Format

Send to

Choose Destination
Am J Public Health. 2004 Oct;94(10):1750-5.

Urban-rural shifts in intentional firearm death: different causes, same results.

Author information

1
Department of Biostatistics and Epidemiology, University of Pennsylvania, 829 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104-6021, USA. cbranas@cceb.med.upenn.edu

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.

PMID:
15451745
PMCID:
PMC1448529
DOI:
10.2105/ajph.94.10.1750
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Atypon Icon for PubMed Central
Loading ...
Support Center