rifles and shotguns signi
ficantly more often cited hunting, collection, and target shooting as
reasons for owning firearms, in contrast to revolver owners who cited
protection and collection as reasons for firearm ownership (P < .05).
Conclusions: Firearm ownership is higher in rural, caucasian versus in
ner-city African-American residents and is significantly less in house
holds with lower income and educational levels. Significant predictors
for firearm ownership were number of parents in households, education
al level of parents, and population of residence. Copyright (C) 1998 b
y W.B. Saunders Company.