Robbins Rebecca, Affouf Mahmoud, Masiakos Peter T, Iyer Jay M, Griggs Cornelia, Klerman Elizabeth B, Sacks Chana A
Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham & Women's Hospital; Division of Sleep Medicine, Harvard Medical School, Boston, MA, USA.
Center for Gun Violence Prevention, Massachusetts General Hospital, Boston, MA, USA.
J Gen Intern Med. 2024 Oct;39(13):2380-2389. doi: 10.1007/s11606-024-08707-9. Epub 2024 Apr 2.
Gunshots affect those directly involved in an incident and those in the surrounding community. The community-level impact of nighttime gunshots, which may be particularly disruptive to the sleep of nearby community members, is unknown.
Our aim is to estimate the number of people potentially affected by nighttime gunshots and the relationship between nighttime gunshots and median household income in the USA.
We collected publicly available data on the timing and location of gunshots in six U.S. cities (Baltimore, MD; Boston, MA; Washington, D.C.; New York, NY; Philadelphia, PA; and Portland, OR) from 2015 to 2021. We then analyzed the data by computing rate ratios (RRs) to compare the frequency of gunshots during nighttime hours (6:00 pm to 5:59 am) versus daytime hours (6:00 am to 5:59 pm). Additionally, we used geospatial mapping to create choropleth maps to visualize the variation in nighttime gunshot density across cities. We estimated, using city-wide population, person-nights potentially impacted by the sound of gunshots within areas of 0.2- (low) and 0.5-mile (high) radius. Finally, for five of six cities where data on median household income were available by census tract, we built nonlinear regression models to estimate the relationship between the number of nighttime gunshots and median household income.
We analyzed 72,236 gunshots. Gunshots were more common during the nighttime than daytime (overall RR = 2.5). Analyses demonstrated that the low estimates for the mean annual number of person-nights impacted by nighttime gunshots were 0.4 million in Baltimore and Portland, 1.3 million in Philadelphia, 1.6 million in Boston, 2.9 million in New York City, and 5.9 million in Washington. The number of nighttime gunshots was inversely related to median household income.
Nighttime gunshots are prevalent, particularly in low-income neighborhoods, and may have under-recognized effects on the surrounding community.
枪击事件会影响直接参与事件的人员以及周边社区的居民。夜间枪击事件对社区层面的影响尚不清楚,而这种影响可能会对附近社区居民的睡眠造成特别大的干扰。
我们的目标是估计可能受到夜间枪击事件影响的人数,以及美国夜间枪击事件与家庭收入中位数之间的关系。
我们收集了2015年至2021年期间美国六个城市(马里兰州巴尔的摩市、马萨诸塞州波士顿市、华盛顿特区、纽约市、宾夕法尼亚州费城和俄勒冈州波特兰市)枪击事件的时间和地点的公开数据。然后,我们通过计算率比(RRs)来分析数据,以比较夜间(下午6:00至上午5:59)与白天(上午6:00至下午5:59)的枪击频率。此外,我们使用地理空间映射创建等值线图,以可视化各城市夜间枪击密度的变化。我们利用全市人口估计了半径为0.2英里(低)和0.5英里(高)区域内可能受到枪声影响的人夜数。最后,对于六个城市中五个有按普查区划分的家庭收入中位数数据的城市,我们建立了非线性回归模型,以估计夜间枪击事件数量与家庭收入中位数之间的关系。
我们分析了72236起枪击事件。夜间枪击事件比白天更为常见(总体RR = 2.5)。分析表明,夜间枪击事件影响的人夜数的低估计值在巴尔的摩和波特兰为40万,在费城为130万,在波士顿为160万,在纽约市为290万,在华盛顿为590万。夜间枪击事件的数量与家庭收入中位数呈负相关。
夜间枪击事件很普遍,尤其是在低收入社区,并且可能对周边社区产生未被充分认识的影响。