Document Detail

Unintentional firearm death across the urban-rural landscape in the United States.
MedLine Citation:
PMID:  22976424     Owner:  NLM     Status:  MEDLINE    
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.
Brendan G Carr; Michael L Nance; Charles C Branas; Catherine S Wolff; Michael J Kallan; Sage R Myers; Douglas J Wiebe
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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    
Department of Biostatistics, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
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MeSH Terms
Accidents / statistics & numerical data
Cross-Sectional Studies
Death Certificates*
Follow-Up Studies
Homicide / statistics & numerical data
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

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

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