For Sept 25

(1) HEMENWAY: Chs. 2, 3 (pp. 8-63)


Haddon matrix (11-13): primary, secondary, tertiary prevention

lessons for firearm safety from motor vehicle safety

dichotomous worldview (20 => )

blaming the gun, animism

overall: what are key elements of public health approach - see also IOM/NRC


3 classes of injury deaths:

Thiking about public health outcomes and related risk factors: four parts here to start thinking about:
FIRST get in focus the specific outcome, what does it mean, what is a typical indicator;
SECOND what kinds of numbers or rates are we talking about
THIRD what seem to be relevant risk factors
FOURTH avenues to prevention (how preventable does this seem)


unintentional firearm fatalities: how many per year in US, victim characteristics

risk factors for accidental firearm deaths: individual, household, contextual


unintentional firearm shootings resulting in injuries


suicide by gun

firearm suicides as a percentage of all suicides

homicide by gun


assault with gun with injury

Firearm suicide attempts

42 - Cook's index and other proxies for ecological estimates of gun ownership levels

types of studies linking gun availability and homicide

firearm availability - what does it mean, why is it important, how is it measured?

gun use in crime

56 - DGU - defensive gun use:
This is a tricky and controversial but important topic, covered in several different places in the book. We will get into the nitty gritty of this next week, but just stick a pin in this idea and start thinking hard about
- CAN this be measured?
- what are the political implications of different estimates?

unprovoked brandishing aka hostile gun displays

secondary markets for guns

(2) IOM/NRC: 1-43

NOTE - the main reading I included this as a reading was so that
a) you could get a sense of CURRENT estimates of the current levels of various gun associated public health outcomes; and
b) see how current practitioners are framing the public health approach, specific strategies , and needed data

4 - risk and protective factors

6 - agent, host, environment

9 - national violent death reporting system -

13 - they begin introducing some important numbers here - let's talk about which ones are surprising and why

16 - why do we need a public health approach? Your responses?

17 - three elements of public health approach

18 - Haddon matrix again (see above)

23 on - just generally - what restrictions are researchers operating under?

29 - if you reduce the suicide by firearm rate do you reduce the oveall suicide rate?

35 on - organizing risk and protective factors: society level, community level, situational, individual level

(3) WEBSTER: Miller, Azrael and Hemenway "Firearms and violent death in the United States" pp 3-20

NOTE - this reading is assigned so you can get some current figures for

- how US compares to other countries

- firearm vs. non firearm deaths

- violent deaths and state gun ownership levels

In other words, please spend some time looking at each table, trying to understand it as best you can. We will explore the tables further in class and talk about using the information