Abstract
Using injuries associated with three-wheeled all-terrain vehicles in Alaska as an example, the existing injury data bases were assessed for usefulness, cost, simplicity, acceptability, flexibility, sensitivity, specificity, representativeness, and timeliness. In this study strengths and weaknesses of existing data for all-terrain vehicles were identified and ways to improve data collection and linkages across data systems are suggested. Based on this evaluation, linked death certificates and medical examiner data provide an excellent mechanism for monitoring vehicle-related fatalities. Information sources for nonfatal and nonvehicle-related injuries require further development. Police records provide supplemental information, but they are limited to the events reported to police. Although other sources were explored, they added no advantage to the primary sources. Data processing, analysis, and dissemination--traditional responsibilities for public health and other governmental agencies--can transform these data sources into meaningful mechanisms to define injury trends and monitor injury-specific intervention strategies.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- Glasser J. H. The quality and utility of death certificate data. Am J Public Health. 1981 Mar;71(3):231–233. doi: 10.2105/ajph.71.3.231. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hlady W. G., Middaugh J. P. Suicides in Alaska: firearms and alcohol. Am J Public Health. 1988 Feb;78(2):179–180. doi: 10.2105/ajph.78.2.179. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kircher T., Nelson J., Burdo H. The autopsy as a measure of accuracy of the death certificate. N Engl J Med. 1985 Nov 14;313(20):1263–1269. doi: 10.1056/NEJM198511143132005. [DOI] [PubMed] [Google Scholar]
- Kleinman J. C. The continued vitality of vital statistics. Am J Public Health. 1982 Feb;72(2):125–127. doi: 10.2105/ajph.72.2.125. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Percy C., Stanek E., 3rd, Gloeckler L. Accuracy of cancer death certificates and its effect on cancer mortality statistics. Am J Public Health. 1981 Mar;71(3):242–250. doi: 10.2105/ajph.71.3.242. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pollock D. A., Boyle C. A., DeStefano F., Moyer L. A., Kirk M. L. Underreporting of alcohol-related mortality on death certificates of young US Army veterans. JAMA. 1987 Jul 17;258(3):345–348. [PubMed] [Google Scholar]
- Smith S. M., Middaugh J. P. Injuries associated with three-wheeled, all-terrain vehicles, Alaska, 1983 and 1984. JAMA. 1986 May 9;255(18):2454–2458. [PubMed] [Google Scholar]
- Thacker S. B., Berkelman R. L. Public health surveillance in the United States. Epidemiol Rev. 1988;10:164–190. doi: 10.1093/oxfordjournals.epirev.a036021. [DOI] [PubMed] [Google Scholar]
- Thacker S. B., Parrish R. G., Trowbridge F. L. A method for evaluating systems of epidemiological surveillance. World Health Stat Q. 1988;41(1):11–18. [PubMed] [Google Scholar]
- Zemach R. What the vital statistics system can and cannot do. Am J Public Health. 1984 Aug;74(8):756–758. doi: 10.2105/ajph.74.8.756. [DOI] [PMC free article] [PubMed] [Google Scholar]