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Community gun violence and functional disability: An ecological analysis among men in four U.S. cities.
Abstract
This study uses data on neighborhoods in four U.S. cities over five years to examine the relationship between fatal and non-fatal gun violence and rates of functional disability among men. Descriptive analyses indicate significant disparities in shooting rates across neighborhoods and heightened associated disability in high shooting communities. Multivariate results show that rates of non-fatal shootings correspond to greater functional disability among young men, but not older men. Fatal gun violence is not associated with increased community disability. The findings suggest that improvements in local gun violence prevention may serve to address broader community disparities in health and well-being.
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“More than one-half of survivors of firearm violence develop Post Traumatic Stress Disorder and/or depression [14]”
From Firearm injuries in Missouri (2023) · cites this paper as [14]
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Firearm injuries in the United States
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Buggs, S. A. L., Kravitz-Wirtz, N., & Lund, J. J. (2022) · The Annals of the American Academy of Political and Social Science · doi:10.1177/00027162231173324 · Cited by 61
“…firearm violence and functional disability among men in four major U.S. cities found that neighborhoods with high rates of both fatal and nonfatal shootings have a disproportionately greater prevalence of disability than those with low rates of firearm violence (Semenza and Stansfield 2021).”
BackgroundSemenza, D. C., Stansfield, R., Silver, I. A., & Savage, B. (2023) · Journal of urban health · doi:10.1007/s11524-023-00796-x · Cited by 43
“First, past studies have focused on neighborhoods in a single location or a handful of cities [6, 8, 10, 23] and there remains no national-level research on how gun violence exposure relates to neighborhood health outcomes.”
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“Higher rates of NFS are also associated with adverse health outcomes at the community level compared to fatal shootings, contributing to the continued trauma and health disparities among marginalized individuals, families, and communities (Wintemute, 2015; Beard et al., 2017; Semenza, 2021; Semenza and Stansfield, 202…”
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“61 Linguistic and cultural competence is critical to responding to acts of fi rearm violence that target racially-marginalized communities.”
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Self-citationTesta, A., Mijares, L., Jackson, D. B., Semenza, D. C., Stansfield, R., Silver, I. A., & Mungia, R. (2025) · Public Health · doi:10.1016/j.puhe.2025.105725 · Cited by 1
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“…linked to poorer collective health outcomes related to mental and physical well-being (Semenza et al., 2023a, b), health behaviors (Semenza & Stansfield, 2021a ), and functional disability (Semenza & Stansfield, 2021b), suggesting that local violence has health implications for entire communities.”
Self-citationUzzi, M., Ocampo, P., Wical, W., Aune, K. T., McComas, M., & Dean, L. T. (2025) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2025.108100
“28,30 Importantly, people with disabilities (either temporary or permanent disabilities) are more likely to have poor credit, which affects their ability to access funds for emergency concerns.”
Nonfatal Firearm Injury and Subsequent Emergency Department Utilization Among Nonelderly Adults
Giannouchos, T. V., Kum, H., & Rochford, H. I. (2024) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2024.10.005
Metadata
- Authors
- Semenza, D. C., & Stansfield, R.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- Corresponding author
- Semenza, Daniel C.
- Venue
- Health & Place
- Publisher
- Elsevier BV
- Published
- 2021-07
- Volume
- 70
- Pages
- 102625
- ISSN
- 1353-8292 (ISSN-L)
- OpenAlex
- W3185147775
- Cited by
- 44
- References
- 0
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 12 · 2023: 10 · 2022: 7 · 2021: 1
- FWCI
- 4.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Health & Place (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Health › Gun Ownership and Violence Research
- Social Sciences › Sociology and Political Science › Crime Patterns and Interventions
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- gun violence, functional disability, young men, age differences, health disparities, gun violence prevention, ecological perspective, urban neighborhoods
- MeSH terms
- Gun Violence, Aged, Cities, Firearms, Humans, Male, Residence Characteristics, Violence
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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