State-Level Estimates of Nonfatal Firearm Injury Hospitalizations, 2000-2021.

IF 9.6 1区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

American journal of public health Pub Date : 2025-05-15 DOI:10.2105/ajph.2025.308069

Rosanna Smart,James Murphy,Terry L Schell,Andrew R Morral,Nancy Nicosia

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Abstract

Objectives. To create a comprehensive, publicly available data set of state-level nonfatal firearm injury inpatient hospitalizations (NFIIHs) in the United States from 2000 to 2021. Methods. We used Bayesian modeling to impute missing NFIIH rates for 334 state-year observations and correct for incomplete injury mechanism coding in 766 observations. Results. NFIIH rates increased nationally, with the largest rise between 2019 and 2020, up by one third to reach 1.31 (95% credibility interval [CrI] = 1.27, 1.35) per 10 000 population. State prevalences ranged from 0.18 (95% CrI = 0.14, 0.22) in Hawaii to 2.18 (2.04, 2.33) in Louisiana. South Central states (Mississippi, Arkansas, Missouri) had the largest increases. Twelve states-predominantly in the Northeast and West-experienced decreases. NFIIH rates correlated more strongly with firearm homicide rates (correlation = 0.86) than other intents (correlations < 0.28). Nationwide, there were 2.4 NFIIHs for every firearm homicide, but this ratio varied more than fourfold across states. Conclusions. NFIIH rates varied substantially across and within states. Despite strong correlation, many states diverged from the national NFIIH to firearm homicide ratio. Public Health Implications. Firearm deaths systematically underrepresent serious firearm injuries in some states. This new data set can inform how policies affect serious firearm injuries and injury lethality. (Am J Public Health. Published online ahead of print May 15, 2025:e1-e9. https://doi.org/10.2105/AJPH.2025.308069).

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2000-2021年非致命火器伤害住院的州级估计。

目标。创建一个全面的、公开的2000年至2021年美国州级非致命火器伤害住院（NFIIHs）数据集。方法。我们使用贝叶斯模型计算了334个州年观测数据中缺失的NFIIH率，并纠正了766个观测数据中不完整的损伤机制编码。结果。NFIIH发病率在全国范围内有所上升，2019年至2020年期间增幅最大，上升了三分之一，达到每万人1.31例（95%可信区间[CrI] = 1.27, 1.35）。州患病率从夏威夷的0.18 （95% CrI = 0.14, 0.22）到路易斯安那州的2.18（2.04,2.33）不等。中南部各州（密西西比州、阿肯色州、密苏里州）的增幅最大。12个州（主要在东北部和西部）经历了人口减少。NFIIH率与枪支杀人率的相关性（相关性= 0.86）比其他意图（相关性< 0.28）更强。在全国范围内，每一起涉枪杀人案就有2.4起nfii，但这一比例在各州之间的差异超过四倍。结论。非传染性疾病的发病率在各州之间和州内差别很大。尽管有很强的相关性，但许多州与全国NFIIH的枪支杀人比率有所不同。公共卫生影响。在一些州，枪支死亡人数系统性地低于严重枪支伤害人数。这一新的数据集可以告知政策如何影响严重火器伤害和伤害致命性。公共卫生。2025年5月15日在线出版：e1-e9。https://doi.org/10.2105/AJPH.2025.308069)。

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来源期刊

American journal of public health 医学-公共卫生、环境卫生与职业卫生

CiteScore

9.50

自引率

3.90%

发文量

1109

审稿时长

2-4 weeks

期刊介绍： The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.