{
  "abstract": "Background Firearm-related injuries are among the leading causes of premature death. American Indian and Alaska Native populations have disproportionately high rates of firearm-related injuries and deaths, with increases in firearm mortality rates between 2018 and 2023. Considering these trends, we conducted a special project to distribute firearm storage cabinets to two Tribal communities.Methods The project used a community-based participatory approach to engage and involve Tribal partners to encourage ownership and buy-in of the project. Tribal community members signed up to receive a firearm storage cabinet. Baseline surveys were conducted before delivery to identify firearm storage practices, and 30-day follow-up surveys were conducted to observe any changes in firearm storage practices.Results A total of 73 firearm storage cabinets were distributed, with 52 baseline and 52 follow-up surveys being completed. 69% of participants reported at least one minor (<17 years old) living with them. The percentage of homeowners who secured their firearms increased from 44% to 83%. The number of reported firearm storage locations dropped from 13 to 7. The majority of participant feedback reported that the cabinets provided a peace of mind.Conclusion Projects like this are increasingly important for rural Tribal communities to highlight the feasibility of scalable interventions. Using a community-based participative approach is a critical step for community buy-in and ownership. Acceptance and use of firearm storage cabinets can potentially lower the risk of firearm-related injuries and deaths in Tribal communities.",
  "authors": [
    {
      "affiliations": [
        "Division of Environmental Health Services, Indian Health Service, Phoenix, Arizona, USA"
      ],
      "name": "George Chung"
    },
    {
      "affiliations": [
        "Division of Environmental Health Services, Indian Health Service, Rockville, Maryland, USA"
      ],
      "name": "Andrea Tsatoke"
    },
    {
      "affiliations": [
        "Office of Health Programs, Integrated Behavioral Health, Indian Health Service, Phoenix, Arizona, USA"
      ],
      "name": "Scott Thomas Peake"
    },
    {
      "affiliations": [
        "Division of Environmental Health Services, Indian Health Service, Phoenix, Arizona, USA"
      ],
      "name": "Kayla Jackson"
    },
    {
      "affiliations": [
        "Division of Environmental Health Services, Indian Health Service, Phoenix, Arizona, USA"
      ],
      "name": "Rinnah Wyatt"
    },
    {
      "affiliations": [
        "Division of Environmental Health Services, Indian Health Service, Phoenix, Arizona, USA"
      ],
      "name": "Robert Morones"
    }
  ],
  "title": "Using a community-based participatory approach to distribute firearm storage cabinets in two Tribal communities",
  "uid": "4ace1630-eb44-55f5-9a40-35594ab52e7b"
}