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ing, detection, and treatment of antenatal depression into routine antenatal care could be essential to improve pregnancy outcomes. Firearm violence is a significant public health problem in the United States. A surge in firearm purchasing following the onset of the coronavirus pandemic may have contributed to an increase in firearm violence. We sought to estimate the state-level association between firearm purchasing and interpersonal firearm violence during the pandemic. Cross-sectional study of the 48 contiguous states and the Distri