RT Journal Article
A1 The Global Burden of Disease 2016 Injury Collaborators
T1 Global Mortality From Firearms, 1990-2016
AB Understanding global variation in firearm mortality rates could guide prevention policies and interventions.To estimate mortality due to firearm injury deaths from 1990 to 2016 in 195 countries and territories.This study used deidentified aggregated data including 13â€?12 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.Firearm ownership and access.Cause-specific deaths by age, sex, location, and year.Worldwide, it was estimated that 251â€?00 (95% uncertainty interval [UI], 195â€?00-276â€?00) 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 209â€?00 (95% UI, 172â€?00 to 235â€?00) 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, 161â€?00 deaths [95% UI, 107â€?00-182â€?00]); additionally, 27% were firearm suicide deaths (67â€?00 [95% UI, 55â€?00-84â€?00]) and 9% were unintentional firearm deaths (23â€?00 [95% UI, 18â€?00-24â€?00]). From 1990 to 2016, there was no significant decrease in the estimated global age-standardized firearm homicide rate (âˆ?.2% [95% UI, âˆ?.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 34â€?00 deaths [95% UI, 24â€?00-39â€?00] 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 (Pâ€?lt;â€?001; R2â€?â€?.21) and homicide (Pâ€?lt;â€?001; R2â€?â€?.35).This study estimated between 195â€?00 and 276â€?00 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.