Document Detail


Unintentional firearm death across the urban-rural landscape in the United States.
MedLine Citation:
PMID:  22976424     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Unintentional injuries are one of the leading causes of death in the United States. Many of these injuries are preventable, and unintentional firearm injuries, in particular, may be responsive to prevention efforts. We investigated the relationship between unintentional firearm death and urbanicity among adults.
METHODS: This study was a retrospective analysis of national death certificate data. Unintentional adult firearm deaths in the United States from 1999 to 2006 were identified using the Multiple Cause of Death Data files from the National Center for Health Statistics. Decedents were assigned to a county of death and classified along an urban-rural continuum defined by population density and proximity to metropolitan areas. Total unintentional firearm death rates by county were analyzed in adjusted analyses using negative binomial regression.
RESULTS: A total of 4,595 unintentional firearm injury deaths of adults occurred in the United States during the study period (a mean of 574.4 per year). Adjusted rates of unintentional firearm death showed increases from urban to rural counties. Americans in the most rural counties were significantly more likely to die of unintentional firearm deaths than those in the most urban counties (relative rate, 2.16; 95% confidence interval, 1.44-3.21, p = 0.002).
CONCLUSION: Rates of unintentional firearm death are significantly higher in rural counties than in urban counties. Prevention strategies should be tailored to account for both geographic location and manner of firearm injury.
LEVEL OF EVIDENCE: Epidemiologic study, level III.
Authors:
Brendan G Carr; Michael L Nance; Charles C Branas; Catherine S Wolff; Michael J Kallan; Sage R Myers; Douglas J Wiebe
Related Documents :
2845754 - A study of vital and health statistics of the kainji lake area of nigeria.
1855934 - Role of necropsy at neonatal and infantile ages.
9338454 - Mortality patterns -- preliminary data, united states, 1996.
11970924 - Deaths from pertussis are underestimated in england.
7128514 - Behaviour of preterm newborns reaching term without any serious disorder.
8778584 - Partial liquid ventilation with perflubron in premature infants with severe respiratory...
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The journal of trauma and acute care surgery     Volume:  73     ISSN:  2163-0763     ISO Abbreviation:  J Trauma Acute Care Surg     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-02     Completed Date:  2012-12-13     Revised Date:  2013-09-25    
Medline Journal Info:
Nlm Unique ID:  101570622     Medline TA:  J Trauma Acute Care Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1006-10     Citation Subset:  AIM; IM    
Affiliation:
Department of Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania, USA. carrb@upenn.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Accidents / statistics & numerical data
Adult
Cross-Sectional Studies
Death Certificates*
Female
Firearms*
Follow-Up Studies
Homicide / statistics & numerical data
Humans
Male
Middle Aged
Retrospective Studies
Rural Population / statistics & numerical data*
Suicide / statistics & numerical data
United States / epidemiology
Urban Population / statistics & numerical data*
Wounds, Gunshot / mortality*
Grant Support
ID/Acronym/Agency:
F32HS018604-01/HS/AHRQ HHS; K02AA017974/AA/NIAAA NIH HHS; R01CE001615/CE/NCIPC CDC HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Inhibiting tryptase after ischemia limits small intestinal ischemia-reperfusion injury through prote...
Next Document:  Effects of secretome obtained from normoxia-preconditioned human mesenchymal stem cells in traumatic...