This paper analyzes the medical care given at Brazilian urgent and emergency healthcare services to people injured by firearms in 2014. A cross-sectional study was carried out on care given to patients with firearms injuries in 24 capital cities of Brazilian states and in the Brazilian Federal District, included in the VIVA Survey. Simple and relative frequencies of the variables related to the patients and to the event were calculated, and a logistic model for complex samples was applied adopting care for firearms injuries patients as outcome. The results show the following percentages of care events as caused by firearms: 0.7% for the category 'other accidents (other than transport-related accidents)', 1.5% for self-inflicted injuries, 15.9% for injuries due to assault, and 65.1% of cases arising from legal intervention. The care given was predominantly to young male adults (age 20-39), of mixed race and with a low level of schooling. The most common injuries were: to arms and legs; and to multiple organs. The paper concludes by discussing the efforts to control firearms held by the public in Brazil, and how they can lead to severe and lethal outcomes in quarrels and interpersonal disputes.
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http://dx.doi.org/10.1590/1413-81232017229.16492017 | DOI Listing |
J Epidemiol Community Health
January 2025
University of Pennsylvania School of Social Policy and Practice and Perelman School of Medicine, Philadelphia, Pennsylvania, USA
Public health problems are complex; investigating them requires a framework that both accounts for multiple interactions among individuals and their intermediate and broader environment and also integrates equity concerns. Incorporating internal and external influences at the individual level, the health capability profile (HCP)'s 15 different health capabilities address this need.Using a systematic three-step deductive content analysis process, we examine hypothetical case studies representing leading causes of death in the USA (eg, heart disease, cancer and diabetes) as well as pressing public health issues such as COVID-19, alcohol use disorder, stigma and discrimination, intimate partner violence and firearm violence.
View Article and Find Full Text PDFAm J Epidemiol
December 2024
Climate Air Quality Research Unit, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia.
Research Question: Previous evidence suggests a positive association between temperature and homicide, but the association was less clear in Brazil where homicide is one of the leading causes of death. This study aimed to quantify the association between ambient daily temperature and homicides in Brazil with potential lag effects and to quantify the temperature attributed fractions of homicides in Brazil.
Methods: A space-time-stratified case-crossover design with distributed lag models was used to evaluate the temperature-homicide association from 1·1·2010 to 31·12·2019 in Brazil.
Pan Afr Med J
December 2024
World Health Organization, Abeokuta office, Abeokuta, Ogun State, Nigeria.
Gunshot injuries (GSI) are a major global public health problem. Our objective was to determine the patient characteristics, pattern and outcome of civilian gunshot wounds at the University College Hospital, Ibadan, Nigeria, from 2014-2018. The data of 232 patients with a diagnosis of GSI during the study period were collected and analyzed using descriptive and inferential statistics.
View Article and Find Full Text PDFAJPM Focus
February 2025
NORC at the University of Chicago, Bethesda, Maryland.
Introduction: Guns were one of the leading causes of death in children and youth aged 0-24 years in the U.S. over the last decade, with large variations by sex, race, region, and income.
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