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ニューメキシコのネイティブアメリカンにおける歩行者および低体温による死亡. バーと家との間に
M M Gallaher1, D W Fleming, L R Berger
1Office of Epidemiology, New Mexico Department of Health, Santa Fe 87502.
JAMA
|March 11, 1992
まとめ
ニューメキシコのネイティブアメリカンは,主に低体温と歩行者-自動車の衝突により,意図しない負傷による死亡率が高くなりました. 予約に関するアルコールの政策は,これらのリスクに寄与する可能性があります.
科学分野:
- 公衆衛生は公衆衛生である.
- エピデミオロジー エピデミオロジー
- 怪我の予防 怪我の予防について
背景:
- ニューメキシコのネイティブアメリカンは,意図しない怪我による不釣り合いの高い死亡率を示しています.
- これらの怪我の特定の原因と状況を理解することは,標的を絞った予防の取り組みにとって極めて重要です.
研究 の 目的:
- ニューメキシコ州のネイティブアメリカンにおける過度の負傷死亡率の性質と原因を調査する.
- この集団における高い死亡率に寄与する特定の怪我の種類を特定する.
主な方法:
- 1980年から1989年までのニューメキシコの住民の意図しない怪我による死亡に関する死亡証明書の遡及的レビュー.
- ネイティブアメリカンと他の州住民を比較した特定原因による死亡率の分析.
主要な成果:
- 低体温と歩行者-自動車の衝突は,アメリカ先住民の間で過剰な意図しない怪我による死亡の半分以上を占めました.
- ネイティブアメリカンは,他の住民と比較して,低体温 (30倍),歩行者-自動車の衝突 (8倍) で死亡する可能性が著しく高かった.
- 死亡時に血中アルコール濃度が高いことが一般的であり,ほとんどの事件は予約外で発生しました.
結論:
- 多くのインディアン居留地でのアルコール販売の禁止は,アルコール消費のために旅行を強制し,リスクを増加させる可能性があります.
- この政策は,低体温による死亡率と歩行者-自動車の衝突による死亡率の上昇に寄与する要因として示唆されている.
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