Hackam David J, Mazzioti Mark V, Pearl Richard H, Mazziotti Gretchen M, Winthrop Andrea L, Langer Jacob C
Department of Surgery, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania, USA.
J Trauma. 2004 Jun;56(6):1286-90. doi: 10.1097/01.ta.0000068240.42586.f6.
This study aimed to determine whether firearms are a more prevalent cause of pediatric death in the United States than in Canada.
All pediatric trauma deaths from 1991 to 1996 in Ontario and Missouri were reviewed. Socioeconomic data were compiled for the two jurisdictions.
During the period reviewed, there were 1,146 pediatric trauma deaths in Ontario (10.4 per 100,000 population) and 1,782 in Missouri (32.4 per 100,000 population). Firearm injuries accounted for 19% of the trauma deaths in Missouri and 0.5% of such deaths in Ontario. Overall, a child was 100 times more likely to die of firearm injury in Missouri (6 per 100,000 population) than in Ontario (0.06 per 100,000 population). The incidences of violent acts unrelated to firearms were similar between the two groups. Both populations were similar in terms of socioeconomic and education parameters, but differed in their rates for guns carried.
The significantly higher death rate from firearm injuries in Missouri likely reflects differing gun control attitudes and legislation, and provides a rationale for prevention and future investigation.
本研究旨在确定在美国，枪支是否比在加拿大更易导致儿童死亡。
回顾了1991年至1996年安大略省和密苏里州所有儿童创伤死亡病例。收集了这两个司法管辖区的社会经济数据。
在研究期间，安大略省有1146例儿童创伤死亡（每10万人中有10.4例），密苏里州有1782例（每10万人中有32.4例）。枪支伤害在密苏里州的创伤死亡中占19%，在安大略省此类死亡中占0.5%。总体而言，密苏里州儿童死于枪支伤害的可能性（每10万人中有6例）是安大略省（每10万人中有0.06例）的100倍。两组与枪支无关的暴力行为发生率相似。两组人群在社会经济和教育参数方面相似，但枪支携带率不同。
密苏里州因枪支伤害导致的死亡率显著更高，这可能反映了不同的枪支管制态度和立法，并为预防和未来研究提供了理论依据。
