@article{ref1,
title="Unintentional injury mortality among American Indians and Alaska Natives in the United States, 1990-2009",
journal="American journal of public health",
year="2014",
author="Murphy, Tierney and Pokhrel, Pallavi and Worthington, Anne and Billie, Holly and Sewell, Mack and Bill, Nancy",
volume="104",
number="Suppl 3",
pages="S470-80",
abstract="OBJECTIVEs. We describe the burden of unintentional injury (UI) deaths among American Indian and Alaska Native (AI/AN) populations in the United States. <br><br>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. <br><br>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. <br><br>CONCLUSIONS. AI/AN persons had consistently higher UI death rates than did Whites. This disparity in overall rates coupled with recent increases in unintentional poisoning deaths requires that injury prevention be a major priority for improving health and preventing death among AI/AN populations. (Am J Public Health. Published online ahead of print April 22, 2014: e1-e11. doi:10.2105/AJPH.2013.301854).<p /> <p>Language: en</p>",
language="en",
issn="0090-0036",
doi="10.2105/AJPH.2013.301854",
url="http://dx.doi.org/10.2105/AJPH.2013.301854"
}