Trends and disparities in American Indian/Alaska Native unintentional injury mortality from 1999 to 2016.
Trends and disparities in American Indian/Alaska Native unintentional injury mortality from 1999 to 2016.
复制标题
DOI：
10.1136/injuryprev-2020-043951
复制
发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Cherpitel CJ
中科院分区：
文献类型：
--
作者：
Kerr WC;Ye Y;Williams E;Mulia N;Cherpitel CJ
酒精和毒品的使用在美国是严重的问题，美国印第安人/阿拉斯加原住民(AI/AN)社区和个人被认为是受影响最严重的群体之一。这项研究评估了1999年以来意外伤害死亡原因的差异。2020年分析1999-2016年间AI/ANS和白人之间的意外伤害死亡率差异，并关注机动车碰撞、酒精中毒、药物中毒和所有其他原因类型。此外，还对人工智能/人工智能人口最多的10个州的发病率进行了调查，以说明地理集中度。AI/AN和白人群体的机动车死亡率都有所下降，但保持了很大的种族差异。相反，两组的中毒死亡率都大幅上升，由于编码的改变，2007年的死亡率跃升，导致2016年一直保持着巨大的差异。酒精和药物中毒的比较表明，AI/AN酒精中毒率约为怀特率的8倍，而药物中毒率相似。在所有其他意外伤害中，AI/AN男性的发病率最高，在研究期间，发病率普遍上升。各州的分析发现，人工智能/人工智能比率存在很大差异，纽约和德克萨斯州的差异很小或没有差异。结果表明，意外伤害死亡率存在显著和持续的差异，其中酒精中毒的差异尤其大。纽约和得克萨斯州没有差异，这表明了情境因素的重要性。
Alcohol and drug use are significant problems in the US, and American Indian/Alaska Native (AI/AN) communities and individuals are known to be among the most affected. This study evaluates disparities in unintentional injury mortality causes since 1999. Analyses in 2020 of unintentional injury mortality rate disparities between AI/ANs and Whites over the 1999-2016 period with attention to motor vehicle crashes, alcohol poisoning, drug poisoning and all other cause types. Rates in each of the 10 states with the largest AI/AN populations were also investigated to account for geographical concentration. Motor vehicle mortality rates declined for both AI/AN and White groups, but a large racial disparity was maintained. Conversely, poisoning mortality rates rose substantially in both groups, with a jump in rates in 2007 due to a coding change, resulting in a large disparity that was maintained through 2016. Comparison of alcohol and drug poisonings showed that the AI/AN alcohol poisoning rate was about 8 times the White rate, while drug poisoning rates were similar. For “All Other” unintentional injuries, the highest rates were seen for AI/AN men, with rates generally rising over the study period. State-specific analyses found substantial variation in AI/AN rates, with few or no disparities in New York and Texas. Results indicate substantial and persisting disparities in unintentional injury mortality, with especially large differences in alcohol poisoning. The absence of disparities in New York and Texas suggest the importance of situational factors.
登录
查看更多内容
影响因子：
4.4
作者：
Goldstein RB;Smith SM;Chou SP;Saha TD;Jung J;Zhang H;Pickering RP;Ruan WJ;Huang B;Grant BF
通讯作者：
Grant BF
影响因子：
13.8
作者：
Spillane, Susan;Shiels, Meredith S.;Freedman, Neal D.
通讯作者：
Freedman, Neal D.
影响因子：
2.8
作者：
Rahu, Kaja;Palo, Ene;Rahu, Mati
通讯作者：
Rahu, Mati
影响因子：
5.5
作者：
Kerr, William C.;Kaplan, Mark S.;McFarland, Bentson H.
通讯作者：
McFarland, Bentson H.
影响因子：
25.8
作者：
Grant BF;Goldstein RB;Saha TD;Chou SP;Jung J;Zhang H;Pickering RP;Ruan WJ;Smith SM;Huang B;Hasin DS
通讯作者：
Hasin DS