The decrease in the unintentional injury mortality disparity between American Indians/Alaska Natives and non-American Indians/Alaska Natives in New Mexico, 1980 to 2009

Am J Public Health. 2013 Apr;103(4):747-54. doi: 10.2105/AJPH.2012.300673. Epub 2012 Sep 20.

Abstract

Objectives: We tracked the unintentional injury death disparity between American Indians/Alaska Natives and non-American Indians/Alaska Natives in New Mexico, 1980 to 2009.

Methods: We calculated age-adjusted rates and rate ratios for unintentional injury deaths and their external causes among American Indians/Alaska Natives and non-American Indians/Alaska Natives. We tested trend significance with the Mann-Kendall test.

Results: The unintentional injury death rate ratio of American Indians/Alaska Natives to non-American Indians/Alaska Natives declined from 2.9 in 1980-1982 to 1.5 in 2007-2009. The rate among American Indians/Alaska Natives decreased 47.2% from 1980-1982 to 1995-1997. Among non-American Indians/Alaska Natives, the rate declined 25.3% from 1980-1982 to 1992-1994, then increased 31.9% from 1992-1994 to 2007-2009. The motor vehicle traffic and pedestrian death rates decreased 57.8% and 74.6%, respectively, among American Indians/Alaska Natives from 1980-1982 to 2007-2009.

Conclusions: The unintentional injury death rate disparity decreased substantially from 1980-1982 to 2007-2009 largely because of the decrease in motor vehicle crash and pedestrian death rates among American Indians/Alaska Natives and the increase in the poisoning death rate among non-American Indians/Alaska Natives.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Alaska / ethnology
  • Cause of Death
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Indians, North American / statistics & numerical data*
  • Infant
  • Infant, Newborn
  • Inuits / statistics & numerical data*
  • Male
  • Middle Aged
  • New Mexico / ethnology
  • Wounds and Injuries / mortality*