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Urban–Rural Shifts in Intentional Firearm Death: Different Causes, Same Results

Charles C. Branas, PhD, Michael L. Nance, MD, Michael R. Elliott, PhD, Therese S. Richmond, PhD and C. William Schwab, MD

Charles Branas and Michael Elliott are with the Department of Biostatistics and Epidemiology at the University of Pennsylvania School of Medicine, Philadelphia. Michael Nance is with the Department of Surgery at the Children’s Hospital of Philadelphia. Therese Richmond is with the Division of Foundational Sciences and Health Systems at the University of Pennsylvania School of Nursing. C. William Schwab is with the Division of Traumatology and Surgical Critical Care, University of Pennsylvania School of Medicine. Charles Branas, Michael Nance, Therese Richmond, and C. William Schwab are also with the Firearm and Injury Center at the University of Pennsylvania. Charles Branas and Therese Richmond are also with the Leonard Davis Institute for Health Economics at the University of Pennsylvania.





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  		FIGURE 1—— Unadjusted mortality rates by urban–rural county type: (a) intentional firearm and intentional nonfirearm, (b) firearm suicide and homicide, (c) nonfirearm suicide and homicide.

 




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  		FIGURE 2—— Regression-adjusted firearm relative risks and 95% confidence intervals by county type: (a) firearm suicide and homicide, (b) firearm suicide, (c) firearm homicide.

 




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  		FIGURE 3—— Regression-adjusted nonfirearm relative risks and 95% confidence intervals by county type: (a) nonfirearm suicide and homicide, (b) nonfirearm suicide, (c) nonfirearm homicide.

 




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