The purpose of this study was to identify family physicians' firearm safety counseling beliefs and behaviors. A survey was mailed to a random sample of 600 members of the American Academy of Family Physicians. A three wave mailing technique was used to maximize the response rate and yielded 271 usable surveys (55% response rate). Outcome measures included training experience in firearm safety counseling, the prevalence of firearm safety counseling by family physicians, and their perceptions regarding such counseling. The majority (78%) of family physicians lacked formal training on how to counsel patients about firearm safety and 49% believed more time should be spent in residency programs on firearm safety counseling. The majority (84%) of respondents never or rarely counseled patients on firearm safety and 50% believed firearm safety counseling should be a low priority in their delivery of primary care. The majority of respondents did not regularly counsel patients about firearm safety, did not believe firearm safety counseling should be a priority, and did not believe firearm safety counseling would be effective in reducing firearm-related trauma.
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Killias M. International correlations between gun ownership and rates of homicide and suicide. Can Med Assoc J. 1993;148:1721–1725.
American Medical Association Council of Scientific Affairs. Firearm injuries and deaths: A critical public health issue. Public Health Rep. 1989;104:111–120.
Centers for Disease Control. Deaths resulting from firearm-and motor vehicle-related injuries—United States, 1968–1991. MMWR. 1994;43:37–42.
National Center for Health Statistics. Healthy people 2000 review. Health, United States, 1992. Hyattsville, MD: Public Health Service, 1993; DHHS publication no. (PHS)93-1232.
Fingerhut LA, Kleinman JC. International and interstate comparisons of homicide among young males. JAMA. 1990;263:3292–3295.
Skolnick AA. Congress acts to resuscitate nations's financially ailing trauma care systems. JAMA. 1992;267:2994–2996.
Max W, Rice D. Shooting in the dark: Estimating the cost of firearm injuries. Health Aff. 1993;12:171–185.
Fincher RE, Lewis SA, Jackson TW. Why students choose a primary care or nonprimary care career. Am J Prev Med. 1994;97:410–417.
Centers for Disease Control. Counseling practices of primary care physicians-North Carolina, 1991. MMWR. 1992;41:3565–568.
Pearson RJ, Kane WM, Keimowitz HK. The preventive medicine physician: A national study. Am J Prev Med. 1988;4:289–297.
Price JH, Desmond SM, Losh DP. Patients' expectations of the family physician in health promotion. Am J Prev Med. 1991;7:33–39.
Williamson PS, Driscoll CE, Dvorak LD, Garber KA, Shank JC. Health screening examinations: The patient's perspective. J Fam Prac. 1988;27:187–192.
Boot D, Gillies P, Fenelon J, Reubin R, Wilkings M, Gray P. Evaluation of the short-term impact of counseling in general practice. Patient Educ Couns. 1994;24:79–89.
Harris RP, O'Malley MS, Fletcher SW, Knight BP. Prompting physicians for preventive procedures: A five-year study of manual and computer reminders. Am J Prev Med. 1990;6:145–152.
Johns MB, Hovell MF, Drastal CA, Lamke C, Patrick K. Promoting prevention services in primary care: A controlled trial. Am J Prev Med. 1992;8:135–140.
Patterson J, Fried RA, Nagle JP. Impact of a comprehensive health promotion curriculum on physician behavior and attitudes. Am J Prev Med. 1989;5:44–49.
Dolins JC, Christoffel KK. Reducing violent injuries: Priorities for pediatrician advocacy. Pediatrics. 1994;94:638–651.
Hamilton S. Talking to your patients about gun violence and gun safety. Minn Med. 1995;78(9):20–22.
Hausman AJ, Prothrow-Stith D, Spivak H. Implementation of violence prevention education in clinical settings. Patient Educ Couns. 1995;25:205–210.
May JP, Martin KL. A role for the primary care physician in counseling young African-American men about homicide prevention. J Gen Intern Med. 1993;8:380–382.
Mills H. Safe hunting. Minn Med. 1995;78(9):25–28.
Voelker R. Taking aim at handgun violence. JAMA. 1995;273:1739–1740.
Webster DW, Wilson ME. Gun violence among youth and the pediatrician's role in primary prevention. Pediatrics. 1994;94:617–622.
Fargason CA, Johnston C. Gun ownership and counseling of Alabama pediatricians. Arch Pediatr Adolesc Med. 1995;149:442–446.
Camosy PA. Incorporating gun safety into clinical practice. Am Fam Physician 1996;54:971–975.
Price JH, Clause M, Everett SA. Patients' Perceptions of the Role of Physicians in Counseling about Firearms. Patient Educ Couns. 1995;25:163–170.
Webster DW, Wilson ME, Duggan AK, Pakula LC. Firearm injury prevention counseling: A study of pediatricians' beliefs and practices. Pediatrics. 1992;89:902–907.
Grossman DC, Mang K, Rivara FP. Firearm injury prevention counseling by pediatricians and family physicians. Arch Pediatr Adolesc Med. 1995;149:973–977.
Dillman DA. Increasing mail questionnaire response in large samples of the general public. Public Opin Q. 1972;36:254–257.
Fox RJ, Crask MR, Kim J. Mail survey response rate: A meta-analysis of selected techniques for inducing response. Public Opin Q. 1988;52:467–491.
Maheux B, Legault C, Lambert J. Increasing response rates in physicians' mail surveys: An experimental study. Am J Public Health. 1989;79:638–639.
Moss VD, Worthen BR. Do personalization and postage make a difference on response rates to surveys of professional populations? Psychol Rep. 1991;68:692–694.
Ogborne AC, Rush B, Fondacaro R. Dealing with nonrespondents in a mail survey of professionals. Eval Health Prof. 1986;9:121–128.
Yammarino FJ, Skinner SJ, Childers TL. Understanding mail survey response behavior: A meta-analysis. Public Opin Q. 1991;55:613–639.
Kelly RB. Controlled trial of a time-efficient method of health promotion. Am J Prev Med. 1988;4:200–207.
Kottke TE, Brekke ML, Solberg LI, Hughes JR. A randomized trial to increase smoking intervention by physicians. JAMA. 1989;261:2101–2106.
Logsdon DN, Lazaro CM, Meier RV. The feasibility of behavioral risk reduction in primary medical care. Am J Prev Med. 1989;5:249–256.
Berk ML. Interviewing physicians: The effect of improved response rate. Am J Public Health. 1985;75:1338–1340.
Guadagnoli W, Cunningham S. The effects of nonresponse and late response on a survey of physician attitudes. Eval Health Prof. 1989;12:318–328.
Sobal J, Ferentz KS. Comparing physicians' responses to the first and second mailings of a questionnaire. Eval Health Prof. 1989;12:329–339.
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Everett, S.A., Price, J.H., Bedell, A.W. et al. Family Practice Physicians' Firearm Safety Counseling Beliefs and Behaviors. Journal of Community Health 22, 313–324 (1997). https://doi.org/10.1023/A:1025172903135
- Public Health
- Primary Care
- Random Sample
- American Academy
- Family Physician