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To the Editor: In their article on the health of Latino children, Dr Flores and colleagues¹ did not address homicide and its impact on the health of Latino children and youth. Homicide is the second leading cause of death for Latino children in the United States; the 1999 rate among Latinos aged 1 to 18 years is twice that of white non-Latinos.² Among Latinos aged 10 to 19 years, homicide rates are even higher (from 10-14 years of age, relative risk [RR] = 4; from 15-19 years of age, RR = 8 compared with non-Latino whites).³

Poverty and low educational attainment, both of which have high prevalence among Latino youth, are associated with homicide and violent injuries.⁴ In addition to these conditions, access to firearms and alcohol contribute to homicide and other injuries.

Firearms are responsible for most homicides in the United States.⁵ In 1999, 79% of Latino gun-related homicides . . . [Full Text of this Article]

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The Health of Latino Children: Urgent Priorities, Unanswered Questions, and a Research Agenda
Glenn Flores, Elena Fuentes-Afflick, Oxiris Barbot, Olivia Carter-Pokras, Luz Claudio, Marielena Lara, Jennie A. McLaurin, Lee Pachter, Francisco Ramos Gomez, Fernando Mendoza, R. Burciaga Valdez, Antonia M. Villarruel, Ruth E. Zambrana, Robert Greenberg, and Michael Weitzman
JAMA. 2002;288(1):82-90.
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