Other research indicates that higher instances of alcoholism among males in these nations may be to blame. In 2014, suicides rates amongst under-45 men in UK reached a 15-year high of 78% of the total 5,140. A higher male mortality from suicide is also evident from data of non-Western countries: the Caribbean, often considered part of the West is the most prominent example. In 1979–81, out of 74 countries with a non-zero suicide rate, 69 countries had male suicide rates greater than females, two reported equal rates for the sexes (Seychelles and Kenya), while three reported female rates exceeding male rates (Papua New Guinea, Macau, and French Guiana). The contrast is even greater today, with WHO statistics showing China as the only country where the suicide rate of females matches or exceeds that of males. Barraclough found that the female rates of those aged 5–14 equaled or exceeded the male rates only in 14 countries, mainly in South America and Asia. In most countries, the majority of committed suicides are made by men but, in China, women are slightly more likely to commit suicide than men. In 2015 China's ratio was around 8 males for every 10 females. According to the WTO, as of 2016, the suicide rates in China for men and women were almost the same -- 9.1 for male versus 10.3 for female (the rate is per 100,000 people). Traditional gender roles in China hold women responsible for keeping the family happy and intact. Suicide for women in China is shown in literature to be an acceptable way to avoid disgrace that may be brought to themselves or their families. According to a 2002 review, the most common reasons for the difference in rate between genders are: "the lower status of Chinese women, love, marriage, marital infidelity, and family problems, the methods used to commit suicide, and mental health of Chinese women." Another explanation for increased suicide in women in China is that pesticides are easily accessible and tend to be used in many suicide attempts made by women. The rate of nonlethal suicidal behavior is 40 to 60 percent higher in women than it is in men. This is due to the fact that more women are diagnosed as depressed than men, and also that depression is correlated with suicide attempts. However, thanks to urbanization, suicide rates in China - for both and men - have dropped by 64% from 1990 to 2016. Globally, as of 2018, China ranked 64th in suicide rate, while the US ranked 27th -- the suicide rate in China was 9.7 and the suicide rate for the U.S. was 15.3.