Citation

Branas CC, Nance ML, Elliott MR, Richmond TS, Schwab CW. Am. J. Public Health 2004; 94(10): 1750-1755.

Affiliation

Department of Biostatistics and Epidemiology, University of Pennsylvania, 829 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104-6021. cbranas@cceb.med.upenn.edu

Copyright

(Copyright © 2004, American Public Health Association)

DOI

10.2105/AJPH.94.10.1750

PMID

15451745

PMCID

PMC1448529

Abstract

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 nonfirearm 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.