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Unintentional injury mortality among American Indians and Alaska natives in the United States, 1990û2009

Author

Listed:
  • Murphy, T.
  • Pokhrel, P.
  • Worthington, A.
  • Billie, H.
  • Sewell, M.
  • Bill, N.

Abstract

Objectives. We describe the burden of unintentional injury (UI) deaths among American Indian and Alaska Native (AI/AN) populations in the United States. Methods. National Death Index records for 1990 to 2009 were linked with Indian Health Service registration records to identify AI/AN deaths misclassified as non-AI/AN deaths. Most analyses were restricted to Contract Health Service Delivery Area counties in 6 geographic regions of the United States. We compared age-adjusted death rates for AI/AN persons with those for Whites; Hispanics were excluded. Results. From 2005 to 2009, the UI death rate for AI/AN people was 2.4 times higher than for Whites. Death rates for the 3 leading causes of UI death-motor vehicle traffic crashes, poisoning, and falls-were 1.4 to 3 times higher among AI/AN persons than among Whites. UI death rates were higher among AI/AN males than among females and highest among AI/AN persons in Alaska, the Northern Plains, and the Southwest. Conclusions. AI/ANpersonshadconsistently higherUIdeathrates thandidWhites. This disparity in overall rates coupledwith recent increases in unintentional poisoning deaths requires that injury prevention be a major priority for improving health and preventing death among AI/AN populations.

Suggested Citation

  • Murphy, T. & Pokhrel, P. & Worthington, A. & Billie, H. & Sewell, M. & Bill, N., 2014. "Unintentional injury mortality among American Indians and Alaska natives in the United States, 1990û2009," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 470-480.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301854_7
    DOI: 10.2105/AJPH.2013.301854
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    Cited by:

    1. Shin Ah Oh & Chang Liu & Joyce C. Pressley, 2017. "Fatal Pediatric Motor Vehicle Crashes on U.S. Native American Indian Lands Compared to Adjacent Non-Indian Lands: Restraint Use and Injury by Driver, Vehicle, Roadway and Crash Characteristics," IJERPH, MDPI, vol. 14(11), pages 1-15, October.

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