Abstract
OBJECTIVES: This study evaluated the contributions of rural residence, alcohol use, and pedestrian fatalities to the high American Indian motor-vehicle crash mortality rate in Arizona. METHODS: Records from the Fatal Accident Reporting System were used to examine mortality rates between 1979 and 1988. RESULTS: American Indians had increased relative risks in all motor-vehicle crash categories in all residence-gender groups. The percentage of excess mortality associated with alcohol varied from 36.8% to 66.7%, and the percentage associated with pedestrian deaths ranged from 27.2% to 55.4%. CONCLUSIONS: Efforts to reduce excess motor-vehicle crash mortality among American Indians should concentrate on preventing pedestrian and alcohol-related fatalities.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Baker S. P., Whitfield R. A., O'Neill B. Geographic variations in mortality from motor vehicle crashes. N Engl J Med. 1987 May 28;316(22):1384–1387. doi: 10.1056/NEJM198705283162206. [DOI] [PubMed] [Google Scholar]
- Boyd D. L., Maynard J. E., Hammes L. M. Accident mortality in Alaska 1958-1962. Arch Environ Health. 1968 Jul;17(1):101–106. doi: 10.1080/00039896.1968.10665197. [DOI] [PubMed] [Google Scholar]
- Brown R. C., Gurunanjappa B. S., Hawk R. J., Bitsuie D. The epidemiology of accidents among the Navajo Indians. Public Health Rep. 1970 Oct;85(10):881–888. [PMC free article] [PubMed] [Google Scholar]
- Fife D. Matching fatal accident reporting system cases with National Center for Health Statistics motor vehicle deaths. Accid Anal Prev. 1989 Feb;21(1):79–83. doi: 10.1016/0001-4575(89)90050-x. [DOI] [PubMed] [Google Scholar]
- Gallaher M. M., Fleming D. W., Berger L. R., Sewell C. M. Pedestrian and hypothermia deaths among Native Americans in New Mexico. Between bar and home. JAMA. 1992 Mar 11;267(10):1345–1348. [PubMed] [Google Scholar]
- Mahoney M. C. Fatal motor vehicle traffic accidents among Native Americans. Am J Prev Med. 1991 Mar-Apr;7(2):112–116. [PubMed] [Google Scholar]
- Olson L. M., Becker T. M., Wiggins C. L., Key C. R., Samet J. M. Injury mortality in American Indian, Hispanic, and non-Hispanic white children in New Mexico, 1958-1982. Soc Sci Med. 1990;30(4):479–486. doi: 10.1016/0277-9536(90)90350-2. [DOI] [PubMed] [Google Scholar]
- Porvaznik J., Jensen G. H. Motor vehicle accidents and emergency medical services on Indian reservations. Mil Med. 1988 Sep;153(9):453–456. [PubMed] [Google Scholar]
- Simpson S. G., Reid R., Baker S. P., Teret S. Injuries among the Hopi Indians. A population-based survey. JAMA. 1983 Apr 8;249(14):1873–1876. [PubMed] [Google Scholar]
