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What cause of death accounts for the high death rates among non-Hispanic black male teenagers?
An average of 16,375 teenagers 12-19 years died in the United States every year from 1999 to 2006.
The five leading causes of death among teenagers are Accidents (unintentional injuries), homicide, suicide, cancer, and heart disease.
As a category of accidents, motor vehicle fatality is the leading cause of death to teenagers, representing over one-third of all deaths. Among teenagers, non-Hispanic black males have the highest death rate (94.1 deaths per 100,000 population).
Deaths to teenagers 12-19 years comprise a small fraction of the total deaths occurring each year in the United States.
Each year from 1999 to 2006, the annual death rate for teenagers has averaged 49.5 deaths per 100,000 population.
The leading causes of death for the teenage population remained constant throughout the period 1999-2006: Accidents (unintentional injuries) (48 percent of deaths), homicide (13 percent), suicide (11 percent), cancer (6 percent), and heart disease (3 percent).


Causes of death: Medical information (including injury diagnoses and external causes of injury) entered on death certificates that are filed in the United States is classified and coded in accordance with the International Statistical Classification of Diseases and Related Health Problems Tenth Revision (ICD-10).
Hispanic origin and race: Race and Hispanic origin are reported separately on the death certificate.
Data are from the public-use Multiple Cause of Death files from the National Vital Statistics System for years 1999-2006. Arialdi Miniño is a statistician at the Centers for Disease Control and Preventiona€™s National Center for Health Statistics, Division of Vital Statistics, Mortality Statistics Branch.
All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated. From 1999 to 2006 less than 1 percent (0.68 percent)--or 131,000 deaths--occurred to teenagers 12-19 years. Motor vehicle accident accounted for almost three quarters (73 percent) of all deaths from unintentional injury (Figure 2). Non-Hispanic black teenagers are 37 percent more likely to die than Hispanic and non-Hispanic white teenagers. The overall risk of dying for teenagers (average annual death rate) is 49.5 deaths per 100,000 population. It is defined as the ratio of the number of deaths counted for a given population and within a given time period divided by the point estimate of the population at risk of dying. For more information about the underlying cause of death, the ICD and other related concepts see the a€?Technical Notesa€? of the corresponding yearly final reports on mor-tality in the United States (3-10). In this report, tables or charts showing deaths by Hispanic origin and race combine the separate variables into three nonoverlapping groups: Hispanic, non-Hispanic white, and non-Hispanic black. For this report only decedents aged 12-19 years were studied, and combined data for years 1999-2006 were analyzed together. Bridged-race 1990-1999 intercensal population estimates (single-year of age detail) for calculating vital rates; resident population of the United States by year, single-year of age (0,1,2,a€¦, 85 years and over), bridged race (White, Black or African American, American Indian or Alaska Native, Asian or Pacific Islander), Hispanic origin (not Hispanic or Latino, Hispanic or Latino), and sex. Male teenagers are more likely to die than female teenagers at every single year of age from 12 to 19 years, and older teenagers are at higher risk of dying than younger teenagers. Starting at age 12 and ending at 19 years, the death rate among teenage males increases 32 percent on average for every additional year of age.


Accidents (unintentional injuries), homicide, suicide, cancer, and heart disease make up the five leading causes of death for teenagers. Because of their relatively small numbers, groups of other ethnic origins and races outside of these three groups are not considered when analyzing differences by origin and race.
Differences between rates and percentages were evaluated using two-sided significance tests at the 0.05 level. Teenage mortality is an important public health issue because the majority of deaths among teenagers are caused by external causes of injury such as accidents, homicide, and suicide. For females, on the other hand, the death rate increases on average 19.5 percent for every additional year of age (Figure 1).
Among male and female teenagers, the death rate for non-Hispanic black male teenagers is the highest. Motor vehicle fatality is the leading cause of accident death among teenagers, representing over one-third of all deaths to teenagers.
For more information about reporting of Hispanic origin and race on the death certificate, see the a€?Technical Notesa€? of the corresponding yearly final reports on mortality in the United States (3-10). Terms such as a€?higher thana€? and a€?less thana€? indicate statistically significant differences. The death rate for non-Hispanic black male teenagers is 94.1 deaths per 100,000 population. Non-Hispanic black teenage males have the highest death rate compared with Hispanic and non-Hispanic white males and females.
Trends of increasing risk of death with increase in age were statistically evaluated using Spearmana€™s (nonparametric, rho) correlation coefficient. Homicide is the leading cause of death for non-Hispanic black male teenagers, with more than two of every five deaths due to homicide. Lack of comment regarding the difference between any two statistics does not necessarily suggest that the difference was tested and found to not be statistically significant.



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