| Titre : | Urban-rural shifts in intentional firearm death : Different causes, same results. (2004) |
| Auteurs : | Charles-C BRANAS ; Michael-R ELLIOTT ; Michael-L NANCE ; Therese-S RICHMOND ; Cwilliam SCHWAB ; University of Pennsylvania School of Medicine. Department of Biostatistics and Epidemiology. Philadelphia. USA ; University of Pennsylvania. Firearm and Injury Center. USA ; University of Pennsylvania. Leonard Davis Institute for Health Economics. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 94, n° 10, 2004) |
| Pagination : | 1750-1755 |
| Langues: | Anglais |
| Mots-clés : | Violence urbaine ; Milieu urbain ; Milieu rural ; Mort ; Mortalité ; Facteur ; Etude comparée ; Violence ; Suicide ; Epidémiologie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS GL5GZR0x. Diffusion soumise à autorisation]. Objectives : We analyzed urban-rural differences in intentional firearm death. Methods : We analyzed 584629 deaths from 1989 to 1999 assigned to 3141 US counties, using negative binomial regressions and an 11-category urban-rural variable. Results : The most urban counties had 1.03 (95% confidence interval [CI]=0.87,1.20) times the adjusted firearm death rate of the most rural counties The most rural counties experienced 1.54 (95% CI=1.29,1.83) times the adjusted firearm suicide rate of the most urban. The most urban counties experienced 1.90 (95% CI=1.50,2.40) times the adjusted firearm homicide rate of the most rural. Similar opposing trends were not found for non firearm suicide or homicide. Conclusions : Firearm suicide in rural counties is as important a public health problem as firearm homicide in urban counties. Policymakers should become aware that intentional firearm deaths affect all types of communities in the United States. |
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