Gun Deaths in Big Cities

UHC researchers analyzed 2010-2021 data on gun deaths using the Big Cities Health Inventory data platform.

speeding ambulance

Data Brief
June 2023

View the Gun Deaths brief [PDF]

View the Infographic: Gun Deaths in Big Cities: 2010-2021 [PDF}

This brief uses data on gun deaths1 from the Big Cities Health Inventory (BCHI) data platform. Data are shown for the 35 member cities in the Big Cities Health Coalition (BCHC)

Gun Deaths Rose 43% During the COVID-19 Pandemic

Over the past decade, there were nearly 67,000 gun deaths in BCHC cities. 66% of these deaths were homicides, 32% suicides, and 3% occurred for other reasons. View this data in Figure 1.

The steep increase in gun deaths by homicide that began in 2020 is not fully understood, but experts point toward a web of causes that converged during the COVID-19 pandemic, including a sharp rise in gun purchases and gun-carrying.

The proliferation of guns has been particularly lethal for densely-populated urban communities that have been subject to years of structural inequities, and underinvestment, and a lack of opportunities for young people.

Wide Variation in Gun Deaths in BCHC Cities

Between 2019 and 2021, the gun death rate increased in nearly all BCHC cities. However, these rates vary widely between cities. In 2021, yearly gun death rates in BCHC cities ranged from a low of 4 deaths to a high of 54 deaths per 100,000 people, age-adjusted.

Using the data platform, we saw that cities with the highest gun death rates and highest increase over time had higher proportions of residents living in poverty, higher rates of unemployment, and were more racially segregated than other cities. View this data in Figure 2.

View the full brief for data on gun deaths by age, race and ethnicity.

Solutions and Advocacy

Gun violence is a leading cause of premature death and injury in the in the United States. Gun violence has had profound, wide-ranging impacts across the nation’s largest cities, particularly among Black residents. For communities to flourish, public health strategies aimed at preventing gun deaths must be fully implemented. Big city public health officials have both advocated for stronger state and federal policies that limit access to guns and increased funding for community-based solutions to the gun violence epidemic. BCHC’s recent report with Prevention Institute, Community Safety Realized: Public Health Pathways to Preventing Violence, describes community-driven, multi-sector approaches to preventing violence and realizing community safety. Learn more about the BCHC’s policy initiatives.

About the Data Platform

Since 2019, the Big Cities Health Inventory (BCHI) data platform has been maintained by the Drexel Urban Health Collaborative (UHC) at the Dornsife School of Public Health in partnership with Big Cities Health Coalition (BCHC). Visitors to the data platform can explore metrics, view data charts by city, select multiple cities for comparison, and download charts and data. Visit the BCHI data platform to learn more.

The BCHI data platform is primarily funded by the U.S. Centers for Disease Control and Prevention through a cooperative agreement with the National Association of County and City Health Officials. The views expressed in this brief do not necessarily represent the views of the funders.

BCHC and UHC Partnership

The Big Cities Health Coalition (BCHC) is a forum for the lead health officials of America’s largest metropolitan health departments to exchange strategies and jointly address issues to promote the health and safety of more than 61 million people they serve. The Drexel Urban Health Collaborative (UHC) has partnered with BCHC to support the Coalition’s vision of healthy, more equitable cities through big city innovation and leadership. The UHC is a multidisciplinary research and practice center that leverages the power of data, research, education, and partnerships to make cities healthier, more equitable, and environmentally sustainable.

Citation:

Niamatullah, S., Auchincloss, A., Finkel, R., Gibson, A.(2023). Gun Deaths in Big Cities. Drexel University, Urban Health Collaborative. Philadelphia, PA.

1In this data brief, ‘gun deaths’ refer to ‘firearm deaths’ which is the term used by the Centers for Disease Control and Prevention. Firearm deaths are from weapons using a powder charge (e.g., handguns, rifles and shotguns). Excluded are the small number of deaths per year from air- and gas-powered guns (e.g., BB guns and pellet guns) because they are not considered firearms.

2In this report, racial segregation refers to the systematic, residential separation of people based on race.

the risk of gun death in 2021 was
4x higher

for Black people compared to white people

from 2010 - 2021, gun deaths rose by
65%

in Big Cities, with a steep rise at the height of the COVID-19 pandemic

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