July 25, 1994 Letters to the Editor Journal of the American Medical Association 515 North State Street Chicago, Ill. 60610 In their study on firearms and cocaine involvement in New York City homicides,1 Tardiff et al. found homicide rates, and firearms involvement, significantly higher among black, Latino, and Asian Americans, and especially among those adolescent and younger adult age groups. However, while attempting to compare cocaine use among homicide victims to society at large, they recognized the need to use survey research on cocaine use among non-homicide victims, they felt no such need for comparisons involving firearms. Had they checked, they would have found that firearm ownership levels are highest among whites, and generally lower among blacks, Hispanics, and Asian Americans2,3; and that firearm ownership levels rise with age and non-metropolitan residency,2 the opposite of the homicidal misuse in their and other studies published in the Journal.1,4 Furthermore, Tardiff et al. refer to "the increased availability and lethality of firearms" as a factor in increasing homicide rates among inner-city minorities. There is no basis for that statement. No data they cited gave any trends in gun use; their study ignored the types of firearms involved. Survey research on firearms ownership rates shows stability since the mid-1970s.2 There is similarly no evidence of a trend toward more lethal firearms. The apparent trend toward 9mm. semi-automatic pistols at the expense of .38 and .357-magnum revolvers and .45 semi- autos has no impact on lethality. Lethality is determined more by the size, shape, velocity, and weight of the bullet, and the location of the wound, than by the caliber or action-type of the firearm, particularly for handguns so similar in caliber as the .357 and 9mm; overall, the stopping power of the .357 and .45 exceeds that of the 9mm., with wide variations dependent upon the ammunition.5 Unaddressed questions raised by the study include why the homicide rates among inner-city young blacks, and to a slightly lesser extent Hispanics, are so incredibly high, and why infant homicide -- which rarely involves cocaine use by victims, or firearms -- among blacks exceed 50 per 100 000, eight times the national infant homicide rate. In calling for national restrictive gun laws, the authors at least recognized that New York City has highly restrictive laws already, and that bringing the guns back into the city is illegal, although they do not note that the illegality involves serious federal felonies. They fail, however, to indicate why the ineffectiveness of strict national cocaine legislation does not suggest similar ineffectiveness for gun legislation. Paul H. Blackman, PhD Research Coordinator 703-267-1226 Word count: 400 REFERENCES 1. Tardiff K, Marzuk PM, Leon AC, Hirsch CS, Stajic M, et al. Homicide in New York City: cocaine use and firearms. JAMA 1994;272:43-46. 2. Kleck G. Point blank: guns and violence in America. New York: Aldine de Gruyter, 1991. 3. Decision/Making/Information. A statewide survey of California voters for the National Rifle Association. Santa Ana, Calif: March 1982. 4. Fingerhut LA, Ingram DD, Feldman JJ. Firearm and nonfirearm homicide among persons 15 through 19 years of age: differences by level of urbanization, United States, 1979 through 1989. JAMA 1992;267:3048-3053. 5. Marshall EP, Sanow EJ. Handgun stopping power. Boulder, Colo: Paladin Press, 1992.