Unintentional Injury Mortality among Alaska Native/American Indian People in Alaska, 1999–2008
Methods: We included State of Alaska Bureau of Vital Statistics UI mortality data for resident ANAI and AKW who died in Alaska during 1999–2008. We calculated age-adjusted rates and rate ratios for leading causes by race and rural/urban status.
Results/Outcomes: During 1999–2008, 992 ANAI and 1,971 AKW resident UI deaths occurred. Overall, the ANAI UI rate was 104.1/100,000 compared with 45.9/100,000 for AKW (Rate Ratio (RR)=2.4, 95% CI: 2.17–2.56). Poisoning was the leading cause of ANAI UI death (20.9/100,000) whereas traffic-related motor vehicle events were the leading cause of AKW UI death (12.7/100,000). Rural UI mortality was significantly higher among ANAI and AKW compared with urban counterparts (ANAI RR=1.2, 95% CI: 1.06–1.46; AKW RR=1.5, 95% CI: 1.38–1.68). Among ANAI, rural rates associated with drowning/submersion (RR=3.2, 95% CI: 1.72–5.91) and other land transport such as snowmobiles (RR=4.6, 95% CI: 2.19–9.65) were significantly elevated compared with urban ANAI rates.
Conclusions: Rural residents of Alaska experience higher UI mortality rates than urban residents and ANAI are disproportionately affected. Better injury surveillance systems capturing increased detail could inform targeted prevention efforts by improving information about injury circumstances for both fatal and nonfatal injuries.
Describe the unintentional injury mortality disparity between American Indian/Alaska Native population and the Alaska White population in Alaska. Name the leading causes of unintentional injury mortality in Alaska for the American Indian/Alaska Native population and the Alaska White population.
Keyword(s): Violence & Injury Prevention, Native Americans
Qualified on the content I am responsible for because: I have worked in injury epidemiology and injury prevention in academia and in state and tribal public health and have completed projects describing injuries in wildland firefighters, to park visitors, and among EMS utilizers.
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.