Trends in firearm injury in a southern California health care system from 2010 to 2020.
Firearm injury
Health care system
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
10 11 2023
10 11 2023
Historique:
received:
12
04
2023
accepted:
31
10
2023
medline:
13
11
2023
pubmed:
11
11
2023
entrez:
11
11
2023
Statut:
epublish
Résumé
Firearm injury is a significant public health concern in the United States. Data on fatal and nonfatal firearm injuries were obtained from a cohort of N = 7,473,650 members of Kaiser Permanente Southern California, a large integrated healthcare system between 2010 and 2020. Age-adjusted rates of combined fatal and nonfatal firearm injury per 100,000 members were calculated by year, with the 2010 US census as the reference population. Trends were evaluated using Poisson or negative binomial regression. There was an increasing trend in overall firearm injuries between 2010 and 2020 among adults in this large integrated healthcare system (p < .0001), primarily driven by non-self-inflicted firearm injuries (p < .0001). Self-inflicted injuries decreased during this time (p = .01). Injuries among youth showed no significant change. There was an increasing trend in firearm injuries between 2010 and 2020 among adults in this large integrated healthcare system, primarily driven by non-self-inflicted firearm injuries; however, self-inflicted injuries decreased during this time. Injuries among youth showed no significant change.
Sections du résumé
BACKGROUND
Firearm injury is a significant public health concern in the United States.
METHODS
Data on fatal and nonfatal firearm injuries were obtained from a cohort of N = 7,473,650 members of Kaiser Permanente Southern California, a large integrated healthcare system between 2010 and 2020. Age-adjusted rates of combined fatal and nonfatal firearm injury per 100,000 members were calculated by year, with the 2010 US census as the reference population. Trends were evaluated using Poisson or negative binomial regression.
RESULTS
There was an increasing trend in overall firearm injuries between 2010 and 2020 among adults in this large integrated healthcare system (p < .0001), primarily driven by non-self-inflicted firearm injuries (p < .0001). Self-inflicted injuries decreased during this time (p = .01). Injuries among youth showed no significant change.
CONCLUSION
There was an increasing trend in firearm injuries between 2010 and 2020 among adults in this large integrated healthcare system, primarily driven by non-self-inflicted firearm injuries; however, self-inflicted injuries decreased during this time. Injuries among youth showed no significant change.
Identifiants
pubmed: 37950238
doi: 10.1186/s12889-023-17116-2
pii: 10.1186/s12889-023-17116-2
pmc: PMC10636882
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2220Informations de copyright
© 2023. The Author(s).
Références
Pediatrics. 2023 Sep 1;152(3):
pubmed: 37599647
JAMA Psychiatry. 2021 Mar 1;78(3):241-242
pubmed: 32965479
PLoS One. 2019 Nov 22;14(11):e0225223
pubmed: 31756227
J Surg Res. 2022 Dec;280:63-73
pubmed: 35963016
Perm J. 2012 Summer;16(3):37-41
pubmed: 23012597
N Engl J Med. 2018 Dec 20;379(25):2468-2475
pubmed: 30575483
Health Aff (Millwood). 2019 Oct;38(10):1646-1652
pubmed: 31589525
JAMA Intern Med. 2021 Feb 1;181(2):237-244
pubmed: 33284327
J Pediatr Surg. 2022 Feb;57(2):278-283
pubmed: 34952693
N Engl J Med. 2022 May 19;386(20):1955-1956
pubmed: 35443104