Pediatric Firearm-Related Fatalities

James E. Svenson

39 citations0/0 files storedArchives of Pediatrics and Adolescent Medicine

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Gun Ownership and Violence Research Injury Epidemiology and Prevention Homicide, Infanticide, and Child Abuse

Abstract

OBJECTIVE: To examine medical and demographic factors associated with the firearm-related deaths among children in Kentucky. DESIGN: Retrospective review and multiple regression analysis. DATA SOURCE: All firearm-related deaths among children younger than 20 years reported to the Kentucky Office of Vital Statistics, Frankfort, from 1988 to 1993. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: All 320 pediatric firearm-related deaths that occurred in Kentucky from 1988 to 1993 were analyzed. Death rates were calculated for each county in the state. While the overall death rate from firearms was not significantly different between African-American and white children (relative risk [RR], 1.39; 95% confidence interval [CI], 0.98-1.98), the pattern of the types of events was markedly different. African American children were much more likely to have been involved in a homicide; suicides were more frequent in white children. Multiple Poisson regression analysis, controlling for age, race, and gender, identified only 1 variable that was significantly associated with deaths due to firearms. Children in rural Kentucky were at significantly more risk for a firearm-related death than children in urban areas (RR, 1.26; 95% CI, 1.01-1.62) even after controlling for medical system variables (availability of a hospital with 24-hour emergency services, availability of prehospital advanced life support, and availability of 911 service). CONCLUSIONS: Children in rural areas of Kentucky are at an increased risk for firearm-related mortality. Prevention and intervention programs that focus only on urban areas may not produce optimum results in the Kentucky setting. Further research is needed to determine factors that are important in rural areas so that interventions specific to them can be planned.

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References

1992Suicide in the Home in Relation to Gun Ownership 1992Violence in America: a public health emergency. Time to bite the bullet back 1986Protection or Peril?1992Firearm and nonfirearm homicide among persons 15 through 19 years of age. Differences by level of urbanization, United States, 1979 through 1989 1993Firearm Mortality Among Children, Youth, and Young Adults 1-34 Years of Age, Trends and Current Status: United States, 1985-90 1987Firearms as a Cause of Death in the United States, 1920–1982 1986Accidental firearm fatalities in North Carolina, 1976-80.1988The Cost of Hospitalization for Firearm Injuries

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2001Suicide Among African American Men 2019Young lives cut short: The relationship between firearms and pediatric suicide 2001Gun deaths in rural and urban settings: recommendations for prevention.

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