Association Between Geospatial Access to Care and Firearm Injury Mortality in Philadelphia.

ABSTRACT:

Importance

The burden of firearm violence in US cities continues to rise. The role of access to trauma center care as a trauma system measure with implications for firearm injury mortality has not been comprehensively evaluated.

Objective

To evaluate the association between geospatial access to care and firearm injury mortality in an urban trauma system.

Design, setting, and participants

Retrospective cohort study of all people 15 years and older shot due to interpersonal violence in Philadelphia, Pennsylvania, between January 1, 2015, and August 9, 2021.

Exposures

Geospatial access to care, defined as the predicted ground transport time to the nearest trauma center for each person shot, derived by geospatial network analysis.

Main outcomes and measures

SUBMITTER: Byrne JP 

PROVIDER: S-EPMC9403855 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature