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Urban-rural shifts in intentional firearm death: Different causes, same results

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  • Branas, C.C.
  • Nance, M.L.
  • Elliott, M.R.
  • Richmond, T.S.
  • Schwab, C.W.

Abstract

Objectives. We analyzed urban-rural differences in intentional firearm death. Methods. We analyzed 584629 deaths from 1989 to 1999 assigned to 3141 US counties, using negative binomial regressions and an 11-category urban-rural variable. Results. The most urban counties had 1.03 (95% confidence interval [Cl] = 0.87, 1.20) times the adjusted firearm death rate of the most rural counties. The most rural counties experienced 1.54 (95% Cl= 1.29, 1.83) times the adjusted firearm suicide rate of the most urban. The most urban counties experienced 1.90 (95% Cl = 1.50, 2.40) times the adjusted firearm homicide rate of the most rural. Similar opposing trends were not found for nonfirearm suicide or homicide. Conclusions. Firearm suicide in rural counties is as important a public health problem as firearm homicide in urban counties. Policymakers should become aware that intentional firearm deaths affect all types of communities in the United States.

Suggested Citation

  • Branas, C.C. & Nance, M.L. & Elliott, M.R. & Richmond, T.S. & Schwab, C.W., 2004. "Urban-rural shifts in intentional firearm death: Different causes, same results," American Journal of Public Health, American Public Health Association, vol. 94(10), pages 1750-1755.
  • Handle: RePEc:aph:ajpbhl:2004:94:10:1750-1755_1
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    Cited by:

    1. Abdul Munasib & Genti Kostandini & Jeffrey L. Jordan, 2018. "Impact of the Stand Your Ground law on gun deaths: evidence of a rural urban dichotomy," European Journal of Law and Economics, Springer, vol. 45(3), pages 527-554, June.

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