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Older Adult Fire Death Risk (2014-2023)

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On a per capita basis, fire death rates in the United States have fluctuated over the past 10 years. Although many regional factors, such as demographics and weather, affect fire issues in the U.S., one of the most useful ways to compare fire fatalities across groups of people is to look at their relative risk of dying in a fire. The older adult population faces the greatest relative risk of dying in a fire.

Older adults compared to the general population (2023):

Ages 65-74 had 2.2 times the risk of dying in a fire. The 10-year (2014-2023) fire death rate trend for this age group increased 41%.

Ages 75-84 had 2.9 times the risk of dying in a fire. The 10-year (2014-2023) fire death rate trend for this age group increased 16%.

Ages 85 and over had the highest relative risk among the general population of dying in a fire.

Fire death rates per million population and relative risk for older adults ages 65+ (2014-2023)

Ages 65 and over

Overall, the trend in the fire death rate per million population for older adults (ages 65 and over) increased 26% from 2014 to 2023. In 2023, the fire death rate for people in this age group was 33.0 deaths per million population. In 2023, the relative risk of dying in a fire for older adults was 2.5 times higher than that of the general population.

Fire death rates per million population and relative risk for older adults ages 65+ (2014-2023)
Year Number of Fire Deaths Ages 65 and Over Population Fire Death Rate (per million population) Relative Risk
2014 1,306 46,161,005 28.3 2.6
2015 1,332 47,655,870 28.0 2.7
2016 1,314 49,208,479 26.7 2.5
2017 1,444 50,757,639 28.4 2.5
2018 1,593 52,354,605 30.4 2.6
2019 1,471 54,036,735 27.2 2.5
2020 1,583 54,452,561 29.1 2.5
2021 1,904 55,884,746 34.1 2.6
2022 1,995 57,470,184 34.7 2.6
2023 1,955 59,248,361 33.0 2.5
10-Year Trend (%)     +25.7%  

Note: The computation of the trend is based on the simple linear regression method of least squares. The numbers of fire deaths are adjusted for those deaths where age was not reported. The counts of fire deaths for the individual age categories (i.e., 65 to 74, 75 to 84, 85+) may not sum to the total per year for the 65+ age category due to rounding.


Sources:

  1. National Center for Health Statistics (NCHS). 2014-2023 Mortality Data Files, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. The table includes those deaths that are assigned International Classification of Disease (ICD) codes F63.1, W39-W40, X00-X06, X08-X09, X75-X76, X96-X97, Y25-Y26 and Y35.1.3. These codes indicate that exposure to fire, fire products or explosion was the underlying cause of death or was a contributing factor.
  2. U.S. Census Bureau, Population Division. July 1, 2014-2019, population estimates from the file, Annual Estimates of the Resident Population by Single Year of Age and Sex for the United States: April 1, 2010, to July 1, 2020 (NC-EST2020-AGESEX-RES). Release date: May 2021.
  3. U.S. Census Bureau, Population Division. July 1, 2020-2023, population estimates from the file, Annual Estimates of the Resident Population by Single Year of Age and Sex for the United States: April 1, 2020, to July 1, 2023 (NC-EST2023-AGESEX-RES). Release date: April 2024.

Ages 65 to 74

The trend in the fire death rate per million population for older adults (ages 65 to 74) increased 41% over the 10-year period and resulted in the largest increase in the fire death rate trends for older adults. In 2023, the fire death rate for people in this age group was 28.5 deaths per million population. In addition, in 2023, older adults (ages 65 to 74) had 2.2 times greater risk of dying in a fire than the general population, 10% lower than it was in 2022 but the same as it was from 2018 to 2021 when the relative risk was also 2.2 times greater than the general population.

Fire death rates per million population and relative risk for older adults ages 65 to 74 (2014-2023)
Year Number of Fire Deaths Ages 65 to 74 Population Fire Death Rate (per million population) Relative Risk
2014 577 26,355,438 21.9 2.0
2015 610 27,488,218 22.2 2.1
2016 626 28,593,127 21.9 2.0
2017 689 29,606,234 23.3 2.1
2018 774 30,445,006 25.4 2.2
2019 744 31,471,344 23.6 2.2
2020 816 32,569,281 25.1 2.2
2021 954 33,632,878 28.4 2.2
2022 1,050 33,999,840 30.9 2.3
2023 989 34,685,284 28.5 2.2
10-Year Trend (%)     +40.9%  

Note: The computation of the trend is based on the simple linear regression method of least squares. The numbers of fire deaths are adjusted for those deaths where age was not reported.


Sources:

  1. NCHS. 2014-2023 Mortality Data Files, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. The table includes those deaths that are assigned ICD codes F63.1, W39-W40, X00-X06, X08-X09, X75-X76, X96-X97, Y25-Y26 and Y35.1.3. These codes indicate that exposure to fire, fire products or explosion was the underlying cause of death or was a contributing factor.
  2. U.S. Census Bureau, Population Division. July 1, 2014-2019, population estimates from the file, Annual Estimates of the Resident Population by Single Year of Age and Sex for the United States: April 1, 2010, to July 1, 2020 (NC-EST2020-AGESEX-RES). Release date: May 2021.
  3. U.S. Census Bureau, Population Division. July 1, 2020-2023, population estimates from the file, Annual Estimates of the Resident Population by Single Year of Age and Sex for the United States: April 1, 2020, to July 1, 2023 (NC-EST2023-AGESEX-RES). Release date: April 2024.

Ages 75 to 84

From 2014 to 2023, the fire death rate trend for older adults ages 75 to 84 increased 16% over the 10-year period. In 2023, individuals ages 75 to 84 were 2.9 times more likely to die in a fire than the general population.

Fire death rates per million population and relative risk for older adults ages 75 to 84 (2014-2023)
Year Number of Fire Deaths Age 75-84 Population Fire Death Rate (per million population) Relative Risk
2014 456 13,672,321 33.4 3.1
2015 474 13,904,556 34.1 3.3
2016 449 14,232,344 31.5 2.9
2017 477 14,682,479 32.5 2.9
2018 526 15,371,573 34.2 2.9
2019 475 15,965,924 29.8 2.8
2020 491 15,822,264 31.0 2.7
2021 654 16,210,654 40.3 3.1
2022 650 17,411,486 37.3 2.8
2023 688 18,368,097 37.5 2.9
10-Year Trend (%)     +16.4%  

Note: The computation of the trend is based on the simple linear regression method of least squares. The numbers of fire deaths are adjusted for those deaths where age was not reported.


Sources:

  1. NCHS. 2014-2023 Mortality Data Files, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. The table includes those deaths that are assigned ICD codes F63.1, W39-W40, X00-X06, X08-X09, X75-X76, X96-X97, Y25-Y26 and Y35.1.3. These codes indicate that exposure to fire, fire products or explosion was the underlying cause of death or was a contributing factor.
  2. U.S. Census Bureau, Population Division. July 1, 2014-2019, population estimates from the file, Annual Estimates of the Resident Population by Single Year of Age and Sex for the United States: April 1, 2010, to July 1, 2020 (NC-EST2020-AGESEX-RES). Release date: May 2021.
  3. U.S. Census Bureau, Population Division. July 1, 2020-2023, population estimates from the file, Annual Estimates of the Resident Population by Single Year of Age and Sex for the United States: April 1, 2020, to July 1, 2023 (NC-EST2023-AGESEX-RES). Release date: April 2024.

Ages 85 and over

From 2014 to 2023, the trend in the fire death rate per million population for older adults ages 85 and over increased 17% over the 10-year period. Older adults of this age group also had the highest fire death rates among the general population as a whole and, as a result, were at the highest risk of dying in a fire. In 2023, individuals ages 85 and over were 3.4 times more likely to die in a fire than the general population, while those adults ages 65 to 74 were only 2.2 times more likely to suffer fire-related deaths.

Fire death rates per million population and relative risk for older adults ages 85+ (2014-2023)
Year Number of Fire Deaths Ages 85 and Older Population Fire Death Rate (per million population) Relative Risk
2014 273 6,133,246 44.5 4.1
2015 248 6,263,096 39.6 3.8
2016 238 6,383,008 37.3 3.4
2017 278 6,468,926 43.0 3.8
2018 293 6,538,026 44.8 3.8
2019 251 6,599,467 38.0 3.6
2020 276 6,061,016 45.5 4.0
2021 296 6,041,214 49.0 3.8
2022 295 6,058,858 48.7 3.6
2023 277 6,194,980 44.7 3.4
10-Year Trend (%) +17.0%  

Note: The computation of the trend is based on the simple linear regression method of least squares. The numbers of fire deaths are adjusted for those deaths where age was not reported.


Sources:

  1. NCHS. 2014-2023 Mortality Data Files, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program. The table includes those deaths that are assigned ICD codes F63.1, W39-W40, X00-X06, X08-X09, X75-X76, X96-X97, Y25-Y26 and Y35.1.3. These codes indicate that exposure to fire, fire products or explosion was the underlying cause of death or was a contributing factor.
  2. U.S. Census Bureau, Population Division. July 1, 2014-2019, population estimates from the file, Annual Estimates of the Resident Population by Single Year of Age and Sex for the United States: April 1, 2010, to July 1, 2020 (NC-EST2020-AGESEX-RES). Release date: May 2021.
  3. U.S. Census Bureau, Population Division. July 1, 2020-2023, population estimates from the file, Annual Estimates of the Resident Population by Single Year of Age and Sex for the United States: April 1, 2020, to July 1, 2023 (NC-EST2023-AGESEX-RES). Release date: April 2024.

Understanding this information

To account for population differences, per capita rates are used. Per capita rates use a common population size, which then permits comparisons between different groups. Per capita rates are determined by the number of deaths or injuries occurring in a specific population group, divided by the total population for that group. This ratio is then multiplied by a common population size. For the purposes of this analysis, per capita rates for fire deaths are measured per 1 million people.

For example, the 2023 per capita fire death rate for the total older adult (ages 65 and over) population is computed from the total number of older adult fire deaths (1,955), divided by the total older adult population (59,248,361), multiplied by 1,000,000 people. This rate is equivalent to 33.0 deaths per 1 million population.

Relative risk compares the per capita rate for a particular group (e.g., older adults) to the overall per capita rate (i.e., the general population). The result is a measure of how likely a group is to be affected. For the general population of the U.S., the relative risk is set at 1.

The computation of the trend is based on the simple linear regression method of least squares. Trends are computed to show how the rates have changed over time by smoothing fluctuations or variations in data from year-to-year.