Research Article - Biomedical Research (2017) Volume 28, Issue 6
Evaluation of the unintentional firearm deaths and injuries in rural areasMurat Alkan*
Ministry of Interior Affairs, Ankara, Turkey
Accepted date: October 15, 2016
When asked the reason of having a gun to millions of gun owners in the world, probably they would give the same answers such as for protection themselves, their family or place, recreation, security problems or hunting. This wide array of explanation sand the type of weapon they have chosen to own firearms depends on the place where they live weather rural or urban. Urban people mostly have handguns for protection whereas rural people generally use shotgun or rifle for protection and hunting. However, almost all around the world it is not hard to provide firearms through legal or illegal ways. Consequently, firearm-related injuries and deaths are quite common currently. Almost ten thousand people are injured and three thousand people are killed each year as a result of gunshot wounds. Firearms are also creates serious threat for children. According to some researchers in Turkey, gun accidents with rifle or shotgun mostly harm the people between the age 0-10. Since, their natural curiosity, children poke firearms which are at home and are substantial risk of exposure to firearm injury and death. In this research, a total of 261 unintentional gun and ammunition incidents were examined retrospectively which were occurred between the years 2001-2015 including 100 in Çorum, 21 in K?r?ehir, 55 in Yozgat, 30 in K?r?kkkale and 55 in Çank?r? rural areas in Turkey. Each incident file, were examined in terms of sex, education, occupation and the age of the victim, origin of the event, the type of weapon used, the entry hole location of the gunshot wound, the status of the license of the gun and the consequences of the incident.
Unintentional firearm deaths, Unintentional firearm injuries, Firearm accident, Rural area.
There are a variety of reasons why people own weapons. However, basic factor is environmental insecurity. Feeling of vulnerability leads humans to have weapons to protect themselves, their family or property. Consequently, gun ownership whether legal or illegal may cause fatal results. As, people endanger others life through accident. On the other hand, possession of gun type also very according to the rural or urban area. Rural people mostly have rifle and shotgun for hunting or protection whereas urban people generally use hand guns for security and protection. Therefore gunshot deaths and injuries also differentiate according to the place where the accident occurred.
According to the research carried by Dresang, compared with urban Washington, rural Washington had a larger percentage of gun deaths by shotguns and rifles and a smaller percentage by handguns. For example, between the years 1981-1991 in a rural Wisconsin, 39% were inflicted by rifles, 21% by shotguns, and 20% by handguns among 122 gunshot wounds . For example according to the research, the entire forensic autopsy carried on in Ankara between the years 2001-2004 were due to the gunshot wounds. According to the research studied the 403 death cases due to the gunshot wounds; 86.99% city-based gunshot wound cases occurred with the shot barrel gun and 60.36% village-based gunshot wound cases occurred with the shotgun .
Underestimates of unintentional firearm injuries in Turkey are one of the frequently encountered problems which are mostly due to the effect of cultural property. Approximately 3000 people in Turkey loss their life because of firearm injury in every year . According to the forensic autopsy of Institution of Forensic Medicine in Turkey, Firearm injuries are ranges between 8% and 13% [4-8].
In this work, a total of 261 unintentional gun and ammunition incidents were examined retrospectively which were occurred between the years 2001-2015 including 100 in Çorum, 21 in Kırşehir, 55 in Yozgat, 30 in Kırıkkkale and 55 in Çankırı urban areas in Turkey. Each incident file, were examined in terms of sex, education, occupation and the age of the victim, origin of the event, the type of weapon used, the entry hole location of the gunshot wound, the status of the license of the gun and the consequences of the incident.
Data mining method is used for this research to analysis the firearm accident data collection in rural areas such as Çorum, Kırşehir, Yozgat, Kırıkkkale and Çankırı in Turkey.
Association rule mining
Association rule mining is one of the researched methods of data mining. It wishes to extract remarkable correlations, frequent patterns or associations among sets of items in the transaction databases. In other words, it emphases on the mining of association rules, finding the correlation between items in the transaction records [11-13].
According to association rule mining, associations are written as A ≥ B, where A is called the antecedent and B is called the consequent. It attempts to find the relationship between antecedent and consequent when movement of A occurs and the movement probability of B [11,14-16].
Association rule mining is a suitable method for analysing the accidents  and it also reveals the unknown relationships in the data stack which provides results to decide [18,19]. Association rule mining has two important basic measures, called support(s) and confidence (c) . Rule Support (s) is defined as the percentage/fraction of records that contain AB to the total number of records in the database [13-16,20-22]. It is formulated as;
Confidence of an association rule is defined as the percentage/ fraction of the number of transactions that contain AB to the total number of records that contain A [14-16,20-22]: It is formulated as;
In this research, a total of 261 unintentional gun and ammunition incidents were examined retrospectively which were occurred between the years 2001-2015 including 100 in Çorum, 21 in Kırşehir, 55 in Yozgat, 30 in Kırıkkkale and 55 in Çankırı rural areas in Turkey. There is no single universally preferred definition of rural. However, rural definitions can be built on different units of geography such as density of population, health services, road network, resources or opportunities . For this research, rural is defined as population density is below 150 inhabitants per square kilometre . For this work, each incident file, were examined in terms of sex, education, occupation and the age of the victim, origin of the event, the type of weapon used, the entry hole location of the gunshot wound, the status of the license of the gun and the consequences of the incident.
To reveal the relationship between the accident factors SPSS Clementine programme is used for analysing. A priori Algorithm method is practiced for this research and results are presented below according to associations between the accident factors;
Association rule were presented in the table according to the statistics of gunfire accidents occurred in the cities, year and month. Evaluating the Table 1; analysing the 261 firearm accidents 38.31% occurred in Çorum, 21.45% in Çankiri, 21.07% Yozgat’ta, 11,11% in Kirikkale and 8.04% in Kirşehir. Considering the years, accident occurred 14.55% at the 2012 and 13.41% at the 2008. Besides, accidents mostly occurred in July with 13.41% then follows May with 10.72%, August 9.96%, June 9.19%.
|Antecedent||Consequent||Support %||Confidence %||Rule Support %|
Table 1: Statistics of Gunfire Accidents occurred in the Cities, Year and Month
Entry hole location of the gunshot wound and its condition were presented in the Table 2. 96.16% casualties were wounded and 3.83% died. 29.119% were wounded from hand 24.90% from the leg, 16.85% from the foot.
|Antecedent||Consequent||Support %||Confidence %||Rule Support %|
Table 2: Entry Hole Location of the Gunshot Wound and Its Condition
Table 3. presents information about firearm, gun license, gun owner and condition of who has wounded. According to the Table 3; from the 261 firearm accidents, 96.55% victim shot himself, 77.39% gun owner become victim,47.89% shotgun, 21.07% gun, 14.94% blank cartridge pistol and 7.66% mole gun were used. The guns that caused the accidents 42.52% were without gun license, 37.54% has gun license and 13.41% gun no subject the license. According to the research studied 2027 forensic cases between the years 1999-2003 in Samsun, 9.2% (187) forensic deaths were due to the gunshot wounds. 107 forensic deaths related with murder, 47 committed suicides and 32 gun accident .
|Antecedent||Consequent||Support percent (%)||Confidence percent (%)||Rule Support percent (%)|
|Shot himself||His own gun||96.55||78.17||75.47|
|His gun||Shot himself||77.39||97.52||75.47|
|Without gun license||Shot himself||42.52||94,59||40.23|
|Gun license||Shot himself||37.54||98.98||37.16|
|with his own shotgun||Shot himself||37.54||94.89||35.63|
|With his gun without gun license||Shot himself||33.71||96.59||32.56|
|With his gun and has gun license||Shot himself||30.65||98.75||30.26|
|Show himself with his own shotgun||Gun license||45.59||44.53||20.3|
|Without gun license and shotgun||His own gun||25.28||77.27||19.54|
|Without gun license, shotgun and his own gun||Shot himself||19.54||94.11||18.39|
|Gun and his own gun||Shot himself||18||100||18|
|Gun license, shotgun and gun licence||Shot himself||16.47||97.67||16.09|
|Gun license, shotgun and shot himself||His own gun||20.3||79.24||16,09|
|blank cartridge pistol||Shot himself||14.94||94.87||14.17|
Table 3: Firearm, gun license, gun owner and condition of who has wounded
Evaluating the binary and triple association; (shotgun and his own gun) ≥ (shot himself) association rule support 35.63%, (without gun license and his own gun) ≥ (shot himself) association rule support 32.56%. Other binary and triple association could be seen in Table 3.
Sex, job, age and education level of the victims were presented in the Table 4. Their occupation were 38.31% farmer, 9.19% student and 8.04% labourer, and their education level 56.32% primary school, 9. 962 % secondary school and 9.19% high school. Among the victims 95, 96% is male; 23.75% age between 21-30. 22.98% age between 11-20. 14.559% age between 41-50. 13.79% age between 31-40.
|Antecedent||Consequent||Support percent (%)||Confidence percent (%)||Rule Support percent (%)|
|primary school and male||labourer||54.40||55.63||30.26|
|primary school and male||21-30||54.40||22.53||12.26|
|11-20 and primary school||male||09.96||96.15||09.57|
|41-50 and primary school||male||10.34||92.59||09.57|
Table 4: Sex, job, age and education level
According to the research in France; due to the gun shot accident 77 death cases occurs yearly, it makes the 2.5% (68 male and 9 female) of all the death cases. It is seen that most of the death cases intensify between the ages 20-24 and 70-74 . According to the research examined the 133 death cases due to gunshot wounds in Institution of Forensic Medicine in Antalya between 1987-1993; 12.03% death cases occurred (16) due to the gunshot accident and all the death cases were heavily between the ages 21-30. Besides, 78.95% male and 21.05% female involved the cases .
Evaluating the binary and triple association; (primary school) ≥ (male) association rule support 54.4%, (primary school and male) ≥ farmer association 30.26%, (primary school and male) ≥ (21-30) age association 12.26%. Other association could be seen in the Table 4.
According to the firearm accident evaluated for this research, 47.89% mostly occurred with shotgun and 7.663% with mole gun at least. Due to the preferability of shotgun in rural areas it is not surprising that firearm accidents were mostly occurred by shotguns and mole gun. 29.119% victims were wounded in hand, 24.90% in leg and 16.85% in foot due to the use of shotgun. Likewise, victims were shot from the limb parts of the body due to the shotgun long barrel. 42.52% of guns which caused accident was without license. Owners of guns without license had no gun training it may be the enhancing factor for gun accidents.
Firearms are also creates serious threat for children. Because of their natural curiosity, children poke firearms which are at home and are substantial risk of exposure to firearm injury and death. In a study examining the deaths due to 249 gunshot wounds between 1992-2002 in Kahramanmaraş 52.9% gunshot wounds are mostly occurs between the ages 0-10 and 47% with shotgun . As it is seen that firearm injury mostly occurs between the ages 0-10 . Another research carried by  about unintentional firearm death to children. They collected the data from the National Violent Death Reporting System for 16 states from 2005 to 2012 in the USA. They estimated that there were 110 unintentional firearm deaths to children 0–14 annually in the U.S. during this 8 year time period. The victims were predominantly male (81%) and 97% of those cases the shooter was a male. The current study found that 23.75% victims of gun accidents were between the age group 21-30 and 22.98% were between the age group 11-20. Age group of 11-20 is engrossing. Because of their curiosity about guns and hunting habit with shotgun 95.40% of victims were male. This result compatible with the literature . Considering their occupation 38.31% were mostly farmers and their education level 56.32% primary school graduation due to the condition of the rural area.
Considering the results of gun accident in rural areas; the year it mostly occurred is 2012, the month it mostly occurred in July, the entrance hole it mostly occurred in hand, who had shot was the owner of the gun, shot himself, mostly with shotgun, with gun license, male victims, farmers as an occupation, primary school graduation and age between 21-30. Binary, triple and quartet association; (primary school) ≥ (male), (primary school and male) ≥ farmer, (primary school and male) ≥ (21-30), (shotgun and his gun) ≥ (shot himself), (without gun license and his gun) ≥ (shot himself) came forward.
Most of the accidents are preventable. In fact most of the deaths can be prevented by using basic safety rules [30-32]. In addition to education and training programs, prevention strategies should emphasize creating safer environments . Firearms at home should be unloaded, locked in a secure cupboard and ammunition should be separated from the firearm. To prevent the firearm injury or death, firearm safety education/training should be given to firearm owners and users about how to carry and use a gun. Besides, they have to obey the rules of gun safety.
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