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Journal Article

Citation

Rockett IRH, Regier MD, Kapusta ND, Coben JH, Miller TR, Hanzlick RL, Todd KH, Sattin RW, Kennedy LW, Kleinig J, Smith GCS. Am. J. Public Health 2012; 102(11): e84-92.

Affiliation

Ian R. H. Rockett is with the Department of Epidemiology, Michael D. Regier is with the Department of Biostatistics, School of Public Health, and Jeffrey H. Coben is with the Department of Emergency Medicine, School of Medicine, West Virginia University, Morgantown. Nestor D. Kapusta is with the Department of Psychoanalysis and Psychotherapy, Medical University of Vienna, Vienna, Austria. Ted R. Miller is with the Pacific Institute for Research and Evaluation, Calverton, MD. Randy L. Hanzlick is with the Fulton County Medical Examiner's Center and Department of Pathology, Emory School of Medicine, Atlanta, GA. Knox H. Todd is with the Department of Emergency Medicine, University of Texas MD Anderson Cancer Center, Houston. Richard W. Sattin is with the Department of Emergency Medicine, Medical College of Georgia, Georgia Health Sciences University, Augusta. Leslie W. Kennedy is with the School of Criminal Justice, Rutgers University, Newark, NJ. John Kleinig is with the Department of Criminal Justice, John Jay College of Criminal Justice, City University of New York, New York, NY. Gordon S. Smith is with the Department of Epidemiology and Public Health, University of Maryland, Baltimore.

Copyright

(Copyright © 2012, American Public Health Association)

DOI

10.2105/AJPH.2012.300960

PMID

22994256

Abstract

Objectives. We have described national trends for the 5 leading external causes of injury mortality. Methods. We used negative binomial regression and annual underlying cause-of-death data for US residents for 2000 through 2009. Results. Mortality rates for unintentional poisoning, unintentional falls, and suicide increased by 128%, 71%, and 15%, respectively. The unintentional motor vehicle traffic crash mortality rate declined 25%. Suicide ranked first as a cause of injury mortality, followed by motor vehicle traffic crashes, poisoning, falls, and homicide. Females had a lower injury mortality rate than did males. The adjusted fall mortality rate displayed a positive age gradient. Blacks and Hispanics had lower adjusted motor vehicle traffic crash and suicide mortality rates and higher adjusted homicide rates than did Whites, and a lower unadjusted total injury mortality rate. Conclusions. Mortality rates for suicide, poisoning, and falls rose substantially over the past decade. Suicide has surpassed motor vehicle traffic crashes as the leading cause of injury mortality. Comprehensive traffic safety measures have successfully reduced the national motor vehicle traffic crash mortality rate. Similar efforts will be required to diminish the burden of other injury. (Am J Public Health. Published online ahead of print September 20, 2012: e1-e9. doi:10.2105/AJPH.2012.300960).


Language: en

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