The United States suffers far more violent deaths than any other wealthy nation, due in part to the widespread possession of firearms and the practice of storing them at home in a place that is often unlocked, according to a report released Wednesday by two of the nation’s leading health research institutions.
The United States has about six violent deaths per 100,000 residents. None of the 16 other countries included in the review came anywhere close to that ratio. Finland was closest to the U.S. ranking with slightly more than two violent deaths per 100,000 residents.
For many years, Americans have been dying at younger ages that people in almost all other wealthy countries. In addition to the impact of gun violence, Americans consume the most calories among peer countries and get involved in more accidents that involve alcohol. The U.S. also suffers higher rates of drug-related deaths, infant mortality and AIDS.
In attempting to explain why Americans are so unhealthy, the researchers looked at three categories: the nation’s health care system, harmful behaviors and social and economic conditions. Researchers noted that the U.S. has a large uninsured population compared to other countries with comparable economies, and more limited access to primary care. And although the income of Americans is higher on average than that of other wealthy countries, the United States also has a higher level of poverty, especially among children.
Researchers said American culture probably plays an important role in the life expectancy rates falling short of other wealthy countries.
“We have a culture in our country that, among many Americans, cherishes personal autonomy and wants to limit intrusion of government and other entities on our personal lives and also wants to encourage free enterprise and the success of business and industry. Some of those forces may act against the ability to achieve optimal health outcomes,” said Dr. Steven H. Woolf of Virginia Commonwealth University, who served as chairman for the study panel.
The researchers reviewed an array of studies over the years. They estimated that homicide and suicide together account for about a quarter of the years of life lost for U.S. men compared to those in those peer countries. Homicide, they noted, is the second leading cause of death among adolescents and young adults aged 15-24. The large majority of those homicides involve firearms.