Motor vehicle crash fatalities: A comparison of hispanic and non-hispanic motorists in colorado

Harper, Jennifer S.; Marine, William M.; Garrett, Carol; Lezotte, Dennis C.; Lowenstein, Steven R.

doi:10.1067/mem.2000.111058

Cited by 69 publications

(45 citation statements)

References 16 publications

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“…As mentioned in the introduction section, previous studies repeatedly have shown that Hispanics are less prone to wear safety belts than Whites. Working with Colorado data, Harper et al (2000) showed that such a negative predisposition indeed translates into an alarming incidence of fatalities. Our California study confirms Harper et al's finding for Colorado.…”

Section: Discussionmentioning

confidence: 98%

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Acculturation, Income, Education, Safety Belt Use, and Fatal Motor Vehicle Crashes in California

et al. 2005

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This paper investigates the role that acculturation, income, and education play in safety belt nonuse among Californian drivers involved in fatal Motor Vehicle Crashes (MVCs). To achieve this goal, measures of acculturation, income, and education were stochastically incorporated into the Fatality Analysis Reporting System (FARS). Using the 1990 California Tobacco Survey and U.S. Census data, we estimated the combination of zip-code-based measures that most accurately predicts an individual, language-based acculturation index for Hispanics and Asians. Logistic regression was used to investigate the role of these variables in safety belt nonuse in fatal MVCs. We found that acculturation has a positive direct effect on safety belt use among Hispanics. We hypothesize that this positive direct effect is caused by Hispanic immigrants learning the benefits of wearing safety belts. However, our study also suggests an indirect negative effect of acculturation on safety belt use through drinking and driving. Prevention programs aimed at increasing the safety of Hispanic drivers not only need to take acculturation differences into account, but also need to be comprehensive in their message, simultaneously targeting both seat belt nonuse and drinking-and-driving problems.

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Section: Discussionmentioning

confidence: 98%

“…Davis et al, 2002;Lee et al, 1996). Not surprisingly, Harper et al (2000) found that Hispanic drivers are at a higher risk of dying in a MVC while not wearing a safety belt than their White counterparts.…”

Section: Introductionmentioning

confidence: 89%

Acculturation, Income, Education, Safety Belt Use, and Fatal Motor Vehicle Crashes in California

et al. 2005

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“…Several studies have shown that the use of car seats, child restraints, and seat belts is lower in Latino communities (46,64). Based on this research, interventions have been aimed at trying to increase the use of child restraints in motor vehicles in Latino communities.…”

Section: Injury and Violence Preventionmentioning

confidence: 99%

“…A follow-up case-control study of the same population found that the strongest risk factor for injury was having a parent who reported they did not read well in either English or Spanish (2). These data suggest that literacy and language may be important areas for intervention.Several studies have shown that the use of car seats, child restraints, and seat belts is lower in Latino communities (46,64). Based on this research, interventions have been aimed at trying to increase the use of child restraints in motor vehicles in Latino communities.…”

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confidence: 99%

Assuring the Health of Immigrants: What the Leading Health Indicators Tell Us

Kandula

Kersey

Lurie

2004

Annu. Rev. Public Health

212

137

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Over the past 20 years, the United States has experienced one of the largest waves of immigration in its history. Understanding the health status and needs of immigrants is important because of their growing numbers and their contribution to the health of the nation, but it is challenging because of gaps in national databases, the heterogeneity of immigrant populations, and uncertainty about how migration affects health. Healthy People 2010 outlines the nation's public health objectives for the current decade. It includes ten leading health indicators (LHIs) chosen because of their importance as public health issues, their ability to motivate action, and the availability of data to measure their progress. In this paper, we discuss the health of immigrants from the perspective of these LHIs, as they provide a framework for anticipating some of the future health needs of immigrants and help define priority areas for research and action. INTRODUCTIONOver the past 20 years, the United States has experienced one of the largest waves of immigration in its history. Understanding the health status and needs of immigrants is important because of their growing numbers and their contribution to the health of the nation, but it is challenging because of gaps in national databases, the heterogeneity of immigrant populations, and uncertainty about how migration affects health. The health status and health needs of immigrants are poorly understood. Until recently, most health research did not collect data on nativity and immigration status. When immigration status was collected, many studies grouped all Asians or Latinos together, despite marked differences within subgroups with respect to culture, socioeconomic status, health status, and patterns of immigration.The effect of immigration on health is controversial. Some studies have shown that immigrants enjoy superior health compared to the U.S. born, despite higher 358KANDULA KERSEY LURIE rates of poverty and poorer access to health care (1,23,100,102). Others find that some groups experience much higher rates of disease and poor health than previously suspected (36,101,112). As immigrants adopt traditional American health behaviors over time, their health status begins to converge with that of the general U.S. population (20,63,66,90,96,101,112). Yet the literature on how acculturation affects health is often difficult to interpret because there are few validated and consistent measures of acculturation (57). Data on immigrant health status are also often difficult to interpret because of uncertain impact of selection biases [e.g., immigrants to the United States may represent the most healthy and motivated individuals, thus able to make the long journey to the United States (1, 34); they live healthier lifestyles, with fewer risk-taking behaviors and better diets (57); and they return to their native country prior to dying and therefore are not counted in U.S. death records or vital statistics (57)]. Healthy People 2010 outlines the nation's public health objecti...

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“…46 Hispanic drivers in Colorado have been shown to have lower rates of safety belt use and higher rates of speeding, invalid licensure, and alcohol use, leading to higher rates of death in traffic crashes. 47 Traveling in pickup trucks and all-terrain vehicle use by children and adolescents, often with inadequate protective gear and careless riding habits, are frequent in rural areas. 48,49 Another significant risk factors for injuries among rural youths is use of alcohol.…”

Section: E548 Femur Fractures Associated Injuries Sociodemographic mentioning

confidence: 99%

Childhood Femur Fractures, Associated Injuries, and Sociodemographic Risk Factors: A Population-Based Study

Rewers¹,

et al. 2005

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ABSTRACT. Objective. The objectives of this study were to determine the incidence of femur fractures in Colorado children, to assess underlying causes, to determine the prevalence and predictors of associated injuries, and to identify potentially modifiable risk factors.Methods. The study population included all Colorado residents who were aged 0 to 17 years at the time of injury between January 1, 1998, and December 31, 2001. Cases of femur fracture were ascertained using the population-based Colorado Trauma Registry and International Classification of Diseases, Ninth Revision, Clinical Modification codes 820.0 to 821.39. Associated injuries with an Abbreviated Injury Scale of 2 or higher were classified into 5 categories. Poisson regression, small area analysis, and multivariate logistic regression were used to identify predictors of femur fractures and associated injuries, respectively.Results. During the study period, 1139 Colorado children (795 boys, 344 girls) sustained femur fractures, resulting in the incidence of 26.0 per 100 000 person-years. Rates were higher in boys than in girls in all age groups (overall risk ratio: 2.19; 95% confidence interval: 1.92-2.47) but did not differ by race/ethnicity. Femur fractures that were caused by nonaccidental trauma showed more distal and combined shaft ؉ distal pattern; their incidence did not differ by gender or race but was higher in census tracts with more single mothers and less crowded households. Associated injuries were present in 28.6% of the cases, more often in older children. Fatalities occurred only among children with associated injuries. Children who were involved in nonaccidental trauma, motor vehicle crashes, or auto-pedestrian accidents were 16 to 20 times more likely to have associated injuries than those with femur fractures as a result of a fall. In smallarea analysis, the incidence of femur fractures in infants and toddlers was higher in census tracts characterized by higher proportion of Hispanics, single mothers, and more crowded households. Among children 4 to 12 years of age, the incidence was higher in census tracts with fewer single-family houses and more crowded households. Finally, the incidence of femur fractures among teenagers was higher in rural tracts and those with a higher proportion of Hispanics. Conclusions

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Motor vehicle crash fatalities: A comparison of hispanic and non-hispanic motorists in colorado

Cited by 69 publications

References 16 publications

Acculturation, Income, Education, Safety Belt Use, and Fatal Motor Vehicle Crashes in California

Acculturation, Income, Education, Safety Belt Use, and Fatal Motor Vehicle Crashes in California

Assuring the Health of Immigrants: What the Leading Health Indicators Tell Us

Childhood Femur Fractures, Associated Injuries, and Sociodemographic Risk Factors: A Population-Based Study

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