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Recent trends in mortality from unintentional injury in the United States
Leonard J Paulozzi1, Michael F Ballesteros, Judy A Stevens
1Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS K-63, Atlanta, GA 30341, USA. lbp4@cdc.gov
Introduction:
Recent observations suggest that the unintentional injury mortality rate may be increasing in the United States for the first time since 1979.
Method:
This study examined trends in unintentional injury mortality by sex, race, mechanism, and age group to better understand these increases.
Results:
From 1992 to 2002, mortality increased 11.0% (6.5% for males, 18.5% for females). The mortality rate increased 16.5% among whites, but declined among African Americans and other races. Rates among whites exceeded rates among African Americans for the first time since 1998. Fall rates increased 39.5% from 1992 to 2002, and poisoning rates increased 121.5%. Motor-vehicle rates did not increase overall. Rates in age groups from 40-64 years of age increased for falls, poisoning, and motor-vehicle crashes. Only fall rates increased for the 65+ age group.
Conclusions:
These results raise the issue of whether these increases have one or more risk factors in common, such as recent increases in the use of alcohol and prescription drugs.
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