National Adolescent Health Information Center N A H 2006 Fact Sheet on I C Mortality: Adolescents & Young Adults Highlights: 4 The majority of adolescent and young adult deaths are due to preventable causes. 4 Young adults have 5 times the mortality rate of younger adolescents. 4 Motor vehicle accidents are the leading cause of death for adolescents and young adults. 4 Young males are more likely to die from each leading cause of death. 4 Mortality rates are highest among young American Indian/Alaskan Native and Black males. 4 Mortality rates have decreased overall since 1980. 4 The majority of adolescent and young adult deaths are due to preventable causes. Leading Causes of Death, Ages 10-24, 20031 Motor Vehicle Accidents 31.0% All Other Causes 20% All Other Unintentional Injuries 13.7% Homicide 14.8% Suicide 11.2% In 2003, 71% of deaths among adolescents and young adults ages 10-24 were due to preventable causes of unintentional injury, homicide and suicide. There were 37,624 deaths in 2003 among a population of 62.4 million in this age group, which represents a mortality rate of 60.3/100,000.1 Malignant Neoplasm 5.9% Heart Disease 3.4% 2006 Fact Sheet on Mortality: Adolescents and Young Adults - Page 2 4 Young adults have 5 times the mortality rate of younger adolescents. 160 Mortality Rates by Age and Gender, Ages 10-24, 20031 Deaths per 100,000 In 2003, young adults ages 20-24 were 5 times more likely to die than younger adolescents ages 10-14. Mortality rates continue to increase throughout the lifespan. Males have higher mortality rates than their female peers, a disparity that increases with age. For young adolescents ages 10-14, the death rate for males was 1.5 times that of females; this difference in rates increased to 2.4 for adolescents ages 15-19 and 2.8 for young adults ages 20-24.1 140.3 Females Males 120 92.3 80 49.8 39.0 40 15.0 23.1 0 Ages 10-14 Ages 15-19 Ages 20-24 4 Motor vehicle accidents are the leading cause of death for adolescents and young adults. Mortality Rates by Cause and Age, Ages 10-24, 20031 1.2 Motor vehicle accidents (MVAs) account for the largest portion of mortality among adolescents and young adults. The overall MVA mortality rate for those ages 15-24 is 6 times higher than the rate for ages 10-14. For suicide and homicide mortality, the age difference is more pronounced: the suicide rate for ages 20-24 is 10.1 times that of ages 1014; for homicide rates this figure is 16.5.1 7.3 Suicide Ages 10-14 12.1 Ages 15-19 Ages 20-24 1.0 Homicide 9.5 16.5 4.3 Motor Vehicle Accidents 25.2 26.9 0 20 40 60 80 Deaths per 100,000 4 Young males are more likely to die from each leading cause of death. 80 Mortality Rates by Cause and Gender, Ages 10-24, 20031 Females Males Deaths per 100,000 60 38.4 40 25.5 20 14.9 11.1 2.2 11.4 14.8 Males have markedly higher mortality rates for each major cause of death. The gender differences in mortality are greatest for homicide, with males 5.7 times more likely to die than females. For other major causes of death, this proportion is 5.0 for suicide, 2.6 for all unintentional injury, and 2.2 for MVAs.1 2.6 0 Suicide Homicide Motor Vehicle Accidents All Unintentional Injury *These abbreviations apply to all figures and text throughout the fact sheet: NH(s)=non Hispanic(s) AI/AN=American Indian/Alaskan Native A/PI=Asian/Pacific Islander 2006 Fact Sheet on Mortality: Adolescents and Young Adults - Page 3 4 Mortality rates are highest among young American Indian/Alaskan Native and Black males. Mortality Rates by Race/Ethnicity* and Gender, Ages 10-24, 20031 24.1 A/PI-NH 44.4 Females American Indian/Alaskan Native and Black non Hispanic males ages 1024 have the highest mortality rate among same-age racial/ethnic groups. Among same-age females, AI/AN-NHs* also have the highest mortality rate, followed by Black-NHs and White-NHs.1 Males 34.1 White-NH 77.4 27.7 Hispanic 82.3 43.4 Black-NH 124.4 54.4 AI/AN-NH 142.2 0 40 80 120 160 Deaths per 100,000 4 The racial/ethnic disparities in adolescent and young adult mortality are greatest for homicide. Mortality Rates by Cause & Race/Ethnicity, Ages 10-24, 20031 50 AI/AN-NH Large racial/ethnic disparities exist for homicide, with rates for Black-NH adolescents and young adults at 2.6 to 12.0 times that of other racial/ethnic groups in 2003. American Indian/ Alaskan Native-NH adolescents have the highest mortality rates among all racial/ethnic groups for MVAs and suicide.1 Deaths per 100,000 40 39.9 White-NH Hispanic 32.4 Black-NH 30 A/PI-NH 20.6 20 18.2 15.7 14.2 10.3 10 12.4 11.5 7.5 2.5 4.3 5.0 5.1 4.2 0 Motor Vehicle Accidents Homicide Suicide 4 Mortality rates have decreased overall since 1980. Trends in Mortality Rates by Gender and Age, Ages 10-24, 1980-20031,2,3 250 203.5 Deaths per 100,000 200 Males Ages 20-24 Males Ages 15-19 Males Ages 10-14 Females Ages 10-24 172.1 158.2 150 140.3 141.4 133.1 122.7 121.3 94.7 92.3 34.2 34.4 100 50 47.2 42.7 37.2 38.3 36.3 30.5 24.4 23.1 Overall, the mortality rates for adolescents and young adults decreased from 1980-2003. During the early 1980s, there was a steep decline in mortality rates; through the mid-1980s and early 1990s, the rates increased slightly; this was followed by a slight decline in rates during the mid-1990s. However, since 1999, rates have leveled off or increased slightly.1,2 0 1980 1982 1984 1986 1988 1990 1992 1994 1996 1998 2000 2002 *These abbreviations apply to all figures and text throughout the fact sheet: NH(s)=non Hispanic(s) AI/AN=American Indian/Alaskan Native A/PI=Asian/Pacific Islander 2006 Fact Sheet on Mortality: Adolescents and Young Adults - Page 4 Data and Figure Sources & Other Notes: 1. National Center for Injury Prevention and Control [NCIPC]. (2006). Fatal Injury and Leading Causes of Deaths Reports [Online Database]. Atlanta, GA: Centers for Disease Control and Prevention. [Available online at URL (11/06): http://www.cdc.gov/ncipc/wisqars/] 2. Centers for Disease Control and Prevention [CDC]. (2006). CDC Wonder: Compressed Mortality/Population Data [Private Data Run]. Atlanta, GA: Author. [Available online at URL (11/06): http://wonder.cdc. gov/mortSQL.html] 3. The female mortality trend is presented in one age group (ages 1024) because the rates among the three age groups differed only slightly compared to the sizeable differences in male rates for the three age groups. National Adolescent Health Information Center Division of Adolescent Medicine, Department of Pediatrics & Institute for Health Policy Studies, School of Medicine, University of California, San Francisco UCSF Box 0503 San Francisco, CA 94143-0503 T: 415.502.4856 F: 415.502.4858 Email: [email protected] Web site: http://nahic.ucsf.edu/ Background on NAHIC The National Adolescent Health Information Center (NAHIC) was established with funding from the Maternal and Child Health Bureau in 1993 (U45MC 00002) to serve as a national resource for adolescent health research and information and to assure the integration, synthesis, coordination and dissemination of adolescent health-related information. NAHIC Faculty and Staff Charles E. Irwin, Jr., MD Claire D. Brindis, DrPH David Knopf, LCSW, MPH Sally H. Adams, RN, PhD M. Jane Park, MPH In all cases, the most recent available data were used. Some data are released Tina Paul Mulye, MPH 1-3 years after collection. In some cases, trend data with demographic break- Jody K. Williams, MA downs (e.g., race/ethnicity) are relatively limited. For racial/ethnic data, the Michael Berlin, MA category names presented are those of the data sources used. Every attempt was made to standardize age ranges; when this was not possible, age ranges are those of the data sources used. For any questions regarding data presented, please contact NAHIC. We would like to acknowledge Eileen Collins for her assistance in formatting NAHIC fact sheets. All listed Briefs & Fact Sheets can be downloaded at http://nahic.ucsf.edu/. NAHIC Briefs & Fact Sheets A Health Profile of Adolescent & Young Adult Males Fact Sheet on Demographics: Adolescents & Young Adults Fact Sheet on Mortality: Adolescents & Young Adults Fact Sheet on Reproductive Health: Adolescents & Young Adults Fact Sheet on Substance Use: Adolescents & Young Adults Fact Sheet on Suicide: Adolescents & Young Adults Fact Sheet on Unintentional Injury: Adolescents & Young Adults Fact Sheet on Violence: Adolescents & Young Adults Suggested citation: National Adolescent Health Information Center. (2006). Fact Sheet on Mortality: Adolescents & Young Adults. San Francisco, CA: Author, University of California, San Francisco.
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