Clive O. Callender, M.D., Howard-Harvard Health Sciences Outcomes Research Center, Howard University College of Medicine, Washington, DC.
National Center for Excellence in Trauma and Violence Prevention, Howard University, Washington, DC.
Ann Surg. 2021 Jun 1;273(6):1115-1119. doi: 10.1097/SLA.0000000000004810.
To examine patterns and trends of firearm injuries in a nationally representative sample of US women.
Gun violence in the United States exceeds rates seen in most other industrialized countries. Due to the paucity of data little is known regarding demographics and temporal variations in firearm injuries among women.
Data were extracted from the Centers for Disease Control and Prevention's Web-based Injury Statistics Query and Reporting System (2001-2017) for women 18 years and older. Number of nonfatal firearm assaults and homicide per year were extracted and crude population-based injury rates were calculated. Sub-stratification by age-group and time period were performed.
Between 2001 and 2017, there were 88,823 nonfatal firearm assaults involving women and 29,106 firearm homicides. There were 4116 victims of nonfatal firearm assault in 2001 (3.8 per 105) and 12,959 by 2017 (10.0 per 105). Homicide rates were 1.5 per 105 in 2001 and 1.7 per 105 in 2017. Sub-stratification by age-group and time period showed that there were no significant changes in nonfatal firearm assault rates between 2001 and 2010 (P-trend = 0.132 in 18-44 yo; 0.298 in 45-64 yo). However between 2011 and 2017, nonfatal assault rates increased from 7.10 per 105 to 19.24 per 105 in 18-44 yo (P-trend = 0.013) and from 1.48 per 105 to 3.93 per 105 in 45-64 yo (P-trend = 0.003). Similar trends were seen with firearm homicide among 18-44 yo (1.91 per 105 to 2.47 per 105 in 2011-2017, P-trend = 0.022). However, the trends among 45-64 yo were not significant in both time periods.
Female victims of gun violence are increasing and more recent years have been marked with higher rates of firearm injuries, particularly among younger women. These data suggest that improved public health strategies and policies may be beneficial in reducing gun violence against US women.
研究美国女性中具有代表性的全国样本中枪支伤害的模式和趋势。
美国的枪支暴力超过了大多数其他工业化国家的水平。由于数据匮乏,因此对于女性枪支伤害的人口统计学和时间变化几乎一无所知。
从疾病控制与预防中心的基于网络的伤害统计数据查询和报告系统(2001-2017 年)中提取了 18 岁及以上女性的资料。每年提取非致命性枪支攻击和凶杀案的数量,并计算了基于人口的粗略伤害率。按年龄组和时间段进行了细分。
在 2001 年至 2017 年期间,有 88823 名女性遭受非致命性枪支袭击,有 29106 人死于枪支凶杀案。2001 年有 4116 名非致命性枪支袭击受害者(每 105 人中有 3.8 人),而 2017 年有 12959 人(每 105 人中有 10.0 人)。2001 年凶杀案发生率为每 105 人 1.5 人,2017 年为每 105 人 1.7 人。按年龄组和时间段细分表明,2001 年至 2010 年期间非致命性枪支攻击率没有明显变化(18-44 岁的人群中 P 趋势=0.132;45-64 岁的人群中 P 趋势=0.298)。但是,在 2011 年至 2017 年之间,18-44 岁的人群中非致命性攻击率从每 105 人 7.10 增加到 19.24(P 趋势=0.013),45-64 岁的人群中从每 105 人 1.48 增加到 3.93(P 趋势=0.003)。在 18-44 岁的人群中,枪支凶杀案也有类似的趋势(2011-2017 年期间,每 105 人中有 1.91 至 2.47 人,P 趋势=0.022)。但是,在这两个时间段内,45-64 岁的人群中趋势并不明显。
遭受枪支暴力的女性受害者人数正在增加,而最近几年枪支伤害率更高,尤其是在年轻女性中。这些数据表明,改善公共卫生策略和政策可能有助于减少美国女性遭受的枪支暴力。