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Children in Very Low-Opportunity ZIP Codes Face Up to 20x Higher Odds of Gun Injury Hospitalization

The multi-state analysis identifies unintentional shootings as the dominant mechanism.

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Overview

  • Published in Pediatrics, the study examined nearly 7,000 pediatric firearm-related hospital encounters from 2016–2021 across Florida, Maryland, New York and Wisconsin.
  • Children living in very low-opportunity neighborhoods had dramatically elevated risk of hospitalization, reaching as high as 20 times the odds seen in the most advantaged areas.
  • Unintentional shootings accounted for roughly 57–63% of hospitalizations, with assaults comprising 32–39% and self-inflicted injuries 1–7%.
  • Hot spots clustered in disadvantaged areas, with 28% of ZIP codes in very low-opportunity neighborhoods identified as hot spots versus 5% in very high-opportunity areas.
  • Researchers recommend safe storage, firearm safety education and Child Access Prevention laws, and they note the data include only cases that reached acute-care hospitals.