From past to present: A comparison of interpersonal firearm violence between historically graded neighborhoods of Kansas City

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-03-04 DOI:10.1016/j.amjsurg.2025.116287

Terra M. Hill , Lauren T. Kerivan , Milind Phadnis , Christopher A. Guidry , Robert D. Winfield

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引用次数: 0

Abstract

Background

Interpersonal firearm violence (IFV) has been connected to the structural racism of redlining. We explored the relationship between historic redlining and IFV with population-level factors.

Methods

A cross-sectional study of IFV within historically graded neighborhoods was performed, and incidence rate ratios (IRRs) between these neighborhoods and the rate of IFV were modeled with a Poisson regression model.

Results

Comparing redlined to non-redlined neighborhoods, the IRRs adjusted for income was 14.9 (p < 0.0001), adjusted for poverty was 14.4 (p < 0.0001), adjusted for uninsured was 15.6 (p < 0.0001), and adjusted for IFV-related mortality was 26.05 (p < 0.0001). After county adjustment, every one unit increase in logarithm of income decreases the IFV rate by 64.7 % (p < 0.0001), whereas every one percent increase of poverty and uninsured, increases the IFV rates by 4.1 % (p < 0.0001) and 3.05 % (p < 0.0002), respectively.

Conclusion

Historically redlined communities have higher rates of IFV in Kansas City, Kansas.

Abstract Image

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.