Racial and ethnic disparities in pediatric firearm deaths persist in 2022 and 2023.

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Injury Epidemiology Pub Date : 2025-03-24 DOI:10.1186/s40621-025-00571-3

Rafael Klein-Cloud, Bailey Roberts, Emma Cornell, Colleen Nofi, Chethan Sathya

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引用次数: 0

Abstract

Background: Firearms became the leading cause of death in the United States pediatric population in 2019 and have persisted as the leading cause through 2021, with widening racial and ethnic disparities. We aimed to examine recent trends in U.S pediatric firearm mortality, how they differ by intent, and identify which ages, and racial and ethnic groups have been most impacted over time.

Methods: The Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research database was queried for mortalities in children aged 0-19 years from 2014-2023, and crude death rate was reported as number of deaths per 100,000 persons per year.

Results: Firearms continued to be the leading cause of death in patients aged 0-19 years from 2021 to 2023, firearm crude death rate decreased from 5.8 to 5.5. In patients aged 14-19, firearms became the leading cause of death in 2016. In patients aged 0-13 years, firearms continue to be the fourth leading cause of death. Firearm death rates for Black children decreased from 18.6 in 2022 to 17.6 in 2023 yet remained far higher than other races, and highest in all census regions. Crude firearm death rates for American Indian and Alaskan Native (AIAN) children remained the second highest. The firearm suicide rate in Black children (1.8) surpassed that of White children (1.6) in 2022 and was the highest of any ethnicity in 2023. NonCore (rural) regions had the highest firearm crude death rates in 2018-19, and AIAN children were disproportionately affected in these areas, while Large Central Metro areas surpassed this in 2020-2021.

Conclusions: Firearms remain the leading cause of death among children aged 14-19, and the fourth leading cause of death among children 13 and younger. Racial and ethnic disparities remain prominent, as Black and American Indian and Alaskan Native children continue to be disproportionately affected, particularly by firearm suicide. Prevention strategies should target these vulnerable populations and children at highest risk to prevent future firearm deaths.

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2022年和2023年，儿童枪支死亡的种族和民族差异仍然存在。

背景：随着种族和民族差异的扩大，枪支在2019年成为美国儿科人口死亡的主要原因，并在2021年继续成为主要原因。我们的目的是研究美国儿童枪支死亡率的最新趋势，他们的意图有何不同，并确定随着时间的推移，哪些年龄、种族和民族受到的影响最大。方法：查询美国疾病控制与预防中心流行病学研究广泛在线数据数据库2014-2023年0-19岁儿童死亡率，粗死亡率以每年每10万人死亡人数报告。结果：从2021年到2023年，枪支仍然是0-19岁患者的主要死亡原因，枪支粗死亡率从5.8下降到5.5。在14-19岁的患者中，枪支成为2016年死亡的主要原因。在0-13岁的患者中，枪支仍然是第四大死因。黑人儿童的枪支死亡率从2022年的18.6%下降到2023年的17.6%，但仍远高于其他种族，在所有人口普查区域中最高。美国印第安人和阿拉斯加原住民（AIAN）儿童的枪械死亡率仍然是第二高的。2022年，黑人儿童的枪支自杀率（1.8）超过了白人儿童（1.6），并在2023年成为所有种族中最高的。非核心（农村）地区在2018-19年的枪支粗死亡率最高，这些地区的亚裔儿童受到的影响不成比例，而中部大都市地区在2020-2021年超过了这一水平。结论：枪支仍然是14-19岁儿童死亡的主要原因，也是13岁及以下儿童死亡的第四大原因。种族和民族差异仍然突出，黑人、美洲印第安人和阿拉斯加土著儿童继续受到不成比例的影响，特别是枪支自杀。预防战略应以这些脆弱人群和风险最高的儿童为目标，以防止今后因枪支死亡。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Injury Epidemiology Medicine-Medicine (all)

CiteScore

3.20

自引率

4.50%

发文量

审稿时长

13 weeks

期刊介绍： Injury Epidemiology is dedicated to advancing the scientific foundation for injury prevention and control through timely publication and dissemination of peer-reviewed research. Injury Epidemiology aims to be the premier venue for communicating epidemiologic studies of unintentional and intentional injuries, including, but not limited to, morbidity and mortality from motor vehicle crashes, drug overdose/poisoning, falls, drowning, fires/burns, iatrogenic injury, suicide, homicide, assaults, and abuse. We welcome investigations designed to understand the magnitude, distribution, determinants, causes, prevention, diagnosis, treatment, prognosis, and outcomes of injuries in specific population groups, geographic regions, and environmental settings (e.g., home, workplace, transport, recreation, sports, and urban/rural). Injury Epidemiology has a special focus on studies generating objective and practical knowledge that can be translated into interventions to reduce injury morbidity and mortality on a population level. Priority consideration will be given to manuscripts that feature contemporary theories and concepts, innovative methods, and novel techniques as applied to injury surveillance, risk assessment, development and implementation of effective interventions, and program and policy evaluation.