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United States Value:
Number of deaths due to firearm injury of any intent (unintentional, suicide, homicide or undetermined) per 100,000 females ages 20-44
Additional Measures:
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Number of deaths due to firearm injury of any intent (unintentional, suicide, homicide or undetermined) per 100,000 females ages 20-24
<= 5.8
5.9 - 7.1
7.2 - 9.0
9.1 - 11.7
>= 11.8
No Data
US Value: 6.1
Top State(s): Massachusetts: 1.2
Bottom State(s): Mississippi: 16.1
Definition: Number of deaths due to firearm injury of any intent (unintentional, suicide, homicide or undetermined) per 100,000 females ages 20-44
Data Source and Years(s): CDC WONDER, Multiple Cause of Death Files, 2020-2022
Suggested Citation: America's Health Rankings analysis of CDC WONDER, Multiple Cause of Death Files, United Health Foundation, AmericasHealthRankings.org, accessed 2024.
Firearm violence is a serious and deadly public health issue. The United States has a higher rate of firearm deaths than other high-income countries. Firearm deaths among females in the U.S. increased 71% between 2010 and 2021.
One study found that more than half of all female homicides are related to intimate partner violence, and approximately 10% of women killed by an intimate partner experienced violence in the month preceding their death.
Research indicates that women who experienced a mass shooting in their county during pregnancy are more prone to giving birth to premature babies and babies with extremely low birth weight.
According to America’s Health Rankings analysis, the firearm death rate is higher among:
Firearm deaths are preventable; efforts at the individual, community and policy levels can reduce the firearm death rate.
It is safest not to keep any guns in the home, but gun owners can take steps to improve household gun safety, like:
Preventing intimate partner violence, which contributes significantly to firearm deaths among women, is also necessary. Strategies to prevent intimate partner violence include:
Community violence interventions offer conflict resolution, mental health and social support services targeted at the specific needs of a local community. These can be most effective when partnered with local government agencies that can expand their resources and reach. State-level policy recommendations include strengthening firearms legislation, particularly background check and permit laws.
Moreover, policies aimed at temporarily confiscating firearms from individuals who are at risk of suicide or pose a threat of violence toward others have proven to be successful. Examples of such policies include Domestic Violence Protection Orders (DVPOs) and Extreme Risk Protection Orders (ERPOs). DVPOs, which mandate the removal of firearms, have demonstrated a 12% decrease in intimate partner homicides. ERPOs specifically target access to firearms. A study on ERPO-style law estimated that for every 10-20 firearms removed, one life was potentially saved.
Improving access to mental health resources can help prevent suicide. The 988 Suicide & Crisis Lifeline provides free, confidential support for people in distress 24/7, everywhere in the U.S. Their website offers additional forms of crisis support, and the previous National Suicide Prevention Lifeline number (1-800-273-TALK(8255)) is still active and usable.
Healthy People 2030 has several violence prevention objectives related to firearms, including reducing firearm-related deaths and reducing nonfatal firearm-related injuries.
Davis, Ari, Lisa Geller, Rose Kim, Silvia Villarreal, Alexander McCourt, Janel Cubbage, and Cassandra Crifasi. “A Year in Review: 2020 Gun Deaths in the U.S.” Baltimore, MD: Johns Hopkins Center for Gun Violence Solutions, 2022. https://publichealth.jhu.edu/sites/default/files/2022-05/2020-gun-deaths-in-the-us-4-28-2022-b.pdf.
Grinshteyn, Erin, and David Hemenway. “Violent Death Rates in the US Compared to Those of the Other High-Income Countries, 2015.” Preventive Medicine 123 (June 2019): 20–26. https://doi.org/10.1016/j.ypmed.2019.02.026.
Lee, Lois K., Eric W. Fleegler, Caitlin Farrell, Elorm Avakame, Saranya Srinivasan, David Hemenway, and Michael C. Monuteaux. “Firearm Laws and Firearm Homicides: A Systematic Review.” JAMA Internal Medicine 177, no. 1 (January 1, 2017): 106. https://doi.org/10.1001/jamainternmed.2016.7051.
Niolon, Phyllis Holditch, Megan Kearns, Jenny Dills, Kirsten Rambo, Shalon Irving, Theresa L. Armstead, and Leah Gilbert. “Preventing Intimate Partner Violence Across the Lifespan: A Technical Package of Programs, Policies, and Practices.” Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 2017. https://www.cdc.gov/violenceprevention/pdf/ipv-technicalpackages.pdf.
Rees, Chris A., Michael C. Monuteaux, Isabella Steidley, Rebekah Mannix, Lois K. Lee, Jefferson T. Barrett, and Eric W. Fleegler. “Trends and Disparities in Firearm Fatalities in the United States, 1990-2021.” JAMA Network Open 5, no. 11 (November 29, 2022): e2244221. https://doi.org/10.1001/jamanetworkopen.2022.44221.
Soni, Aparna, and Erdal Tekin. “Mass Shootings In The United States: Population Health Impacts And Policy Levers.” Health Affairs Health Policy Brief. Robert Wood Johnson Foundation, September 15, 2022. https://www.healthaffairs.org/do/10.1377/hpb20220824.260250/full/.
Tobin-Tyler, Elizabeth. “Intimate Partner Violence, Firearm Injuries and Homicides: A Health Justice Approach to Two Intersecting Public Health Crises.” Journal of Law, Medicine & Ethics 51, no. 1 (2023): 64–76. https://doi.org/10.1017/jme.2023.41.
Websdale, Neil, Kathleen Ferraro, and Steven D. Barger. “The Domestic Violence Fatality Review Clearinghouse: Introduction to a New National Data System with a Focus on Firearms.” Injury Epidemiology 6, no. 1 (December 2019): 6. https://doi.org/10.1186/s40621-019-0182-2.
America’s Health Rankings builds on the work of the United Health Foundation to draw attention to public health and better understand the health of various populations. Our platform provides relevant information that policymakers, public health officials, advocates and leaders can use to effect change in their communities.
We have developed detailed analyses on the health of key populations in the country, including women and children, seniors and those who have served in the U.S. Armed Forces, in addition to a deep dive into health disparities across the country.