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Journal Article

Citation

Grinshteyn E, Hemenway DA. Am. J. Med. 2015; 129(3): 266-273.

Affiliation

Professor of Health Policy, Harvard School of Public Health, 677 Huntington Avenue Boston, MA 02115 617 432-4493.

Copyright

(Copyright © 2015, Elsevier Publishing)

DOI

10.1016/j.amjmed.2015.10.025

PMID

26551975

Abstract

BACKGROUND: Violent death is a serious problem in the US. Previous research showing US rates of violent death compared with other high-income countries used data that are more than a decade old.

METHODS: We examined 2010 mortality data obtained from the WHO for populous, high-income countries (n=23). Death rates per 100,000 population were calculated for each country and for the aggregation of all non-US countries overall and by age and sex. Tests of significance were performed using Poisson and negative binomial regressions.

RESULTS: US homicide rates were 7.0 times higher than other high-income countries, driven by a gun homicide rate that was 25.2 times higher. For 15-24 year olds, the gun homicide rate in the US was 49.0 times higher. Firearm-related suicide rates were 8.0 times higher in the US but our overall suicide rates were average. Unintentional firearm deaths were 6.2 times higher in the US. The overall firearm death rate in the US from all causes was 10.0 times higher. Ninety percent of women, 91% of children aged 0-14, 92% of youth aged 15-24, and 82% of all people killed by firearms were from the US.

CONCLUSION: The US has an enormous firearm problem compared to other high-income countries with much higher rates of homicide and firearm-related suicide. Compared to 2003 estimates, the US firearm death rate remains unchanged while firearm death rates in other countries fell. Thus, the already high relative rates of firearm homicide, firearm suicide and unintentional firearm death in the US compared to the other high-income countries rose between 2003 and 2010.


Language: en

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