Global Mortality From Firearms, 1990-2016

Global Mortality From Firearms, 1990-2016 Key PointsQuestionWhat is the burden of firearm mortality at the global, regional, and national level between 1990 and 2016 by sex and age? FindingsUsing a combination of deidentified aggregated data from vital registration, verbal autopsy, census and survey data, and police records in models for 195 countries and territories, this study estimated 251 000 (95% uncertainty interval [UI], 195 000-276 000) people died globally from firearm injuries in 2016, compared with 209 000 (95% UI, 172 000-235 000) deaths in 1990. 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. MeaningThis study provides an estimate of the global burden of firearms deaths in 2016, change in this burden from 1990, and variation in levels and rates among countries. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA American Medical Association

Global Mortality From Firearms, 1990-2016

,; Naghavi, Mohsen; Marczak, Laurie B.; Kutz, Michael; Shackelford, Katya Anne; Arora, Megha; Miller-Petrie, Molly; Aichour, Miloud Taki Eddine; Akseer, Nadia; Al-Raddadi, Rajaa M.; Alam, Khurshid; Alghnam, Suliman A.; Antonio, Carl Abelardo T.; Aremu, Olatunde; Arora, Amit; Asadi-Lari, Mohsen; Assadi, Reza; Atey, Tesfay Mehari; Avila-Burgos, Leticia; Awasthi, Ashish; Ayala Quintanilla, Beatriz Paulina; Barker-Collo, Suzanne Lyn; Bärnighausen, Till Winfried; Bazargan-Hejazi, Shahrzad; Behzadifar, Masoud; Behzadifar, Meysam; Bennett, James R.; Bhalla, Ashish; Bhutta, Zulfiqar A.; Bilal, Arebu Issa; Borges, Guilherme; Borschmann, Rohan; Brazinova, Alexandra; Campuzano Rincon, Julio Cesar; Carvalho, Félix; Castañeda-Orjuela, Carlos A.; Dandona, Lalit; Dandona, Rakhi; Dargan, Paul I.; De Leo, Diego; Dharmaratne, Samath Dhamminda; Ding, Eric L.; Phuc Do, Huyen; Doku, David Teye; Doyle, Kerrie E.; Driscoll, Tim Robert; Edessa, Dumessa; El-Khatib, Ziad; Endries, Aman Yesuf; Esteghamati, Alireza; Faro, Andre; Farzadfar, Farshad; Feigin, Valery L.; Fischer, Florian; Foreman, Kyle J.; Franklin, Richard Charles; Fullman, Nancy; Futran, Neal D.; Gebrehiwot, Tsegaye Tewelde; Gutiérrez, Reyna Alma; Hafezi-Nejad, Nima; Haghparast Bidgoli, Hassan; Hailu, Gessessew Bugssa; Haro, Josep Maria; Hassen, Hamid Yimam; Hawley, Caitlin; Hendrie, Delia; Híjar, Martha; Hu, Guoqing; Ilesanmi, Olayinka Stephen; Jakovljevic, Mihajlo; James, Spencer L.; Jayaraman, Sudha; Jonas, Jost B.; Kahsay, Amaha; Kasaeian, Amir; Keiyoro, Peter Njenga; Khader, Yousef; Khalil, Ibrahim A.; Khang, Young-Ho; Khubchandani, Jagdish; Ahmad Kiadaliri, Aliasghar; Kieling, Christian; Kim, Yun Jin; Kosen, Soewarta; Krohn, Kristopher J.; Kumar, G. Anil; Lami, Faris Hasan; Lansingh, Van C.; Larson, Heidi Jane; Linn, Shai; Lunevicius, Raimundas; Magdy Abd El Razek, Hassan; Magdy Abd El Razek, Muhammed; Malekzadeh, Reza; Carvalho Malta, Deborah; Mason-Jones, Amanda J.; Matzopoulos, Richard; Memiah, Peter T. N.; Mendoza, Walter; Meretoja, Tuomo J.; Mezgebe, Haftay Berhane; Miller, Ted R.; Mohammed, Shafiu; Moradi-Lakeh, Maziar; Mori, Rintaro; Nand, Devina; Tat Nguyen, Cuong; Le Nguyen, Quyen; Ningrum, Dina Nur Anggraini; Akpojene Ogbo, Felix; Olagunju, Andrew T.; Patton, George C.; Phillips, Michael R.; Polinder, Suzanne; Pourmalek, Farshad; Qorbani, Mostafa; Rahimi-Movaghar, Afarin; Rahimi-Movaghar, Vafa; Rahman, Mahfuzar; Rai, Rajesh Kumar; Ranabhat, Chhabi Lal; Rawaf, David Laith; Rawaf, Salman; Rowhani-Rahbar, Ali; Safdarian, Mahdi; Safiri, Saeid; Sagar, Rajesh; Salama, Joseph S.; Sanabria, Juan; Santric Milicevic, Milena M.; Sarmiento-Suárez, Rodrigo; Sartorius, Benn; Satpathy, Maheswar; Schwebel, David C.; Seedat, Soraya; Sepanlou, Sadaf G.; Shaikh, Masood Ali; Sharew, Nigussie Tadesse; Shiue, Ivy; Singh, Jasvinder A.; Sisay, Mekonnen; Skirbekk, Vegard; Soares Filho, Adauto Martins; Stein, Dan J.; Stokes, Mark Andrew; Sufiyan, Mu’awiyyah Babale; Swaroop, Mamta; Sykes, Bryan L.; Tabarés-Seisdedos, Rafael; Tadese, Fentaw; Tran, Bach Xuan; Thanh Tran, Tung; Ukwaja, Kingsley Nnanna; Vasankari, Tommi Juhani; Vlassov, Vasily; Werdecker, Andrea; Ye, Pengpeng; Yip, Paul; Yonemoto, Naohiro; Younis, Mustafa Z.; Zaidi, Zoubida; El Sayed Zaki, Maysaa; Hay, Simon I.; Lim, Stephen S.; Lopez, Alan D.; Mokdad, Ali H.; Vos, Theo; Murray, Christopher J. L.
JAMA, Volume 320 (8) – Aug 28, 2018

Global Mortality From Firearms, 1990-2016

Research JAMA | Original Investigation The Global Burden of Disease 2016 Injury Collaborators Editorial page 764 IMPORTANCE Understanding global variation in firearm mortality rates could guide Video and Supplemental prevention policies and interventions. content 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...
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Publisher
American Medical Association
Copyright
Copyright 2018 American Medical Association. All Rights Reserved.
ISSN
0098-7484
eISSN
1538-3598
DOI
10.1001/jama.2018.10060
pmid
30167700
Publisher site
See Article on Publisher Site

Abstract

Key PointsQuestionWhat is the burden of firearm mortality at the global, regional, and national level between 1990 and 2016 by sex and age? FindingsUsing a combination of deidentified aggregated data from vital registration, verbal autopsy, census and survey data, and police records in models for 195 countries and territories, this study estimated 251 000 (95% uncertainty interval [UI], 195 000-276 000) people died globally from firearm injuries in 2016, compared with 209 000 (95% UI, 172 000-235 000) deaths in 1990. 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. MeaningThis study provides an estimate of the global burden of firearms deaths in 2016, change in this burden from 1990, and variation in levels and rates among countries.

Journal

JAMAAmerican Medical Association

Published: Aug 28, 2018

References

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