Imperial College London
Alternate

ProfessorSalmanRawaf

Faculty of Medicine, School of Public Health

Director of WHO Collaborating Centre
 
 
 
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Contact

 

+44 (0)20 7594 8814s.rawaf

 
 
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Assistant

 

Ms Ela Augustyniak +44 (0)20 7594 8603

 
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Location

 

311Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Marczak:2018:10.1001/jama.2018.10060,
author = {Marczak, LB and Kutz, M and Shackelford, KA and et, al and Rawaf, D and Rawaf, S and et, al},
doi = {10.1001/jama.2018.10060},
journal = {JAMA: Journal of the American Medical Association},
pages = {792--814},
title = {Global mortality from firearms, 1990-2016},
url = {http://dx.doi.org/10.1001/jama.2018.10060},
volume = {320},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - 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 13812 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 251000 (95% uncertainty interval [UI], 195000-276000) 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 209000 (95% UI, 172000 to 235000) 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, 161000 deaths [95% UI, 107000-182000]); additionally, 27% were firearm suicide deaths (67500 [95% UI, 55400-84100]) and 9% were unintentional firearm deaths (23000 [95% UI, 18200-24800]). 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
AU  - Marczak,LB
AU  - Kutz,M
AU  - Shackelford,KA
AU  - et,al
AU  - Rawaf,D
AU  - Rawaf,S
AU  - et,al
DO  - 10.1001/jama.2018.10060
EP  - 814
PY  - 2018///
SN  - 0098-7484
SP  - 792
TI  - Global mortality from firearms, 1990-2016
T2  - JAMA: Journal of the American Medical Association
UR  - http://dx.doi.org/10.1001/jama.2018.10060
UR  - http://hdl.handle.net/10044/1/62021
VL  - 320
ER  -
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