Risk of firearm injuries among children and youth of immigrant families

Saunders, Natasha; Lee, Hannah; Macpherson, Alison; Guan, Jun; Guttmann, Astrid

doi:10.1503/cmaj.160850

Cited by 21 publications

(28 citation statements)

References 28 publications

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“…Herein, mortality followed a similar pattern, with a 50% overall relative higher mortality in rural areas, including a 237% relative increase within the 11-year age group. While the health of Canadian youth born to immigrants is generally better than their non-immigrant peers,32 33 the current study did not show such a protective effect among the offspring of mothers from the Caribbean, sub-Saharan Africa and the Middle East (table 3). We do not know how our findings might differ from those of children that arrived as immigrants to Canada.…”

Section: Discussioncontrasting

confidence: 68%

Mortality in a cohort of 3.1 million children, adolescents and young adults

Ray

Guttmann

Silveira

et al. 2020

J Epidemiol Community Health

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BackgroundMany youth deaths occur in the first year of life, from prematurity and anomalies. Detailing mortality after age 1 year may differentially guide preventive strategies in children, adolescents and young adults.MethodsA cohort study in Ontario, Canada comprised 3 139 698 children born from 1990 to 2016. Adjusted HR (aHR) for death between 1 and 24 years were generated, comparing demographic variables and parity.ResultsAfter a median of 13.7 years of follow-up, 6930 deaths occurred between ages 1 and 24 years (incidence rate 17.0 per 100 000 person-years), peaking at age 23 years (43.7 per 100 000). The aHR for death was higher among males than females (1.44, 95% CI 1.37 to 1.51), rural versus urban areas (1.48, 95% CI 1.39 to 1.58), lowest versus highest income areas (1.39, 95% CI 1.29 to 1.51) and at parity 1 (1.16, 95% CI 1.10 to 1.23), parity 2 (1.34, 95% CI 1.23 to 1.45), parity 3+ (1.96, 95% CI 1.74 to 2.21), each relative to a child without an older sibling. Among males, the proportion of deaths due to injury jumped from 30% before age 15 years to 65% thereafter, and in females, from 28% to 51%. Intentional self-harm/assault explained 11% of injury-related deaths among males before age 15 years, and 20% thereafter, with respective figures of 18% and 17% for females. Deaths outside of hospital increased with age, from 35% at age 1 year, to 66% at age 22 years.ConclusionThere is a heightened susceptibility of dying starting at age 15 years, especially among males, from injury, and arising outside of hospital.

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Section: Discussioncontrasting

confidence: 68%

Mortality in a cohort of 3.1 million children, adolescents and young adults

Ray

Guttmann

Silveira

et al. 2020

J Epidemiol Community Health

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show abstract

“…In your response 1 to a previous question 2 on this forum, and not reported in your original article, 3 it now appears that 55.1% of unintentional firearm injuries came from BB guns and air guns. By comparison, only 5.6% came from long guns and 2.5% from handguns.…”

mentioning

confidence: 86%

More on firearm injuries among children and youth

Midroni

2017

CMAJ

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“…2 Our definition of a firearm injury was based on the International Statistical Classification of Diseases and Related Health Problems, 10th rev, Clinical Modification (ICD-10-CM) codes for external causes of injury and includes only injury from discharge or malfunction of a firearm. This firearm definition is consistent with the definition of Section 2 of the Criminal Code of Canada which defines firearms as "a barrelled weapon from which any shot, bullet or other projectile can be discharged and that is capable of causing serious bodily injury or death to a person, and includes any frame or receiver of such a barrelled weapon and anything that can be adapted for use as a firearm."…”

Section: The Authors Respond To: "Questions On Analysis Of Firearm Inmentioning

confidence: 99%