Rural Communities and Violence

Pediatr Clin North Am. 2021 Apr;68(2):401-412. doi: 10.1016/j.pcl.2020.12.004. Epub 2021 Jan 26.

Abstract

Among US geographic regions classified as rural, death rates are significantly higher for children and teens as compared with their urban peers; the disparity is even greater for Alaskan Native/American Indian and non-Hispanic black youth. Violence-related injuries and death contribute significantly to this finding. This article describes the epidemiology of violence-related injuries, with a limited discussion on child abuse and neglect and an in-depth analysis of self-inflicted injuries including unintentional firearm injuries and adolescent suicide. Potential interventions are also addressed, including strategies for injury prevention, such as firearm safe storage practices.

Keywords: Adolescent suicide; Firearm injury prevention; Rural youth violence prevention.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Child
  • Child Abuse / statistics & numerical data
  • Child, Preschool
  • Female
  • Firearms / legislation & jurisprudence
  • Humans
  • Male
  • Risk Factors
  • Rural Population*
  • Sex Factors
  • Suicide / statistics & numerical data
  • Suicide / trends
  • Suicide Prevention
  • United States / epidemiology
  • Violence / statistics & numerical data*
  • Wounds, Gunshot / epidemiology*
  • Wounds, Gunshot / prevention & control
  • Young Adult