Firearm carriage is a significant risk factor for adolescent injury and violence. Prior research shows variability in antecedent factors of firearm carriage, but less is known about differential mechanisms of carriage by social identity and sociodemographic features. Identifying factors at the intersection of rurality and sex can inform tailored prevention and intervention strategies. Guided by General Strain and Resiliency Theories, this study examined risk and protective factors influencing firearm carriage using data from the National Survey on Drug Use and Health (2015–2019) for adolescents aged 12 to 17. Bivariate and multivariate Poisson models estimated the associations between these factors, handgun carriage, by sex, and rurality. Weighted analyses were conducted to account for the survey design. In this sample, 2.14% of females and 6.74% of males reported past-year handgun carriage, with higher rates among rural adolescents. Adult encouragement was negatively associated with female carriage (incident rate ratios [IRR] = 0.804, p < .001) but positively with male carriage (IRR = 1.265, p < .001). Antisocial behavior was the strongest predictor of carriage for both sexes but had a 2.5 times greater impact on females (female IRR = 32.901, male IRR = 12.905, both p < .001). Among females, the effect of antisocial behavior on carriage was 3.4 times larger in urban than rural settings. The protective effect of adult encouragement persisted for urban and rural females but not for small urban females. Despite lower overall carriage rates among females, the risk factors, particularly antisocial behavior, have a stronger impact on them. These findings suggest the need to identify early precursors to carriage for designing tailored interventions aimed at reducing firearm-related risks and violence.
BeardsleeJ.DochertyM.MulveyE.SchubertC.PardiniD. (2018). Childhood risk factors associated with adolescent gun carrying among Black and White males: An examination of self-protection, social influence, and antisocial propensity explanations. Law and Human Behavior, 42(2), 110–118. https://doi.org/10.1037/lhb0000270
6.
BenhorinS.McMahonS. D. (2008). Exposure to violence and aggression: Protective roles of social support among urban African American youth. Journal of Community Psychology, 36(6), 723–743. https://doi.org/10.1002/jcop.20252
7.
ButtrickN.MazenJ. (2022). Historical prevalence of slavery predicts contemporary American gun ownership. PNAS Nexus, 1(3), Article pgac117. https://doi.org/10.1093/pnasnexus/pgac117
8.
CareyN.ColeyR. L. (2022). Prevalence of adolescent handgun carriage: 2002–2019. Pediatrics, 149(5), Article e2021054472. https://doi.org/10.1542/peds.2021-054472
9.
CicognaniE.ZaniB.FournierB.GavrayC.BornM. (2012). Gender differences in youths’ political engagement and participation. The role of parents and of adolescents’ social and civic participation. Journal of Adolescence, 35(3), 561–576. https://doi.org/10.1016/j.adolescence.2011.10.002
10.
DongB.WiebeD. J. (2018). Violence and beyond: Life-course features of handgun carrying in the urban United States and the associated long-term life consequences. Journal of Criminal Justice, 54, 1–11. https://doi.org/10.1016/j.jcrimjus.2017.11.002
11.
DonnellyK. A.RuckerA.BoyleM. D.FornariM. J.BadolatoG. M.GoyalM. K. (2022). Experiencing bullying is associated with firearm access, weapon carriage, depression, marijuana use, and justice involvement in adolescents. Pediatric Emergency Care, 38(2), e918–e923. https://doi.org/10.1097/PEC.0000000000002473
12.
EcclesJ. S.TempletonJ. (2002). Extracurricular and other after-school activities for youth. Review of Research in Education, 26, 113–180.
13.
EismanA. B.LeeD. B.HsiehH.-F.StoddardS. A.ZimmermanM. A. (2018). More than just keeping busy: The protective effects of organized activity participation on violence and substance use among urban youth. Journal of Youth and Adolescence, 47(10), 2231–2242. https://doi.org/10.1007/s10964-018-0868-8
FreyA.RuchkinV.MartinA.Schwab-StoneM. (2009). Adolescents in transition: School and family characteristics in the development of violent behaviors entering high school. Child Psychiatry and Human Development, 40(1), 1–13. https://doi.org/10.1007/s10578-008-0105-x
HenrichC. C.BrookmeyerK. A.ShaharG. (2005). Weapon violence in adolescence: Parent and school connectedness as protective factors. The Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine, 37(4), 306–312. https://doi.org/10.1016/j.jadohealth.2005.03.022
18.
HuckJ. L.LeeD. R.BowenK. N.SpraitzJ. D.BowersJ. H.Jr. (2012). Specifying the dynamic relationships of general strain, coping and young adult crime. Western Criminology Review, 13(2), 25–45.
19.
LeeD. B.SchmidtC. J.HeinzeJ. E.CarterP. M.CunninghamR. M.WaltonM. A.ZimmermanM. A. (2022). Retaliatory attitudes as mediator of exposure to violence and firearm aggression among youth: The protective role of organized activity involvement. Developmental Psychology, 58(5), 990–1002. https://doi.org/10.1037/dev0001339
20.
LoughranT. A.ReidJ. A.CollinsM. E.MulveyE. P. (2016). Effect of gun carrying on perceptions of risk among adolescent offenders. American Journal of Public Health, 106(2), 350. https://doi.org/10.2105/AJPH.2015.302971
21.
LusterT.OhS. M. (2001). Correlates of male adolescents carrying handguns among their peers. Journal of Marriage and Family, 63(3), 714–726.
22.
MasfetyV. K.WoodwardM. J.KeyesK.BitfoiA.CartaM. G.KoçC.LesinskieneS.MihovaZ.OttenR.HuskyM. (2021). Gender, the gender gap, and their interaction; Analysis of relationships with children’s mental health problems. Social Psychiatry and Psychiatric Epidemiology, 56(6), 1049–1057. https://doi.org/10.1007/s00127-020-01950-5
McDermottR. C.BrasilK. M.BarinasJ. L.BorgognaN. C. (2021). Associations between men’s and women’s conformity to masculine role norms and firearm ownership: Contributions beyond, race, gender, and political ideology. Psychology of Men & Masculinities, 22(2), 227–237. https://doi.org/10.1037/men0000341
25.
MolnarB. E.MillerM. J.AzraelD.BukaS. L. (2004). Neighborhood predictors of concealed firearm carrying among children and adolescents: Results from the project on human development in Chicago neighborhoods. Archives of Pediatrics & Adolescent Medicine, 158(7), 657–664. https://doi.org/10.1001/archpedi.158.7.657
O’ConnorK. E.KjærvikS. L.SullivanT. N.ThomsonN. D. (2025). Relations between developmental assets and youth gun violence. Youth & Society, 57(8), 1471–1489. https://doi.org/10.1177/0044118X251332648
28.
O’ConnorK. E.SullivanT. N.RossK. M. (2023). Individual- and peer-level risk and protective factors for gun carriage among adolescents living in low-income urban communities. Journal of Interpersonal Violence, 38(7–8), 5564–5590. https://doi.org/10.1177/08862605221124252
29.
OliphantS. N.MouchC. A.Rowhani-RahbarA.HargartenS.JayJ.HemenwayD.ZimmermanM.CarterP. M. (2019). A scoping review of patterns, motives, and risk and protective factors for adolescent firearm carriage. Journal of Behavioral Medicine, 42(4), 763–810. https://doi.org/10.1007/s10865-019-00048-x
30.
OosterhoffB.MetzgerA.AlvisL. (2020). Similarities and differences in adolescents’ organized and civic activity networks across rural and non-rural communities. Journal of Youth and Adolescence, 49(7), 1464–1480. https://doi.org/10.1007/s10964-019-01165-1
31.
RobertsonA.SteinJ. A.Schaefer-RohlederL. (2010). Effects of hurricane katrina and other adverse life events on adolescent female offenders: A test of general strain theory. Journal of Research in Crime and Delinquency, 47(4), 469–495. https://doi.org/10.1177/0022427810375577
32.
RossK. M.WalshC. S.O’ConnorK. E.SullivanT. N. (2023). Ecological promotive and protective factors deterring gun carriage for young adults living in communities with high rates of community violence. Journal of Community Psychology, 51(3), 1164–1180. https://doi.org/10.1002/jcop.23008
33.
RugglesK. V.RajanS. (2014). Gun possession among American youth: A discovery-based approach to understand gun violence. PLoS One, 9(11), Article e111893. https://doi.org/10.1371/journal.pone.0111893
34.
SalkR. H.HydeJ. S.AbramsonL. Y. (2017). Gender differences in depression in representative national samples: Meta-analyses of diagnoses and symptoms. Psychological Bulletin, 143(8), 783–822. https://doi.org/10.1037/bul0000102
35.
SchleimerJ. P.GauseE.DalveK.EllysonA.Rowhani-RahbarA. (2023). Rural-urban variation in the association of adolescent violence and handgun carrying in the United States, 2002–2019. JAMA Network Open, 6(2), Article e231153. https://doi.org/10.1001/jamanetworkopen.2023.1153
36.
SimonT. R.RichardsonJ. L.DentC. W.ChouC. P.FlayB. R. (1998). Prospective psychosocial, interpersonal, and behavioral predictors of handgun carrying among adolescents. American Journal of Public Health, 88(6), 960–963. https://doi.org/10.2105/AJPH.88.6.960
37.
SokolR. L.CarterP. M.GoldstickJ.MillerA. L.WaltonM. A.ZimmermanM. A.CunninghamR. M. (2020). Within-person variability in firearm carriage among high-risk youth. American Journal of Preventive Medicine, 59(3), 386–393. https://doi.org/10.1016/j.amepre.2020.03.005
38.
SokolR. L.HaaszM.ZimmermanM. A.CunninghamR. M.CarterP. M. (2023). The association between witnessing firearm violence and firearm carriage: Results from a national study of teens. Preventive Medicine, 171, Article 107516. https://doi.org/10.1016/j.ypmed.2023.107516
39.
StoddardS. A.Epstein-NgoQ.WaltonM. A.ZimmermanM. A.ChermackS. T.BlowF. C.BoothB. M.CunninghamR. M. (2015). Substance use and violence among youth: A daily calendar analysis. Substance Use & Misuse, 50(3), 328–339. https://doi.org/10.3109/10826084.2014.980953
40.
StrykerJ. S. T.SchmidtN. B. (2024). Threats to masculinity provoke gun use: An experimental study using a firearm training simulator. Psychology of Men & Masculinities, 26(3), 410–420. https://doi.org/10.1037/men0000501
41.
TigriH. B.ReidS.TurnerM. G.DevinneyJ. M. (2016). Investigating the relationship between gang membership and carrying a firearm: Results from a National sample. American Journal of Criminal Justice, 41(2), 168–184. https://doi.org/10.1007/s12103-015-9297-3
VaughnM. G.NelsonE. J.Salas-WrightC. P.DeLisiM.QianZ. (2016). Handgun carrying among White youth increasing in the United States: New evidence from the National Survey on Drug Use and Health 2002–2013. Preventive Medicine, 88, 127–133. https://doi.org/10.1016/j.ypmed.2016.03.024
WalshC. S.RossK. M.BishopD. L.SullivanT. N. (2023). Identifying protective factors that mitigate relations between experiences with violence and gun carriage for Black young adults living in economically marginalized urban communities. Journal of Interpersonal Violence, 38(15–16), 8921–8945. https://doi.org/10.1177/08862605231162883
46.
WardJ. A.ValekR. A.JonesV. C.CrifasiC. K. (2024). Reasons for gun ownership among demographically diverse new and prior gun owners. American Journal of Preventive Medicine, 67(5), 730–739. https://doi.org/10.1016/j.amepre.2024.06.026
47.
WarrenJ. C.SmalleyK. B.BarefootK. N. (2017). Recent alcohol, tobacco, and substance use variations between rural and urban middle and high school students. Journal of Child & Adolescent Substance Abuse, 26(1), 60–65. https://doi.org/10.1080/1067828X.2016.1210550
48.
WattsS. J. (2019). Gun carrying and gun victimization among American adolescents: A fresh look at a nationally representative sample. Victims & Offenders, 14(1), 1–14. https://doi.org/10.1080/15564886.2018.1536005
YangY. (2023). Gun carrying among US adolescents: The mutual impact of violence experiences, safety concerns, and substance use behaviors. Public Health, 223, 87–93. https://doi.org/10.1016/j.puhe.2023.07.028
51.
ZimmermanM. A. (2013). Resiliency theory: A strengths-based approach to research and practice for adolescent health. Health Education & Behavior: The Official Publication of the Society for Public Health Education, 40(4), 381–383. https://doi.org/10.1177/1090198113493782
