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Global Mortality From Firearms, 1990-2016 Publisher Pubmed



Nand D115, 116 ; Naghavi M1 ; Marczak LB1 ; Kutz M1 ; Shackelford KA1 ; Arora M1 ; Millerpetrie M1 ; Aichour MTE2 ; Akseer N3 ; Alraddadi RM4 ; Alam K5 ; Alghnam SA6 ; Antonio CAT7 ; Aremu O8 Show All Authors
Authors
  1. Nand D115, 116
  2. Naghavi M1
  3. Marczak LB1
  4. Kutz M1
  5. Shackelford KA1
  6. Arora M1
  7. Millerpetrie M1
  8. Aichour MTE2
  9. Akseer N3
  10. Alraddadi RM4
  11. Alam K5
  12. Alghnam SA6
  13. Antonio CAT7
  14. Aremu O8
  15. Arora A9, 10
  16. Asadilari M11, 12
  17. Assadi R13
  18. Atey TM14
  19. Avilaburgos L15
  20. Awasthi A16, 17
  21. Quintanilla BPA18, 19
  22. Barkercollo SL20
  23. Barnighausen TW21, 22
  24. Bazarganhejazi S23, 24
  25. Behzadifar M25
  26. Behzadifar M25
  27. Bennett JR1
  28. Bhalla A27
  29. Bhutta ZA3, 28
  30. Bilal AI29
  31. Borges G30
  32. Borschmann R31, 32
  33. Brazinova A33
  34. Rincon JCC34, 35
  35. Carvalho F36
  36. Castanedaorjuela CA37, 38
  37. Dandona L1, 17
  38. Dandona R1, 17
  39. Dargan PI39, 40
  40. De Leo D41
  41. Dharmaratne SD1, 42
  42. Ding EL43
  43. Do HP44
  44. Doku DT45, 46
  45. Doyle KE47
  46. Driscoll TR48
  47. Edessa D49
  48. Elkhatib Z50
  49. Endries AY51
  50. Esteghamati A52
  51. Faro A53
  52. Farzadfar F54
  53. Feigin VL1, 55
  54. Fischer F56
  55. Foreman KJ1
  56. Franklin RC57
  57. Fullman N1
  58. Futran ND58
  59. Gebrehiwot TT59
  60. Gutierrez RA60
  61. Hafezinejad N61, 62
  62. Bidgoli HH63
  63. Hailu GB64
  64. Haro JM65, 66
  65. Hassen HY67, 68
  66. Hawley C1
  67. Hendrie D69
  68. Hijar M70, 71
  69. Hu G72
  70. Ilesanmi OS73
  71. Jakovljevic M74
  72. James SL1
  73. Jayaraman S75
  74. Jonas JB76, 77
  75. Kahsay A78
  76. Kasaeian A79, 80
  77. Keiyoro PN81
  78. Khader Y82
  79. Khalil IA1
  80. Khang YH83, 84
  81. Khubchandani J85
  82. Kiadaliri AA86
  83. Kieling C87, 88
  84. Kim YJ89
  85. Kosen S90
  86. Krohn KJ1
  87. Kumar GA17
  88. Lami FH91
  89. Lansingh VC92, 93
  90. Larson HJ1, 94
  91. Linn S95
  92. Lunevicius R96, 97
  93. Abd El Razek HM98
  94. Abd El Razek MM99
  95. Malekzadeh R100, 101
  96. Malta DC102
  97. Masonjones AJ103
  98. Matzopoulos R104, 105
  99. Memiah PTN106
  100. Mendoza W107
  101. Meretoja TJ108, 109
  102. Mezgebe HB110
  103. Miller TR69, 111
  104. Mohammed S21, 112
  105. Moradilakeh M113
  106. Mori R114
  107. Nguyen CT44
  108. Le Nguyen Q44
  109. Ningrum DNA117, 118
  110. Ogbo FA119
  111. Olagunju AT120, 121
  112. Patton GC122, 123
  113. Phillips MR124
  114. Polinder S125
  115. Pourmalek F126
  116. Qorbani M127
  117. Rahimimovaghar A128
  118. Rahimimovaghar V129
  119. Rahman M130
  120. Rai RK131, 132
  121. Ranabhat CL133
  122. Rawaf DL134, 135
  123. Rawaf S136, 137
  124. Rowhanirahbar A138
  125. Safdarian M139
  126. Safiri S140
  127. Sagar R141
  128. Salama JS1
  129. Sanabria J142, 143
  130. Milicevic MMS144
  131. Sarmientosuarez R145
  132. Sartorius B146
  133. Satpathy M147
  134. Schwebel DC148
  135. Seedat S149
  136. Sepanlou SG100, 101
  137. Shaikh MA150
  138. Sharew NT151
  139. Shiue I152
  140. Singh JA153, 154
  141. Sisay M49
  142. Skirbekk V155
  143. Filho AMS156
  144. Stein DJ157, 158
  145. Stokes MA159
  146. Sufiyan MB160
  147. Swaroop M161
  148. Sykes BL162
  149. Tabaresseisdedos R163
  150. Tadese F164
  151. Tran BX165
  152. Tran TT44
  153. Ukwaja KN166
  154. Vasankari TJ167
  155. Vlassov V168
  156. Werdecker A169
  157. Ye P170
  158. Yip P171
  159. Yonemoto N172
  160. Younis MZ173, 174
  161. Zaidi Z175, 176
  162. El Sayed Zaki M177
  163. Hay SI1
  164. Lim SS1
  165. Lopez AD1, 178
  166. Mokdad AH1
  167. Vos T1
  168. Murray CJL1

Source: JAMA - Journal of the American Medical Association Published:2018


Abstract

IMPORTANCE Understanding global variation in firearm mortality rates could guide prevention policies and interventions. OBJECTIVE To estimate mortality due to firearm injury deaths from 1990 to 2016 in 195 countries and territories. DESIGN, SETTING, AND PARTICIPANTS This study used deidentified aggregated data including 13 812 location-years of vital registration data to generate estimates of levels and rates of death by age-sex-year-location. The proportion of suicides in which a firearm was the lethal means was combined with an estimate of per capita gun ownership in a revised proxy measure used to evaluate the relationship between availability or access to firearms and firearm injury deaths. EXPOSURES Firearm ownership and access. MAIN OUTCOMES AND MEASURES Cause-specific deaths by age, sex, location, and year. RESULTS Worldwide, it was estimated that 251 000 (95%uncertainty interval [UI], 195 000-276 000) people died from firearm injuries in 2016, with 6 countries (Brazil, United States, Mexico, Colombia, Venezuela, and Guatemala) accounting for 50.5%(95%UI, 42.2%-54.8%) of those deaths. In 1990, there were an estimated 209 000 (95%UI, 172 000 to 235 000) deaths from firearm injuries. Globally, the majority of firearm injury deaths in 2016 were homicides (64.0% [95%UI, 54.2%-68.0%]; absolute value, 161 000 deaths [95%UI, 107 000-182 000]); additionally, 27%were firearm suicide deaths (67 500 [95%UI, 55 400-84 100]) and 9% were unintentional firearm deaths (23 000 [95%UI, 18 200-24 800]). From 1990 to 2016, there was no significant decrease in the estimated global age-standardized firearm homicide rate (-0.2%[95%UI, -0.8%to 0.2%]). Firearm suicide rates decreased globally at an annualized rate of 1.6%(95%UI, 1.1-2.0), but in 124 of 195 countries and territories included in this study, these levels were either constant or significant increases were estimated. There was an annualized decrease of 0.9% (95%UI, 0.5%-1.3%) in the global rate of age-standardized firearm deaths from 1990 to 2016. Aggregate firearm injury deaths in 2016 were highest among persons aged 20 to 24 years (for men, an estimated 34 700 deaths [95%UI, 24 900-39 700] and for women, an estimated 3580 deaths [95%UI, 2810-4210]). Estimates of the number of firearms by country were associated with higher rates of firearm suicide (P <.001; R2 = 0.21) and homicide (P <.001; R2 = 0.35). CONCLUSIONS AND RELEVANCE This study estimated between 195 000 and 276 000 firearm injury deaths globally in 2016, the majority of which were firearm homicides. Despite an overall decrease in rates of firearm injury death since 1990, there was variation among countries and across demographic subgroups. © 2018 American Medical Association. All rights reserved.
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