States with strictest firearm laws have lowest rates of gun deaths, Boston Children’s Hospital study finds

As Congress debates whether to toughen the nation’s gun laws, a study from Boston Children’s Hospital found that states with the highest number of gun laws have the lowest rate of gun deaths due to homicides and suicides.

The research, published online Wednesday in the journal JAMA Internal Medicine, analyzed gun laws in all 50 states as well as the total number of gun-related deaths in each state from 2007 through 2010. It found that fatality rates ranged from a high of 17.9 per 100,000 people in Louisiana — a state among those with the fewest gun laws — to a low of 2.9 per 100,000 in Hawaii, which ranks sixth for its number of gun restrictions. Massachusetts, which the researchers said has the most gun restrictions, had a gun fatality rate of 3.4 per 100,000.


“Critics of gun laws have said that gun laws don’t work, but our research indicates the opposite,’’ said study leader Dr. Eric Fleegler, a pediatric emergency medicine physician at Boston Children’s Hospital. “In states with the most laws, we found a dramatic decreased rate in firearm fatalities, though we can’t say for certain that these laws have led to fewer deaths.’’

Previous research evaluating the association between firearm laws and a reduction in gun-related injuries and fatalities have yielded mixed results, but most have focused on one or two specific laws rather that the total amount of restrictions in a given state. A Georgetown University study found that mandating background checks for gun purchases, for example, was linked to reduced suicide rates in those over age 55 but did not reduce murder rates or suicide rates in younger people.

The new study found that states with the most laws had a 37 percent lower rate of suicides by firearm and a 40 percent lower rate of homicides compared with those with the fewest laws.

But the researchers did not measure whether death rates dropped in states after they enacted new legislation because such data do not exist, according to Fleegler. Instead, they assigned each state a score based on its total number of gun purchasing and ownership requirements. Massachusetts had the highest score of 24 points for its 24 different gun regulations, including background checks, child safety trigger locks, a ban on military-style assault weapons, and not allowing guns in public places. Louisiana and Alaska, with scores of 1, ranked first and second for death rates.


The study drew praise from Massachusetts gun-control advocates, who said the findings buttress what they have been saying for years.

“It’s one of the most comprehensive studies I’ve seen, and I’ve looked at a lot of them,’’ said state Representative David Linsky, a Natick Democrat who has filed a bill to tighten the Massachusetts gun laws even further. “It becomes very clear that those states with stronger gun-violence prevention laws have lower firearm death rates.’’

Linsky’s bill would require gun owners to purchase liability insurance, better access to mental health records, a 25 percent sales tax on guns and ammunition to be funneled to mental-health services, and closing a loophole that allows ownership of military-style assault weapons manufactured before 1994, when the state banned such guns.

Governor Deval Patrick also has filed gun-control legislation. His bill, which includes some of the provisions in Linsky’s legislation, would limit gun purchases to one firearm a month and create four new categories of firearms crimes. The governor also seeks to improve electronic monitoring of private gun sales by requiring that they occur at the business of a licensed dealer.

The report also received praise from the Brady Campaign, a Washington-based gun control group that collected some of the data used by the study researchers.

“The American people know we can solve this problem if we build the science base like we have on other public health issues and hold our elected officials accountable for implementing solutions that work,’’ the group said in a statement.


John Rosenthal, the founder and chairman of Newton-based Stop Handgun Violence, called the study a victory for “common sense.’’

“Gun laws work to reduce injury and death from gun violence,’’ Rosenthal said. “It’s a public health crisis, and the politics has taken precedence over public safety. This report treats guns like pharmaceutical drugs or cars — they’re inherently dangerous.’’

However, legislators who might be looking for new research to help guide them in determining which laws work best will not get much help from this new study because the researchers could not determine which regulations were likely to have the most impact.

“We didn’t have that precision data,’’ Fleegler said. “We couldn’t test individual interventions or whether city laws had any impact.’’

Gun owner advocates can point to the study’s limitations as a reason to disregard its findings. “I think it’s incorrect to draw any real conclusions from this study,’’ said Jim Wallace, executive director of the Northborough-based Gun Owners’ Action League. “States with the greatest number of drug crimes may also be those with the fewest gun laws.’’

The tough gun laws in Massachusetts do not appear to have made much difference in reducing deaths and injuries from guns. Murders committed with firearms, gun-related assaults and robberies, and gunshot injuries have all risen since the state passed a comprehensive package of gun laws in 1998, according to FBI and state data.

In an editorial that accompanied the study, Dr. Garen J. Wintemute, a University of California, Davis emergency medicine physician, cautioned that this type of study is “inherently weak’’ and that a correlation between more laws and fewer deaths does not show cause and effect.

The federal Centers for Disease Control and Prevention used to have a research program dedicated to the study of gun violence, but that disappeared more than a decade ago.

“Today, with almost no funding for firearm violence research, there are almost no researchers,’’ Wintemute added. “Until we revitalize firearm violence research, studies using available data will often be the best we have. They are not good enough.’’

In the 1990s, the CDC conducted a limited study that compared firearms laws and gun violence in fewer than 10 states, Rosenthal said. That analysis also showed a correlation between more gun laws and less violence, he added.

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