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. 2021 Nov 22;176(2):e214822. doi: 10.1001/jamapediatrics.2021.4822

Table 2. Mortality Rates and Incidence Rate Ratios for Total Firearm-Related Deaths and Specific Intents Stratified by Race and Ethnicity and Urbanicity .

Characteristic Total firearm-related deaths Homicides Suicides Unintentional deaths
Rate per 100 000 youths IRR (95% CI) Rate per 100 000 youths IRR (95% CI) Rate per 100 000 youths IRR (95% CI) Rate per 100 000 youths IRR (95% CI)
2007 2016 2007 2016 2007 2016 2007 2016 2007 2016 2007 2016 2007 2016 2007 2016
Race and ethnicitya
Alaska Native or American Indian 11.0 12.0 2.4 (1.9-3.0) 1.9 (1.5-2.4) 3.8 4.5 2.7 (1.8-3.8) 3.3 (2.2-4.7) 5.7 6.3 2 (1.4-2.7) 1.4 (1.0-1.9) 0.9 0.6 4.5 (1.8-9.6) 3.0 (0.8-7.8)
Asian 3.2 3.4 0.7 (0.6-0.9) 0.5 (0.4-0.6) 1.7 1.3 1.1 (0.8-1.5) 1 (0.7-1.3) 1.5 2.0 0.5 (0.4-0.7) 0.4 (0.4-0.5) 0 0 0.1 (0-0.8) 0.1 (0-0.7)
Hispanic 8.2 6.2 1.8 (1.7-1.9) 1 (0.9-1.1) 6.6 4.3 4.5 (4.1-5.0) 3.1 (2.8-3.4) 1.3 1.7 0.4 (0.4-0.5) 0.4 (0.3-0.4) 0.2 0.1 0.9 (0.6-1.4) 0.8 (0.5-1.2)
Non-Hispanic
Black 27.3 29.9 5.9 (5.6-6.2) 4.8 (4.6-5.1) 24.5 26.5 16.9 (15.5-18.3) 19.1 (17.5-20.8) 2.0 2.9 0.7 (0.6-0.8) 0.6 (0.6-0.7) 0.5 0.4 2.4 (1.7-3.4) 1.9 (1.3-2.8)
White 4.6 6.2 1 [Reference] 1 [Reference] 1.5 1.4 1 [Reference] 1 [Reference] 2.9 4.5 1 [Reference] 1 [Reference] 0.2 0.2 1 [Reference] 1 [Reference]
Otherb 1.0 0.4 0.2 (0.1-0.3) 0.1 (0-0.1) 0.9 0.3 0.6 (0.4-0.9) 0.3 (0.1-0.5) 0.2 0.1 0.1 (0-0.2) 0 (0-0.1) 0 0 0 (0-0.8) 0 (0-0.6)
Urbanicityc
Large central metropolitan 12.7 11.8 1 [Reference] 1 [Reference] 10.5 9.3 1 [Reference] 1 [Reference] 1.9 2.3 1 [Reference] 1 [Reference] 0.2 0.1 1 [Reference] 1 [Reference]
Large fringe metropolitan 6.1 6.9 0.5 (0.5-0.5) 0.6 (0.6-0.6) 4.1 4.0 0.4 (0.4-0.4) 0.4 (0.4-0.5) 1.7 2.7 0.9 (0.8-1.0) 1.2 (1.1-1.3) 0.1 0.1 0.9 (0.5-1.5) 0.7 (0.4-1.3)
Medium metropolitan 7.5 9.0 0.6 (0.6-0.6) 0.8 (0.7-0.8) 4.6 4.9 0.4 (0.4-0.5) 0.5 (0.5-0.6) 2.5 3.8 1.3 (1.1-1.5) 1.7 (1.5-1.9) 0.3 0.2 1.6 (1.0-2.6) 1.1 (0.7-1.9)
Small metropolitan 5.9 8.2 0.5 (0.4-0.5) 0.7 (0.6-0.8) 2.8 3.3 0.3 (0.2-0.3) 0.4 (0.3-0.4) 2.8 4.6 1.5 (1.2-1.7) 2.0 (1.8-2.3) 0.2 0.2 1.5 (0.8-2.6) 1.5 (0.8-2.7)
Micropolitan 6.2 8.5 0.5 (0.4-0.5) 0.7 (0.7-0.8) 2.5 3.0 0.2 (0.2-0.3) 0.3 (0.3-0.4) 3.2 5.0 1.7 (1.4-2.0) 2.2 (1.9-2.5) 0.4 0.4 2.8 (1.7-4.6) 2.7 (1.6-4.5)
Noncore 7.9 9.5 0.6 (0.6-0.7) 0.8 (0.7-0.9) 2.8 3.0 0.3 (0.2-0.3) 0.3 (0.3-0.4) 4.1 5.9 2.2 (1.8-2.6) 2.6 (2.2-3.0) 0.8 0.5 5.2 (3.2-8.3) 3.1 (1.7-5.4)

Abbreviation: IRR, incidence rate ratio.

a

Race and ethnicity were self-reported or self-selected.

b

The other category included Native Hawaiian or Other Pacific Islander and ≥2 races.

c

For analyses, county urbanicity was coded as a categorical variable, either urban (large central metropolitan, large fringe metropolitan, medium metropolitan, and small metropolitan) or rural (micropolitan or noncore).