Trends and disparities in American Indian/Alaska Native unintentional injury mortality from 1999 to 2016
| العنوان: | Trends and disparities in American Indian/Alaska Native unintentional injury mortality from 1999 to 2016 |
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| المؤلفون: | Nina Mulia, William C. Kerr, Edwina Williams, Yu Ye, Cheryl J. Cherpitel |
| المصدر: | Inj Prev |
| بيانات النشر: | BMJ, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Drug poisoning, Racial disparity, Article, Unintentional injury, 03 medical and health sciences, 0302 clinical medicine, Cause of Death, Epidemiology, medicine, Humans, 030212 general & internal medicine, American Indian or Alaska Native, 030505 public health, business.industry, Mortality rate, Accidents, Traffic, Public Health, Environmental and Occupational Health, Alcohol and drug, Alaskan Natives, United States, White population, Indians, North American, 0305 other medical science, business, Motor vehicle crash, Demography |
| الوصف: | IntroductionAlcohol and drug use are significant problems in the US, and American Indian/Alaska Native (AI/AN) communities and individuals are known to be among the most affected. This study evaluates disparities in unintentional injury mortality causes since 1999.MethodsAnalyses in 2020 of unintentional injury mortality rate disparities between AI/ANs and white population over the 1999–2016 period with attention to motor vehicle crashes, alcohol poisoning, drug poisoning and all other cause types. Rates in each of the 10 states with the largest AI/AN populations were also investigated to account for geographical concentration.ResultsMotor vehicle mortality rates declined for both AI/AN and white groups, but a large racial disparity was maintained. Conversely, poisoning mortality rates rose substantially in both groups, with a jump in rates in 2007 due to a coding change, resulting in a large disparity that was maintained through 2016. Comparison of alcohol and drug poisonings showed that the AI/AN alcohol poisoning rate was about eight times the white rate, whereas drug poisoning rates were similar. For ‘all other’ unintentional injuries, the highest rates were seen for AI/AN men, with rates generally rising over the study period. State-specific analyses found substantial variation in AI/AN rates, with few or no disparities in New York and Texas.ConclusionsResults indicate substantial and persisting disparities in unintentional injury mortality, with especially large differences in alcohol poisoning. The absence of disparities in New York and Texas suggest the importance of situational factors. |
| تدمد: | 1475-5785 1353-8047 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fdfd1f63b0c3347171a312073acdd47e https://doi.org/10.1136/injuryprev-2020-043951 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....fdfd1f63b0c3347171a312073acdd47e |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14755785 13538047 |
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