Choking deaths on food in the USUS candy and chocolate sales
As Americans have spent more on candy and chocolate, more of them have choked to death on food, a correlation of 0.994 that sounds more alarming than it is and is more mathematical than it sounds. Hard candy is, in fairness, one of the most common choking hazards, which gives this correlation a sliver of actual mechanism hiding behind seventeen years of monotonic trends. The chocolate melts, the hard candy does not, and the esophagus has an opinion about the difference.
Candy and chocolate sales grew from about 28 billion to over 42 billion dollars between 2005 and 2021, driven by premiumization, inflation, and the comfort eating that the pandemic made permanent. Choking deaths rose as the population aged. Hard candy is indeed a significant choking hazard, particularly among the elderly, which gives this correlation an unusual whisper of direct mechanism—more candy sold means more hard candy consumed by an aging population with higher choking risk. However, the primary driver of the correlation remains the monotonic shape of both trends rather than a causal pathway from Snickers to the ER.
Seventeen years of candy sales and choking deaths is a correlation that, uniquely, contains a grain of actual mechanism: hard candy is a choking hazard, and more candy is sold to a population that is aging into higher choking risk. The grain is small, the correlation is large, and the distance between them is the difference between statistics and epidemiology. The wrapper opens, the risk exists, and the chart does not distinguish between the dangerous candy and the safe chocolate.
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Want to learn more about why correlations like “Choking deaths on food in the US” vs “US candy and chocolate sales” don't prove causation? Read our guide to statistical thinking.