Backgroud Firearm injuries are a significant public health problem facing young people in the USA. In 2015, a total of 16 878 people under 19 years old were injured or killed by firearms. To reduce firearm injuries, 29 states and Washington, DC have enacted child access prevention (CAP) legislation. CAP legislation is intended to reduce the likelihood of a minor obtaining a weapon and subsequent injury or death. This study evaluates the impact of CAP legislation based on language of the legislation, specifically it evaluates a relationship of the legal threshold of liability and the number of firearm injuries per capita of minors. Methods Data were collected from the Web-based Injury Statistics Query and Reporting System for patients less than 19 years of age who presented to emergency departments with firearm injuries in 2016. The Giffords Law Center classification was used to group states into three categories ( strong / weak / no CAP ) based on CAP language. Differences of firearm-related injury rates per capita were assessed. Results When controlling for population, states with CAP legislation had a 22% decrease in firearm injuries per capita compared with states without CAP legislation. States with ‘strong’ CAP legislation had a 41% decrease in firearm injuries per capita compared with states with ‘weak’ or no CAP legislation when controlling for population. Conclusions States with ‘strong’ CAP legislation had lower pediatric firearm injury rates per capita, but more complete data and further studies are needed to evaluate this relationship as well as other factors that may impact firearm injury rates. Data are available in a public, open access repository. The data that support the findings of this study are openly available in the Web-based Injury Statistics Query and Reporting System (WISQARS) at .

中文翻译：

---

防止儿童接触立法语言和儿童枪支伤害率

背景 枪伤是美国年轻人面临的一个重大公共卫生问题。2015 年，共有 16878 名 19 岁以下的人因枪支伤亡。为减少枪支伤害，29 个州和华盛顿特区颁布了儿童接触预防 (CAP) 立法。CAP 立法旨在降低未成年人获得武器和随后受伤或死亡的可能性。本研究根据立法语言评估 CAP 立法的影响，特别是评估法律责任门槛与未成年人人均枪支伤害数量之间的关系。方法 从网络伤害统计查询和报告系统中收集 2016 年因枪击伤到急诊室就诊的 19 岁以下患者的数据。Giffords 法律中心分类用于根据 CAP 语言将各州分为三类（强/弱/无 CAP）。评估了人均枪支相关伤害率的差异。结果 在控制人口时，与没有 CAP 立法的州相比，有 CAP 立法的州人均枪支伤害减少了 22%。在控制人口时，与“弱”或没有 CAP 立法的州相比，拥有“强”CAP 立法的州人均枪支伤害减少了 41%。结论 拥有“强有力的”CAP 立法的州人均儿童枪支伤害率较低，但需要更完整的数据和进一步的研究来评估这种关系以及可能影响枪支伤害率的其他因素。数据可在公共、开放访问的存储库中获得。.