ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2017
Risk of firearm injuries among children and youth of immigrant families.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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14 citing papers in PubMed, 23 citations in OpenAlex.
- Emergency radiology in displaced populations: imaging and practical challenges.Diagnostic and interventional radiology (Ankara, Turkey) · 2026Review
- The epidemiology and deprivation profile of firearm-related injuries and deaths in British Columbia, Canada.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025Article
- Characterising firearm-related databases across Canada: opportunities for data linkage to inform understanding of injury burden and prevention.International journal of population data science · 2025Article
- Firearm Possession Rates in Home Countries and Firearm Suicide Rates Among US- and Foreign-Born Suicide Decedents in the United States: Analysis of Combined Data from the National Violent Death Reporting System and the Small Arms Survey.JMIR public health and surveillance · 2023Article
- Healthcare utilization and costs following non-fatal powdered and non-powdered firearm injuries for children and youth.European journal of pediatrics · 2022Article
- Injury characteristics and management of orthopaedic trauma in refugee children.International orthopaedics · 2021Article
- Physical trauma and injury: A multi-center study comparing local residents and refugees in Lebanon.Journal of global health · 2021Article
- Epidemiology of orthopaedic fractures due to firearms.Journal of clinical orthopaedics and trauma · 2021Article
- Mortality in a cohort of 3.1 million children, adolescents and young adults.Journal of epidemiology and community health · 2020Article
- Mortality Rate and Causes of Death Among Refugees Resettled in Washington State, 2006-2016.Journal of immigrant and minority health · 2020Article
- Questions on analysis of firearm injuries study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Article
- More on firearm injuries among children and youth.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Article
- The authors respond to: "Questions on analysis of firearm injuries study".CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFirearm injuries contribute to substantial morbidity and mortality. The immigrant paradox suggests that, despite being more socially disadvantaged, immigrants are less likely than nonimmigrants to have poor outcomes. We tested the association of immigrant characteristics with firearm injuries among children and youth.
methodsWe conducted a population-based cohort study involving residents of Ontario aged 24 years and younger from 2008-2012 using health and administrative databases. We estimated rate ratios of unintentional and assault-related firearm injuries by immigrant status using Poisson regression models with Generalized Estimating Equations.
resultsWe included 15 866 954 nonimmigrant and 4 551 291 immigrant person-years in our analysis. Nonimmigrant males had 1032 unintentional (12.4 per 100 000, 95% confidence interval [CI] 11.7-13.2) and 304 assault-related (3.6 per 100 000, 95% CI 3.2-4.0) firearm injuries. Immigrant males had 148 unintentional (7.2 per 100 000, 95% CI 6.1-8.5) and 113 assault-related (5.5 per 100 000, 95% CI 4.5-6.6) firearm injuries. Compared with nonimmigrants, immigrants had a lower rate of unintentional firearm injury (adjusted rate ratio 0.5, 95% CI 0.4-0.6) but a similar rate of assault-related firearm injury. Among immigrants, refugees had a 43% higher risk of assault-related firearm injury compared with nonrefugees (adjusted rate ratio 1.4, 95% CI 1.0-2.0). Immigrants from Central America and Africa accounted for 68% of immigrants with assault-related firearm injuries.
interpretationCompared with nonimmigrants, immigrant children and youth had a lower risk of unintentional firearm injury, although the risk of assault-related firearm injury was higher among refugees and immigrants from Central America and Africa. The results suggest that prevention strategies for firearm safety should target nonimmigrant youth as well as these newly identified high-risk immigrant populations.
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