The overlooked role of the home in mass shooting fatalities.

IF 2.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Injury Epidemiology Pub Date : 2025-07-21 DOI:10.1186/s40621-025-00602-z

Wilson H Hammett, Pragya Bhuwania, Jody Heymann

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引用次数: 0

Abstract

Background: Prevention efforts for mass shooting fatalities often focus on public events, overlooking where most fatalities occur. This study analyzes a comprehensive database to better inform prevention strategies.

Methods: Using data from the Gun Violence Archive (GVA), we identified 252 mass shooting events (2014-2023) with four or more deaths, excluding the perpetrator, resulting in 1,464 fatalities. A media analysis determined location and links to domestic violence. Mortality burden by location, age, gender, and domestic violence was calculated, with tests of association performed.

Results: We found that half (50%) of mass shooting fatalities occurred in homes-five times more than in businesses/workplaces (10%). Among children (0-9), 89% of fatalities occurred in homes, compared to 62% among older children and teens (10-17) and 44% among adults (18+). Women were more likely to be killed in mass shootings at home (50%) than men (40%). Fatalities were disproportionately concentrated in homes across all age groups (p < 0.001). Domestic violence-related mass shootings accounted for 46% of all fatalities, with 70% of fatalities from domestic violence-related events occurring in homes.

Conclusions: Public discourse neglects home-based mass shootings, which disproportionately affect women and children. Targeted interventions, especially addressing domestic violence, are critical for reducing fatalities.

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家庭在大规模枪击死亡中被忽视的作用。

背景：大规模枪击死亡的预防工作往往侧重于公共事件，而忽视了大多数死亡发生的地方。本研究分析了一个全面的数据库，以便更好地为预防策略提供信息。方法：使用枪支暴力档案（GVA）的数据，我们确定了252起大规模枪击事件（2014-2023年），除肇事者外，有4人或4人以上死亡，导致1464人死亡。媒体分析确定了地点及其与家庭暴力的联系。计算按地点、年龄、性别和家庭暴力划分的死亡率负担，并进行相关性检验。结果：我们发现一半（50%）的大规模枪击死亡事件发生在家中，是企业/工作场所（10%）的五倍。在儿童（0-9岁）中，89%的死亡发生在家中，而在较大的儿童和青少年（10-17岁）中这一比例为62%，在成人（18岁以上）中为44%。女性（50%）比男性（40%）更有可能死于家中的大规模枪击事件。在所有年龄组中，死亡人数不成比例地集中在家庭中(p结论：公共话语忽视了以家庭为基础的大规模枪击事件，这对妇女和儿童的影响尤为严重。有针对性的干预措施，特别是处理家庭暴力问题，对于减少死亡人数至关重要。

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.