Rates of firearm homicide by Chicago region, age, sex, and race/ethnicity, 2005-2010

Rates of firearm homicide by Chicago region, age, sex, and race/ethnicity, 2005-2010
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DOI:
10.1097/ta.0000000000001176
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发表时间:
2016-10-01
影响因子:
3.4
通讯作者:
Sheehan, Karen
Sheehan, Karen
中科院分区:
医学2区
文献类型:
--
作者:
Walker, Garth Nyambi;McLone, Suzanne;Sheehan, Karen

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背景技术背景:与其他高收入国家相比,美国报告的枪支杀人事件发生率最高,1美国境内这些事件的重点和原因因人口特征和地点而异,如城市与农村环境。尽管有这些发现,但很少有研究发表在一个城市内不同地区的比率上。目的:本研究旨在提供芝加哥七个地区的枪支杀人率的描述性分析,并确定芝加哥七个地区的枪支杀人率是否因人口统计学而异。方法:伊利诺伊州暴力死亡报告系统对暴力死亡进行例行监测。根据以下标准选择死者:死亡方式是他杀,武器类型是火器,导致死亡的受伤地点是芝加哥市。受伤的位置按地区划分:北部、西北部、中部、西部、南部、西南部和远南部。每100,000多年率和相应的95%置信区间进行了calculated.RESULTS:有2,254名受害者在城市的芝加哥枪支杀人。芝加哥所有人口统计数据的总体比率为12.9(每10万人12.1 - 13.5),平均年龄为27.4岁。枪支杀人率最高的年龄组(20 - 24岁)为每10万人43.2人(39.7 - 46.7人)。在最年轻的年龄组(10 - 14岁)中,只有西南部(3.3 - 10.4岁)地区报告了任何火器事件。20至24岁年龄组报告的死亡率在南部(107.9 - 151.7)、西部(80.3 - 108.2)和远南部(69.6 - 105.3)区域内所有年龄组中最高,而北部和西北部报告的死亡率在所有区域中按年龄分列最低。黑人枪支凶杀率为每10万人33.5(31.9 - 35.1)人,而西班牙裔和非西班牙裔白色枪支凶杀率分别为每10万人8.5(7.7 - 9.3)人和1.2(1 - 1.5)人。最后,西部报告的最高枪支率为29.1(657)。结论:总之,芝加哥是一个大城市,其组成地区之间的枪支杀人率变化很大;因此,芝加哥作为一个整体的整体枪支杀人率是不准确的枪支杀人的真实性质的代表。通过多管齐下的举措提供更多的区域分析和有针对性的干预措施,帮助降低未来的枪支使用率,并为解决系统性贫困和充分获得护理和医疗设施的问题提供资金,可以使政策的执行更加有效。版权所有(C)2016威科医疗集团All rights reserved.
BACKGROUND: The United States reports the highest levels of firearm homicide incidences compared to other high income countries, 1 and the focus and causes of these incidences within the US differ by demographic characteristics and location such as urban versus rural environment. Despite these findings, few studies have published on rates varied by region within a city.OBJECTIVE: This study aims to provide descriptive analysis of the rates of firearm homicide by age, sex, and race/ethnicity in each of the seven City of Chicago regions, and to determine if the rates of firearm homicide differ by demographics among the seven City of Chicago regions.METHODS: The Illinois Violent Death Reporting System conducts routine surveillance of violent deaths. Decedents were selected according to the following criteria: manner of death was homicide, weapon type was firearm, and location of injury that led to death was the City of Chicago. Location of injury was broken down by regions: North, Northwest, Center, West, South, Southwest, and Far South. Multiyear rates per 100,000 and corresponding 95% confidence intervals were calculated.RESULTS: There were 2,254 victims of homicide by firearm in the City of Chicago. The overall rate across Chicago for all demographics was 12.9 (12.1-13.5 per 100,000) with an average age of 27.4. The highest age group (20-24) for firearm homicide rates was 43.2 (39.7-46.7) per 100,000. For the youngest age group (10-14), only the Southwest (3.3-10.4) region reported any firearm incidence. The 20 to 24 age group reported the highest rates of all age groups within the South (107.9-151.7), West (80.3-108.2), and Far South (69.6-105.3) regions, whereas the North and Northwest reported the lowest rates for all regions by age. Black firearm homicide rates were 33.5 (31.9-35.1) per 100,000 versus Hispanic and non-Hispanic white firearm homicide rates of 8.5 (7.7-9.3) and 1.2 (1-1.5) per 100,000, respectively. Lastly, the West reported the highest firearm rates at 29.1 (657).CONCLUSION: In conclusion, Chicago is a large city that has high variation in firearm homicide rates among its constituent regions; therefore, an overall firearm homicide rate for the city of Chicago as a whole is not an accurate representation of the true nature of firearm homicides. Policy implementation may be made more effective by providing more regional analysis and targeted interventions via multipronged initiatives to help reduce future firearm rates, and funding for issues that address systemic poverty and adequate access to care andmedical facilities. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.