Global mortality from firearms, 1990-2016

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dc.creatorMohsen Naghavi
dc.creatorKhurshid Alam
dc.creatorTuomo J. Meretoja
dc.creatorHaftay Berhane Mezgebe
dc.creatorTed R. Miller
dc.creatorShafiu Mohammed
dc.creatorMaziar Moradi-lakeh
dc.creatorRintaro Mori
dc.creatorDevina Nand
dc.creatorCuong Tat Nguyen
dc.creatorQuyen le Nguyen
dc.creatorSuliman a. Alghnam
dc.creatorNeal d. Futran
dc.creatorTsegaye Tewelde Gebrehiwot
dc.creatorReyna Alma Gutiérrez
dc.creatorMolly Miller-petrie
dc.creatorNima Hafezi-nejad
dc.creatorHassan Haghparast Bidgoli
dc.creatorGessessew Bugssa Hailu
dc.creatorJosep Maria Haro
dc.creatorHamid Yimam Hassen
dc.creatorJoseph S. Salama
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dc.creatorDelia Hendrie
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dc.creatorOlayinka Stephen Ilesanmi
dc.creatorMiloud Taki Eddine Aichour
dc.creatorMihajlo Jakovljevic
dc.creatorSpencer l. James
dc.creatorSudha Jayaraman
dc.creatorJuan Sanabria
dc.creatorJost b. Jonas
dc.creatorAmaha Kahsay
dc.creatorAndrew t. Olagunju
dc.creatorAmir Kasaeian
dc.creatorPeter Njenga Keiyoro
dc.creatorYousef Khader
dc.creatorIbrahim a. Khalil
dc.creatorYoung-ho Khang
dc.creatorNadia Akseer
dc.creatorJagdish Khubchandani
dc.creatorOlatunde Aremu
dc.creatorAliasghar Ahmad Kiadaliri
dc.creatorChristian Kieling
dc.creatorYun Jin Kim
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dc.creatorSoewarta Kosen
dc.creatorKristopher j. Krohn
dc.creatorg. Anil Kumar
dc.creatorFaris Hasan Lami
dc.creatorVan c. Lansingh
dc.creatorHeidi Jane Larson
dc.creatorMilena m. Santric Milicevic
dc.creatorRajaa m. Al-raddadi
dc.creatorShai Linn
dc.creatorRaimundas Lunevicius
dc.creatorHassan Magdy Abd el Razek
dc.creatorMichael r. Phillips
dc.creatorMuhammed Magdy Abd el Razek
dc.creatorReza Malekzadeh
dc.creatorDeborah Carvalho Malta
dc.creatorAmanda j. Mason-jones
dc.creatorRichard Matzopoulos
dc.creatorRodrigo Sarmiento-suárez
dc.creatorPeter t. n. Memiah
dc.creatorWalter Mendoza
dc.creatorFélix Carvalho
dc.creatorSuzanne Polinder
dc.creatorFarshad Pourmalek
dc.creatorMostafa Qorbani
dc.creatorAfarin Rahimi-movaghar
dc.creatorVafa Rahimi-movaghar
dc.creatorMahfuzar Rahman
dc.creatorCarl Abelardo t. Antonio
dc.creatorBenn Sartorius
dc.creatorRajesh Kumar Rai
dc.creatorChhabi Lal Ranabhat
dc.creatorDavid Laith Rawaf
dc.creatorSalman Rawaf
dc.creatorAli Rowhani-rahbar
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dc.creatorSaeid Safiri
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dc.creatorDiego de Leo
dc.creatorMasood Ali Shaikh
dc.creatorNigussie Tadesse Sharew
dc.creatorIvy Shiue
dc.creatorAmit Arora
dc.creatorJasvinder a. Singh
dc.creatorMekonnen Sisay
dc.creatorVegard Skirbekk
dc.creatorAdauto Martins Soares Filho
dc.creatorDan j. Stein
dc.creatorMark Andrew Stokes
dc.creatorKatya Anne Shackelford
dc.creatorMu?awiyyah Babale Sufiyan
dc.creatorMamta Swaroop
dc.creatorBryan l. Sykes
dc.creatorRafael Tabarés-seisdedos
dc.creatorMohsen Asadi-lari
dc.creatorFentaw Tadese
dc.creatorBach Xuan Tran
dc.creatorTung Thanh Tran
dc.creatorKingsley Nnanna Ukwaja
dc.creatorTommi Juhani Vasankari
dc.creatorSamath Dhamminda Dharmaratne
dc.creatorVasily Vlassov
dc.creatorAndrea Werdecker
dc.creatorPengpeng ye
dc.creatorPaul Yip
dc.creatorNaohiro Yonemoto
dc.creatorReza Assadi
dc.creatorMustafa z. Younis
dc.creatorZoubida Zaidi
dc.creatorMaysaa el Sayed Zaki
dc.creatorSimon i. Hay
dc.creatorEric l. Ding
dc.creatorStephen s. Lim
dc.creatorAlan d. Lopez
dc.creatorAli h. Mokdad
dc.creatorTheo Vos
dc.creatorChristopher j. l. Murray
dc.creatorTesfay Mehari Atey
dc.creatorLeticia Avila-burgos
dc.creatorAshish Awasthi
dc.creatorLaurie b. Marczak
dc.creatorBeatriz Paulina Ayala Quintanilla
dc.creatorHuyen Phuc do
dc.creatorSuzanne Lyn Barker-collo
dc.creatorTill Winfried Bärnighausen
dc.creatorShahrzad Bazargan-hejazi
dc.creatorMasoud Behzadifar
dc.creatorMeysam Behzadifar
dc.creatorJames r. Bennett
dc.creatorAshish Bhalla
dc.creatorZulfiqar a. Bhutta
dc.creatorArebu Issa Bilal
dc.creatorMichael Kutz
dc.creatorDavid Teye Doku
dc.creatorGuilherme Borges
dc.creatorRohan Borschmann
dc.creatorAlexandra Brazinova
dc.creatorJulio Cesar Campuzano Rincon
dc.creatorCarlos a. Castañeda-orjuela
dc.creatorLalit Dandona
dc.creatorRakhi Dandona
dc.creatorPaul i. Dargan
dc.creatorKerrie e. Doyle
dc.creatorTim Robert Driscoll
dc.creatorDumessa Edessa
dc.creatorZiad El-khatib
dc.creatorDina Nur Anggraini Ningrum
dc.creatorAman Yesuf Endries
dc.creatorAlireza Esteghamati
dc.creatorMegha Arora
dc.creatorAndre Faro
dc.creatorFarshad Farzadfar
dc.creatorValery l. Feigin
dc.creatorFlorian Fischer
dc.creatorKyle j. Foreman
dc.creatorRichard Charles Franklin
dc.creatorNancy Fullman
dc.date.accessioned2023-04-27T20:20:11Z
dc.date.accessioned2025-09-09T01:16:29Z
dc.date.available2023-04-27T20:20:11Z
dc.date.issued2018
dc.format.mimetypepdf
dc.identifier.doi10.1001/jama.2018.10060
dc.identifier.issn00987484
dc.identifier.urihttps://hdl.handle.net/1843/52620
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJAMA
dc.rightsAcesso Aberto
dc.subjectArmas de fogo
dc.subjectViolência com Arma de Fogo
dc.subjectSuicídio
dc.subjectViolência
dc.subject.otherFirearms
dc.subject.otherViolence
dc.subject.otherHomicides
dc.subject.otherSuicide
dc.titleGlobal mortality from firearms, 1990-2016
dc.typeArtigo de periódico
local.citation.epage814
local.citation.issue8
local.citation.spage792
local.citation.volume320
local.description.resumoIMPORTANCE 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-standardized firearm deaths from 1990 to 2016. Aggregate firearm injury deaths in 2016 were highest among persons aged 20 to 24 years (for men, an estimated 34 700 deaths [95% UI, 24 900-39 700] and for women, an estimated 3580 deaths [95% UI, 2810-4210]). Estimates of the number of firearms by country were associated with higher rates of firearm suicide (P < .001; R2 = 0.21) and homicide (P < .001; R2 = 0.35). CONCLUSIONS AND RELEVANCE This study estimated between 195 000 and 276 000 firearm injury deaths globally in 2016, the majority of which were firearm homicides. Despite an overall decrease in rates of firearm injury death since 1990, there was variation among countries and across demographic subgroups.
local.identifier.orcidhttps://orcid.org/0000-0002-8214-5734
local.publisher.countryBrasil
local.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA
local.publisher.initialsUFMG
local.url.externahttps://jamanetwork.com/journals/jama/fullarticle/2698492

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