Citation

Lavalley J, Crandall CS, Banks L, Sklar DP, Boodlal L. Annu. Proc. Assoc. Adv. Automot. Med. 2003; 47: 127-143.

Affiliation

University of New Mexico, Department of Emergency Medicine, Albuquerque, New Mexico, USA.

Copyright

(Copyright © 2003, Association for the Advancement of Automotive Medicine)

DOI

unavailable

PMID

12941222

PMCID

PMC3217539

Abstract

The Fatality Analysis Reporting System (FARS) and the Web-based Injury Statistics Query and Reporting System (WISQARS) were used to compare fatal pedestrian crashes in American Indians and Alaskan Natives (AI/AN) between urban and rural locations for 2000-2001. There were significant differences between urban and rural crashes for driver, pedestrian, environmental, and engineering factors. Rural pedestrian crashes more often occurred on highways (p<0.0001) lacking traffic control devices (p<0.0001) and artificial lighting (p<0.0001). Alcohol was a significant cofactor in both environments (40% urban vs. 55% rural; p=0.0239). Prevention of AI/AN deaths should include engineering countermeasures specific to the needs of rural (lighting) and urban (medians with barriers) environments and address drinking behavior in both populations