TY - JOUR PY - 2003// TI - Rural and urban fatal pedestrian crashes among United States American Indians and Alaskan Natives JO - Annual proceedings of the Association for the Advancement of Automotive Medicine A1 - Lavalley, Jonathon A1 - Crandall, Cameron S. A1 - Banks, Laura A1 - Sklar, David P. A1 - Boodlal, Leverson SP - 127 EP - 143 VL - 47 IS - N2 - 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 LA - SN - 1540-0360 UR - http://dx.doi.org/ ID - ref1 ER -