Global Mortality From Firearms, 1990-2016

Naghavi, M, Marczak, L, Kutz, M and Doyle, K. et al, 2018, 'Global Mortality From Firearms, 1990-2016', Journal of the American Medical Association, vol. 320, no. 8, pp. 792-814.

Document type: Journal Article
Collection: Journal Articles

Title Global Mortality From Firearms, 1990-2016
Author(s) Naghavi, M
Marczak, L
Kutz, M
Doyle, K. et al,
Year 2018
Journal name Journal of the American Medical Association
Volume number 320
Issue number 8
Start page 792
End page 814
Total pages 23
Publisher American Medical Association
Abstract IMPORTANCE Understanding global variation in firearm mortality rates could guide prevention policies and interventions. OBJECTIVE To estimate mortality due to firearm injury deaths from 1990 to 2016 in 195 countries and territories. DESIGN, SETTING, AND PARTICIPANTS This study used deidentified aggregated data including 13 812 location-years of vital registration data to generate estimates of levels and rates of death by age-sex-year-location. The proportion of suicides in which a firearm was the lethal means was combined with an estimate of per capita gun ownership in a revised proxy measure used to evaluate the relationship between availability or access to firearms and firearm injury deaths. EXPOSURES Firearm ownership and access. MAIN OUTCOMES AND MEASURES Cause-specific deaths by age, sex, location, and year. RESULTS Worldwide, it was estimated that 251 000 (95% uncertainty interval [UI], 195 000-276 000) people died from firearm injuries in 2016, with 6 countries (Brazil, United States, Mexico, Colombia, Venezuela, and Guatemala) accounting for 50.5% (95% UI, 42.2%-54.8%) of those deaths. In 1990, there were an estimated 209 000 (95% UI, 172 000 to 235 000) deaths from firearm injuries. Globally, the majority of firearm injury deaths in 2016 were homicides (64.0% [95% UI, 54.2%-68.0%]; absolute value, 161 000 deaths [95% UI, 107 000-182 000]); additionally, 27% were firearm suicide deaths (67 500 [95% UI, 55 400-84 100]) and 9% were unintentional firearm deaths (23 000 [95% UI, 18 200-24 800]). From 1990 to 2016, there was no significant decrease in the estimated global age-standardized firearm homicide rate (-0.2% [95% UI, -0.8% to 0.2%]). Firearm suicide rates decreased globally at an annualized rate of 1.6% (95% UI, 1.1-2.0), but in 124 of 195 countries and territories included in this study, these levels were either constant or significant increases were estimated. There was an annualized decrease of 0.9% (95% UI, 0.5%-1.3%) in the global rate of age-stand
Subject Public Health and Health Services not elsewhere classified
Keyword(s) Firearms
Mortality rates
Homicide Rates
Gun Ownership
DOI - identifier 10.1001/jama.2018.10060
Copyright notice © 2018 American Medical Association. All rights reserved.
ISSN 0098-7484
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