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. 2024 May 4;331(20):1732–1740. doi: 10.1001/jama.2024.3908

Table. Mortality per 100 000 Youth Aged 1 to 19 Years by Race and Ethnicitya.

Mortality cause Pooled mortality rate (95% CI)
American Indian or Alaska Native Asian or Pacific Islander Black Hispanic White
All cause 48.79 (46.58-51.00) 15.25 (14.75-15.76) 42.33 (41.81-42.86) 21.48 (21.19-21.77) 24.07 (23.86-24.28)
All injury 34.67 (32.81-36.53) 7.41 (7.06-7.76) 27.07 (26.66-27.49) 12.85 (12.63-13.08) 15.09 (14.92-15.25)
Injury
Mechanism
Firearm 6.67 (5.85-7.49) 1.38 (1.23-1.54) 12.88 (12.59-13.17) 3.08 (2.97-3.19) 3.11 (3.04-3.19)
Motor vehicle crash 10.77 (9.73-11.81) 1.71 (1.54-1.88) 5.89 (5.70-6.09) 4.42 (4.29-4.55) 5.04 (4.94-5.13)
Drug-related 2.49 (2.02-3.04) 0.57 (0.48-0.67) 1.11 (1.03-1.20) 1.13 (1.07-1.20) 1.66 (1.60-1.72)
Drowning 1.71 (1.32-2.18) 0.88 (0.76-1.00) 1.95 (1.84-2.07) 0.92 (0.86-0.98) 1.12 (1.08-1.17)
Suffocation 7.79 (6.90-8.67) 1.69 (1.52-1.86) 1.76 (1.65-1.87) 1.58 (1.50-1.66) 2.10 (2.04-2.16)
Fire/burn 0.67 (0.44-0.99) NAb 0.79 (0.71-0.86) 0.23 (0.20-0.26) 0.40 (0.38-0.43)
Intentional
Homicide 4.49 (3.82-5.16) 0.88 (0.76-1.01) 12.81 (12.52-13.10) 2.65 (2.54-2.75) 1.26 (1.21-1.30)
Suicide 11.37 (10.30-12.43) 2.86 (2.64-3.08) 2.65 (2.52-2.78) 2.49 (2.39-2.59) 4.38 (4.29-4.47)
Unintentional
Motor vehicle crash 10.74 (9.71-11.78) 1.70 (1.54-1.87) 5.86 (5.67-6.06) 4.39 (4.26-4.52) 4.99 (4.89-5.09)
Poisoning 2.15 (1.72-2.67) 0.40 (0.32-0.49) 0.84 (0.77-0.92) 1.05 (0.98-1.11) 1.38 (1.33-1.43)
Drowning 1.53 (1.17-1.98) 0.78 (0.67-0.89) 1.81 (1.70-1.92) 0.86 (0.80-0.92) 1.06 (1.02-1.11)
Suffocation NAb 0.17 (0.12-0.23) 0.44 (0.39-0.50) 0.22 (0.19-0.25) 0.30 (0.27-0.32)
Fire/burn NAb NAb 0.62 (0.55-0.68) 0.20 (0.17-0.23) 0.34 (0.32-0.37)
Disease
Cancer 2.49 (2.02-3.04) 2.04 (1.86-2.23) 2.33 (2.20-2.45) 2.29 (2.19-2.38) 2.17 (2.11-2.23)
Congenital anomaly 1.79 (1.39-2.27) 0.89 (0.77-1.01) 1.77 (1.66-1.87) 1.08 (1.02-1.15) 1.15 (1.10-1.19)
Circulatory disease 1.43 (1.08-1.86) 0.89 (0.77-1.01) 2.07 (1.96-2.19) 0.83 (0.77-0.88) 0.95 (0.91-0.99)
Asthma NAb 0.09 (0.05-0.13) 1.10 (1.01-1.18) 0.15 (0.12-0.17) 0.14 (0.12-0.16)
Influenza and pneumonia 1.04 (0.74-1.41) 0.35 (0.28-0.43) 0.53 (0.47-0.58) 0.30 (0.26-0.33) 0.33 (0.31-0.36)
COVID-19c NAb 0.26 (0.16-0.39) 0.90 (0.77-1.03) 0.56 (0.49-0.63) 0.33 (0.29-0.37)
Other infection 1.14 (0.83-1.53) 0.58 (0.48-0.68) 0.69 (0.62-0.75) 0.51 (0.47-0.56) 0.45 (0.42-0.48)
Other disease 5.84 (5.08-6.60) 2.99 (2.76-3.21) 6.70 (6.49-6.91) 3.40 (3.28-3.51) 3.76 (3.68-3.85)

Abbreviation: NA, not available.

a

Race and ethnicity of the decedent were provided by an informant (eg, family member) or the funeral director. Data are from the US Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research from 2016 to 2020.

b

Some data not available because of censoring of small numbers.

c

Years represented are 2016 to 2020 except COVID-19, which includes data from 2020 and 2021. eTable 3 in Supplement 1 presents rate ratios.