title: Community based program to improve firearm storage practices in rural Alaska.
abstract: OBJECTIVE
  To develop and evaluate a pilot program to reduce unauthorized access to firearms by youth by distributing gun safes and trigger locks to households.
  
  
  METHODS
  Pilot intervention with pre/post-evaluation design.
  
  
  METHODS
  Two Alaska Native villages in the Bristol Bay Health Corporation region of southwest Alaska.
  
  
  METHODS
  Forty randomly selected households with two or more guns in the home.
  
  
  METHODS
  Initially, a focus group of community members who owned guns was convened to receive input regarding the acceptability of the distribution procedure for the gun storage devices. One gun safe and one trigger lock were distributed to each of the selected households during December 2000. Village public safety officers assisted with the distribution of the safes and provided gun storage education to participants.
  
  
  METHODS
  Baseline data were collected regarding household gun storage conditions at the time of device distribution. Three months after distribution, unannounced onsite home visits were conducted to identify if residents were using the gun safes and/or trigger locks.
  
  
  RESULTS
  All selected households had at least two guns and 28 (70%) of the 40 households owned more than two guns. At baseline, 85% of homes were found to have unlocked guns in the home and were most often found in the breezeway, bedroom, storage room, or throughout the residence. During the follow up visits, 32 (86%) of the 37 gun safes were found locked with guns inside. In contrast, only 11 (30%) of the 37 trigger locks were found to be in use.
  
  
  CONCLUSIONS
  This community based program demonstrated that Alaska Native gun owners accepted and used gun safes when they were installed in their homes, leading to substantial improvements in gun storage practices. Trigger locks were much less likely to be used.
authors.affiliation: Indian Health Service, Reno, Nevada, USA.
authors.forename: A
authors.initials: A
authors.lastname: Horn
authors.forename: D C
authors.initials: DC
authors.lastname: Grossman
authors.forename: W
authors.initials: W
authors.lastname: Jones
authors.forename: L R
authors.initials: LR
authors.lastname: Berger
mesh_terms: D000293:Adolescent; D000413:Alaska; D004867:Equipment Design; D005389:Firearms; D006794:Household Articles; D006801:Humans; D010865:Pilot Projects; D016730:Program Development; D012423:Rural Health; D012449:Safety; D014948:Wounds, Gunshot / Q000517:prevention & control