@article{ref1,
title="Engagement with preventive health behaviors and safe firearm storage practices using the 2017 Behavioral Risk Factor Surveillance System",
journal="American journal of health promotion",
year="2023",
author="Asa, Nicole and Buchbinder, Stephanie A. and Bonnell, Tyler and Mills, Brianna and Littman, Alyson",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="PURPOSE: "Behavioral bundling" is a theory that explains how some health behaviors reinforce one another. This study aims to investigate the relationship between preventive health behaviors (PHBs) and safe firearm storage.
DESIGN: This study used a cross-sectional design using 2017 Behavioral Risk Factor Surveillance Survey data. SETTING: Survey participants resided in California, Idaho, Kansas, Oregon, Texas, and Utah. SUBJECTS: There were 12,817 people living in households with a firearm included in this study. MEASURES: We classified individuals' engagement in 5 PHBs: cholesterol screening, influenza immunization, physical activity, primary care, and seatbelt use. We defined safe firearm storage as storing a firearm unloaded, or loaded but locked. ANALYSIS: Using Poisson regression models, we calculated adjusted prevalence ratios (aPRs) to estimate the association between engagement in the five PHBs with safe firearm storage.
RESULTS: Most firearm owners reported safe firearm storage (80.3%). The prevalence of safe firearm storage was 3% higher for each additional PHB engaged in (aPR = 1.03 [1.01, 1.05]). There was a higher prevalence of safe firearm storage among those who always wore a seatbelt while driving or riding in a car compared to those who did not (aPR = 1.12 [1.05, 1.18]).
CONCLUSION: This study found preliminary evidence to suggest that engagement in seatbelt usage may be bundled with safe firearm storage, though we are not able to determine causality. Language: en
",
language="en",
issn="0890-1171",
doi="10.1177/08901171231214867",
url="http://dx.doi.org/10.1177/08901171231214867"
}