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Explore national- and state-level data for hundreds of health, environmental and socioeconomic measures, including background information about each measure. Use features on this page to find measures; view subpopulations, trends and rankings; and download and share content.
United States Value:
Number of deaths among females ages 20-44 due to firearm injury of any intent (unintentional, suicide, homicide or undetermined) per 100,000 population
Number of deaths among females ages 20-24 due to firearm injury of any intent (unintentional, suicide, homicide or undetermined) per 100,000 population
1.1 - 5.2
5.3 - 6.6
6.7 - 8.2
8.3 - 10.5
10.6 - 15.2
No Data
US Value: 5.9
Top State(s): Massachusetts: 1.1
Bottom State(s): Alaska: 12.9
Definition: Number of deaths among females ages 20-44 due to firearm injury of any intent (unintentional, suicide, homicide or undetermined) per 100,000 population
Data Source and Years(s): U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Multiple Cause of Death by Single Race Files via CDC WONDER Online Database, 2022-2024
Suggested Citation: America's Health Rankings analysis of U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics, Multiple Cause of Death by Single Race Files via CDC WONDER Online Database, United Health Foundation, AmericasHealthRankings.org, accessed 2026.
Firearm violence continues to be a public health issue in the United States. The U.S. has a significantly higher rate of firearm deaths than other high-income countries — 91.7% of women killed by firearms in the world are in the U.S.
Firearm deaths among women 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. The leading cause of death in pregnant women is firearm homicide, even when compared with rates of hemorrhage and eclampsia. According to a 2025 study, pregnant women experience a firearm homicide rate 37% higher than women who are not pregnant.
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:
It is safest not to keep any guns in the home, but gun owners can still take steps to improve household gun safety. For example:
Preventing intimate partner violence, which contributes significantly to firearm deaths among women, is also necessary. Strategies to prevent intimate partner violence include:
Community violence intervention programs 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.
Improving access to mental health resources can also 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 will connect you with the 988 Suicide & Crisis Lifeline.
Healthy People 2030 has several violence prevention objectives related to firearms, including reducing firearm-related deaths and reducing nonfatal firearm-related injuries.
Davis, Ari, Rose Kim, and Cassandra Crifasi. U.S. Gun Violence in 2021: An Accounting of a Public Health Crisis. Johns Hopkins Bloomberg School of Public Health, Johns Hopkins Center for Gun Violence Solutions, 2023. https://publichealth.jhu.edu/sites/default/files/2024-01/2023-june-cgvs-u-s-gun-violence-in-2021-v3.pdf.
Dholakia, Ayesha, Michael C. Monuteaux, Gabrielle D’Ambrosi, Suzanne G. McLone, Eric Fleegler, and Lois K. Lee. “Firearm Homicide in Pregnant Women and State-Level Firearm Ownership.” JAMA Network Open 8, no. 11 (November 10, 2025): e2542447. https://doi.org/10.1001/jamanetworkopen.2025.42447.
Dursun, Bahadir. “The Intergenerational Effects of Mass Shootings.” SSRN Electronic Journal, 2019. https://doi.org/10.2139/ssrn.3474544.
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. Intimate Partner Violence Prevention: Resource for Action. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 2017. https://www.cdc.gov/violence-prevention/media/pdf/resources-for-action/IPV-Prevention-Resource_508.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.
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.
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