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Hospitalizations for injury among American Indian youth in Washington

S J Johnson1, M Sullivan, D C Grossman

  • 1Harborview Injury Prevention and Research Center, 325 Ninth Avenue, Box 359960, Seattle, WA 98104.

The Western Journal of Medicine
|August 30, 2008
PubMed

Insights

American Indian and Alaska Native (AI/AN) youth in Washington experience higher injury hospitalization rates compared to other youth. Motor vehicle accidents and assaults contribute significantly to this disparity.

Area of Science:

  • Public Health Surveillance
  • Injury Epidemiology
  • Health Disparities Research

Background:

  • Injury remains a significant public health concern among adolescents.
  • Understanding specific population group risks is crucial for targeted prevention.
  • Previous research indicates potential disparities in healthcare access and outcomes for American Indian and Alaska Native (AI/AN) populations.

Purpose of the Study:

  • To quantify and compare injury hospitalization rates between AI/AN youth and all youth in Washington State.
  • To identify the primary causes and mechanisms of injury leading to hospitalization in AI/AN youth.
  • To assess disparities in injury hospitalization rates across different age groups and injury types.

Main Methods:

  • Retrospective analysis of Washington State hospital discharge data (1990-1994) for individuals aged 0-19.
  • Linking hospital discharge records with Indian Health Service (IHS) patient registration data to identify AI/AN youth.
  • Calculation of incidence ratios (IRs) to compare hospitalization rates between AI/AN youth and the general youth population.

Main Results:

  • AI/AN youth exhibited a higher rate of injury hospitalization (507 per 100,000) compared to all youth (IR = 1.30).
  • Motor vehicle incidents were the leading cause of injury hospitalization for AI/AN youth (IR = 1.73), followed by falls and poisonings.
  • The disparity was most pronounced for intentional injuries (IR = 1.71) and injuries from fire (IR = 2.35), particularly among adolescents aged 15-19.

Conclusions:

  • AI/AN youth in Washington face a disproportionately higher burden of injury-related hospitalizations.
  • Significant disparities exist for injuries sustained in motor vehicle accidents and assaults.
  • Linked hospital discharge and IHS data provide a valuable tool for ongoing AI/AN health surveillance.
Abstract

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