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The decrease in the unintentional injury mortality disparity between American Indians/Alaska Natives and non-American
Glenda Hubbard1, Pallavi Pokhrel, Larry Nielsen
1Epidemiology and Response Division, New Mexico Department of Health, Santa Fe, NM 87502-6110, USA. glenda.hubbard@state.nm.us
Objectives:
We tracked the unintentional injury death disparity between American Indians/Alaska Natives and non-American Indians/Alaska Natives in New Mexico, 1980 to 2009.
Methods:
We calculated age-adjusted rates and rate ratios for unintentional injury deaths and their external causes among American Indians/Alaska Natives and non-American Indians/Alaska Natives. We tested trend significance with the Mann-Kendall test.
Results:
The unintentional injury death rate ratio of American Indians/Alaska Natives to non-American Indians/Alaska Natives declined from 2.9 in 1980-1982 to 1.5 in 2007-2009. The rate among American Indians/Alaska Natives decreased 47.2% from 1980-1982 to 1995-1997. Among non-American Indians/Alaska Natives, the rate declined 25.3% from 1980-1982 to 1992-1994, then increased 31.9% from 1992-1994 to 2007-2009. The motor vehicle traffic and pedestrian death rates decreased 57.8% and 74.6%, respectively, among American Indians/Alaska Natives from 1980-1982 to 2007-2009.
Conclusions:
The unintentional injury death rate disparity decreased substantially from 1980-1982 to 2007-2009 largely because of the decrease in motor vehicle crash and pedestrian death rates among American Indians/Alaska Natives and the increase in the poisoning death rate among non-American Indians/Alaska Natives.
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