Healthcare indicators and firearm homicide

An ecologic study

Dados Bibliográficos

ID12936675
AutoresMargaret K Formica (0000-0003-4379-6718, SUNY Upstate Medical University, autor correspondente), Sonali Rajan (0000-0002-2530-4364, Columbia University), Nicholas Simons (Rockefeller University)
Ano2019
Volume11
Fascículo2
Páginas88-99
Data de publicação2019-03-15
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoJournal of Aggression Conflict and Peace Research (JOURNAL)
Identificadores do periódicoISSN: 1759-6599 • E-ISSN: 2042-8715
EditoraEmerald Publishing Limited (PUBLISHER • GB)
DOI10.1108/jacpr-10-2018-0385
OpenAlexW2921864477
IdiomaEN
Citações recebidas1
Referências citadas35

Purpose The purpose of this paper is to investigate the relationship between rates of firearm homicide in New York State (NYS) and indicators of access to and quality of healthcare from 2011 to 2017. Design/methodology/approach Utilizing data from the NYS Division of Criminal Justice Services Uniform Crime Reporting Supplemental Homicide Reports and Robert Wood Johnson Foundation County Health Rankings Program, a county-level ecologic study was conducted, descriptive statistics provided and multivariable analyses conducted to determine the associations between critical indicators of county health and firearm homicide. Findings The majority of firearm homicide victims ( n =2,619) were young, Black, men and the highest rates of firearm homicide were situated in urban centers. Subgroup analyses excluding large urban centers and controlling for key demographics illustrated that those counties with lower rates of clinicians were significantly associated with higher rates of firearm homicide. Research limitations/implications Despite challenges integrating two large data sets, the present findings were able to illustrate the critical relationship between access to healthcare and prevalence of firearm homicide. Practical implications The results of this study reinforce the importance of access to primary healthcare services and its relationship to critical health outcomes. Social implications In urban settings, firearm homicides disproportionately impact young Black men, who are among the least likely to have access to healthcare. In more rural areas, access to healthcare is related directly to improved health outcomes, including reduced rates of firearm homicides. Originality/value This is the first study to explore and subsequently establish the relationship between indicators of community health and firearm homicide in NYS

Criminology · Descriptive statistics · Environmental health · Geography · Health care · Homicide · Injury prevention · Occupational safety and health · Poison control · Political science · Suicide prevention · Emergency and Acute Care Studies · Healthcare Policy and Management · Medicine · Primary Care and Health Outcomes · Psychology