179614 Injury Deaths on the US-Mexico Border, 2004

Wednesday, October 29, 2008

Francis C. Notzon, PhD , International Statistics Program, National Center for Health Statistics, Hyattsville, MD
Kassie J. Rogers, MS , Office of Border Health, Texas Department of State Health Services, Austin, TX
Background: Injury is one of the leading causes of morbidity and mortality in the United States. Unintentional injury alone cost the nation an estimated $565 billion in 2004, equivalent to $2,000 per capita or about $5,100 per household. When unintentional injuries are combined with homicides and suicides, the total represents the third leading cause of death, exceeded only by heart diseases and malignant neoplasms.

Methods: 2004 mortality data, age-adjusted to the US 2000 standard population, are used for the 44 counties nearest the US-Mexico border. To display rates for areas within the border region, multi-year data are used to reduce variability of rates.

Results: Among border Hispanics unintentional injuries are the third leading cause of death, while for non-Hispanic Whites unintentional injuries are the sixth leading cause. For border residents under age 45, unintentional injuries are the leading cause of death. Motor vehicle death rates for border Hispanic men are higher than for their non-Hispanic White counterparts. Homicide rates among border Hispanics were higher than for non-Hispanic Whites, while the opposite was true for suicide. Non-Hispanic White death rates on the border for unintentional poisoning and falls were much higher than for Hispanics. Injury death rates were highest in the Arizona and New Mexico border counties.

Conclusion: An important part of injury prevention involves modifying human behavior. For this reason, prevention activities must be linguistically and culturally appropriate, especially for high-risk populations. Interventions can include traffic law enforcement, supervision of high-risk groups, suicide prevention, poison control centers, and others.

Learning Objectives:
Learning Objectives: Identify leading causes of injury death on the US-Mexico border; Describe the importance of motor vehicle accidents as a cause of death for border Hispanics; Discuss the need for culturally and linguistically appropriate injury prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: The material in the presentation was researched by the authors as part of a larger US-Mexico Border Health Report. I am the Texas Outreach Office Coordinator for the USMX Border Health Commission with the Texas Department of State Health Services, Office of Border Health and have worked in this field for over 20 years
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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