Northwest American Indian and Alaska Native Mortality (2012) 7.7mb

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Unintentional InjuriesDeaths due to injuries, both intentional and unintentional, reveal majordisparities. This is an area where prevention efforts may be particularlyeffective. In recent years, there has been an increasing public health focuson injury prevention in Indian Country. Unintentional injuries accountedfor the majority of injury deaths in Northwest AI/ANs, followed bysuicides and homicides.Unintentional InjuriesAI/ANs living in Washington had the highest rates of unintentional injurydeaths, followed by Idaho and Oregon. When compared with the whitepopulation, Washington also had the largest disparity with a rate ratio of2.4 (Figure 2).Age‐Adjusted Rate per 100,000Figure 2. Unintentional injury mortality, 2006-20091201008095.9AI/ANWhite67.063.7604042.0 37.7 40.3200Idaho Oregon WashingtonFocus on Community ProgramsNPAIHB’s Injury Prevention Program (IPP) has beenfunded through a cooperative agreement with the IndianHealth Service (IHS) since 2010. The IPP oversees theNorthwest Tribal Injury Prevention Coalition, whichrecently developed a 5-year Tribal Injury PreventionAction Plan. Together, the IPP and Coalition memberswork with the Northwest Tribes to develop and implementeffective injury prevention and education strategies,with an emphasis on motor vehicle safety and elder fallsprevention. The IPP also contributes to the collection,analysis and interpretation of injury data.For more information about NPAIHB’sInjury Prevention work, contact:Luella Azule (Yakama/Umatilla),Injury Prevention Program Coordinator,lazule@npaihb.org,503-416-3263.12 Improving Data & Enhancing Access (IDEA-NW)
Men had higher rates of unintentional injury deaths across all three states, and for AI/ANs the difference waslargest in Idaho, where men were twice as likely to die from unintentional injuries than women (Figure 3).The majority of unintentional injury deaths among both racial groups were attributable to motor vehiclecrashes (MVC) and accidental poisoning, although MVCs accounted for proportionally more deaths amongAI/ANs than whites (Figure 4). Whites had a much higher proportion of unintentional injury deaths dueto falls than AI/ANs. This is possibly related to the difference in age at death as we find AI/ANs are dying atyounger ages of other causes while most fall deaths among whites occur in those eighty years and older.Figure 3. Unintentional injury mortality by sex, 2006-2009140AI/AN MaleAge-Adjusted Rate per 100,0001201008060402074.6 73.955.451.337.428.9118.8AI/AN FemaleWhite MaleWhite Female74.253.850.425.8 27.70Idaho Oregon Washington50%Figure 4. Leading causes of unintentional injury deaths,Northwest states, 2006-200940%39%33%AI/ANWhite30%26% 26% 28%20%17%14%10%8%4%3%0%MotorVehicleCrashesAccidentalPoisoningFallsAccidentalDrowningOtherImproving Data & Enhancing Access (IDEA-NW)13
Page 5: Contents6Background8Methods9Linkage
Page 10: Leading Causes of DeathTable 1 pres
Page 15 and 16: Unintentional Injuries: Motor Vehic
Page 17 and 18: Overall, MVC mortality washigher in
Page 19 and 20: Unintentional Injuries: Accidental
Page 21: Washington trend data showed that,
Page 24 and 25: Unintentional Injuries: FallsWhile
Page 26 and 27: Young adult AI/ANs aged 20-29 had t
Page 28 and 29: Male AI/ANs were much more likely t
Page 30 and 31: Washington trend data showed that s
Page 32 and 33: For both races, homicide rates peak
Page 34 and 35: This report reveals many mortality
Page 36: Northwest Portland AreaIndian Healt

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