By Rosanna Smart

Background

Despite growing evidence about how state-level firearm regulations affect overall rates of injury and death, little is known about whether potential harms or benefits of firearm laws are evenly distributed across demographic subgroups. In this systematic review, we synthesized available evidence on the extent to which firearm policies produce differential effects by race and ethnicity on injury, recreational or defensive gun use, and gun ownership or purchasing behaviors.

Main body

We searched 13 databases for English-language studies published between 1995 and February 28, 2023 that estimated a relationship between firearm policy in the USA and one of eight outcomes, included a comparison group, evaluated time series data, and provided estimated policy effects differentiated by race or ethnicity. We used pre-specified criteria to evaluate the quality of inference and causal effect identification. By policy and outcome, we compared policy effects across studies and across racial/ethnic groups using two different ways to express effect sizes: incidence rate ratios (IRRs) and rate differences. Of 182 studies that used quasi-experimental methods to evaluate firearm policy effects, only 15 estimated policy effects differentiated by race or ethnicity. These 15 eligible studies provided 57 separate policy effect comparisons across race/ethnicity, 51 of which evaluated interpersonal violence. In IRR terms, there was little consistent evidence that policies produced significantly different effects for different racial/ethnic groups. However, because of different baseline homicide rates, similar relative effects for some policies (e.g., universal background checks) translated into significantly greater absolute differences in homicide rates among Black compared to white victims.

Conclusions

The current literature does not support strong conclusions about whether state firearm policies differentially benefit or harm particular racial/ethnic groups. This largely reflects limited attention to these questions in the literature and challenges with detecting such effects given existing data availability and statistical power. Findings also emphasize the need for additional rigorous research that adopts a more explicit focus on testing for racial differences in firearm policy effects and that assesses the quality of race/ethnicity information in firearm injury and crime datasets.

Inj Epidemiol. 2023; 10: 67.

By V A Pear , J P Schleimer , A J Aubel , S Buggs , C E Knoepke , R Pallin , A B Shev , E Tomsich , G J Wintemute , N Kravitz-Wirtz

Extreme risk protection orders (ERPOs) provide a civil mechanism to temporarily remove firearm access from individuals at high risk of harming themselves or others. Evidence and theory suggest that ERPOs can prevent firearm-related harm, but the policy's impact on racial/ethnic equity is largely unknown. To examine potential inequities by race/ethnicity in public perceptions and use of California's ERPO law, we drew on two complementary data sources: 1) a 2020 state-representative survey of California adults, and 2) ERPO court documents for the first 3 years of policy implementation (2016-2018). Majorities (54-89%) of all racial/ethnic groups reported that ERPOs are at least sometimes appropriate, and 64-94% were willing to ask a judge for an ERPO for a family member. However, Black and Hispanic/Latinx survey participants less often perceived ERPOs as appropriate and were less willing to serve as petitioners, with Black participants citing lack of knowledge about ERPOs and not trusting the system to be fair as their top reasons for unwillingness. Similarly, review of ERPO court documents revealed that no family or household members served as petitioners for Black and Hispanic/Latinx ERPO respondents. Additionally, Black respondents were the least likely to have documented access to a firearm and legal representation in court. Racial/ethnic equity in ERPO use may be improved by reducing barriers to petitioning, incorporating non-law enforcement intervention professionals like behavioral health specialists into the ERPO process, providing legal assistance to respondents and petitioners, and investing in the social safety net.

Prev Med. 2022 Dec;165(Pt A):107181. doi: 10.1016/j.ypmed.2022.107181. Epub 2022 Aug 6. PMID: 35940474.

By The Educational Fund to Stop Gun Violence, DC Justice Lab, Cities United, March for Our Lives, Community Justice Action Fund, Consortium for Risk-Based Firearm Policy, and Johns Hopkins Center for Gun Violence Prevention and Policy

This report urges us to think carefully about the relationship between gun violence prevention and racial equity. Racial equity impact assessments (REIAs), such as the assessment proposed in this report, guide advocates, policy makers, and researchers through a thorough examination of policies with an equity lens to anticipate the potential outcomes and mitigate foreseeable risks. It requires one to ask fundamental questions about when to justify involvement with the criminal legal system, identify the costs and benefits of engagement, and think about alternatives to minimize harm. This framework acknowledges that solutions to gun violence, however well intentioned they may be, can exacerbate or compound upon the harms suffered by impacted communities if they are made without careful analysis and the input of those directly affected by it. Gun violence affects everyone. It inflicts an enormous burden upon our country, particularly within under-resourced Black and Latino/Hispanic communities. The politics of guns and race have long been intertwined, but racial equity only recently became a focal point of discussions among gun violence prevention groups, catalyzed by the advocacy of community-based and BIPOC2-led organizations. In partnership with many stakeholders across the gun violence prevention movement, this racial equity framework is a resource that can be used by policymakers, researchers, and organizations working in gun violence prevention. Representatives from the six authoring organizations comprised a small working group to plan development of the report and convened a series of conversations to share proposals and review feedback from expert contributors. In addition to advancing racial equity, the core values of inclusion, collaboration, and consensus-building guided the project from early stages through completion. Building upon existing racial equity work and guidance, this report is informed by the public health model of social determinants of health and has been tailored to the specific needs of gun violence prevention. The tools and recommendations proposed in this report are derived from relevant academic literature, racial equity impact assessments, and frameworks for building more equitable social movements. The racial equity framework for gun violence prevention is divided into three main sections: The first section introduces the most relevant considerations about gun policy and race. It helps contextualize the issue of racial disparities in gun violence and the role of the criminal legal system. The second section is the racial equity impact assessment tool (REIA) for gun violence prevention policy. It includes the analysis of the foundational assessments that were considered to develop the tool and a practical explanation of each of the questions that comprise the REIA. The third section provides resources to build a more equitable gun violence prevention movement. It describes the need to center and invest in BIPOC-led organizations and presents a set of recommendations for developing and sustaining a more equitable gun violence prevention movement.

The Authors, 2022. 54p.