Characterising risk of homicide in a population-based cohort

Datos Bibliográficos

ID11174067
AutoresMeghan O’Neill (0000-0001-9551-0967, University of Toronto), Emmalin Buajitti (0000-0002-3194-7331, University of Toronto), Peter Donnelly (0000-0002-9878-9673, Public Health Ontario), Peter D Donnelly (Public Health Ontario, Toronto, Ontario, Canada), Jeremy Lewis (0000-0001-7870-9165, University of Toronto), Jeremy A Lewis (0000-0003-4528-437X, University of Toronto), Kathy Kornas (0000-0002-5832-7335, University of Toronto), Laura C Rosella (0000-0003-4867-869X, University of Toronto, autor de correspondencia)
Año2020
Volumen74
Número12
Páginas1028-1034
Fecha de publicación2020-12-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaJournal of Epidemiology and Community Health (JOURNAL)
Identificadores de la revistaISSN: 0143-005X • E-ISSN: 1470-2738
EditorialBMJ (PUBLISHER • GB)
DOI10.1136/jech-2019-213249
PMID31818867
OpenAlexW2994333104
IdiomaEN
Citas recibidas3
Referencias citadas31

BACKGROUND: Homicide is an extreme expression of violence that has attracted less attention from public health researchers and policy makers interested in prevention. The purpose of this study was to examine the socioeconomic gradient of homicide and to determine whether risk differs by immigration status. METHODS: We conducted a population-based cohort study using linked vital statistics, census and population data sets that included all deaths by homicide from 1992 to 2012 in Ontario, Canada. We calculated age-adjusted death rates for homicide by material deprivation quintiles, stratified by immigration status. Count-based negative binomial regression models were used to calculate unadjusted and adjusted rate ratios with predictors of interest being age, urban residence, material deprivation and immigration status. A subanalysis containing immigrants only examined the effect of time since immigration and immigration class. RESULTS: There were 3345 homicide deaths registered between 1992 and 2012. Relative to low material deprivation areas, age-adjusted rates of homicide deaths in high materially deprived areas were similar among refugees (RR: 48.49; 95% CI 36.99 to 62.45) and long-term residents (RR: 47.67; 95% CI 44.66 to 50.83), but were slightly lower for non-refugee immigrants (RR: 38.53; 95% CI 32.42 to 45.45). Female refugees experienced a 1.31 (95% CI 0.88 to 1.94) higher rate and male refugees experienced a 1.23 (95% CI 0.90 to 1.67) higher rate of homicide victimisation compared with long-term residents. In an immigrant only analysis, the risk of homicide among refugees increased with duration of residence. CONCLUSIONS: Given the large area-level, socioeconomic status gradients observed in homicides among refugees, community-level and culturally appropriate prevention approaches are important

Cohort · Cohort study · Environmental health · Homicide · Injury prevention · Medical emergency · Occupational safety and health · Pathology · Poison control · Population · Suicide prevention · Demography · Gun Ownership and Violence Research · Homicide, Infanticide, and Child Abuse · Internal Medicine · Intimate Partner and Family Violence · Medicine · Gerontology