Unintentional Injury Mortality Among American Indians and Alaska Natives in the United States, 1990–2009

Murphy, Tierney; Pokhrel, Pallavi; Worthington, Anne; Billie, Holly; Sewell, Mack; Bill, Nancy M.

doi:10.2105/ajph.2013.301854

Cited by 50 publications

(43 citation statements)

References 16 publications

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“…49,50 Unintentional injuries accounted for 41% of all deaths among AI/AN children and was the leading cause of death for all pediatric age groups. 21 AI/AN infants and youths had death rates of unintentional injuries at least double those of White infants and youths. A Morbidity and Mortality Weekly Report on years of potential life lost from unintentional injuries for persons ages 0 to 19 years among all racial/ ethnic groups estimated an average of 890 years of potential life lost per every 100 000 persons aged 0 to 19 years.…”

Section: Discussionmentioning

confidence: 95%

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American Indian and Alaska Native Infant and Pediatric Mortality, United States, 1999–2009

Wong

Gachupin

Holman³

et al. 2014

Am J Public Health

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Section: Discussionmentioning

confidence: 95%

“…18 The unintentional injuries were further stratified for the pediatric age groups and by region according to the external causes of injury, 20 as explained elsewhere in this supplement. 21 …”

Section: Pediatric Mortalitymentioning

confidence: 99%

American Indian and Alaska Native Infant and Pediatric Mortality, United States, 1999–2009

Wong

Gachupin

Holman³

et al. 2014

Am J Public Health

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“…Reporting on Indian Health Service data, Murphy et al. () reported that the overall rate of unintentional injury deaths among AIAN men was greater than that of U.S. men and AIAN women by 2.47 and 2.16 times, respectively. Unintentional injuries include injuries and deaths due to motor vehicle accidents, poisoning, falls, drowning, and fire or burns, all of which are greater in the AIAN population as a whole than those among Whites by 1.5 to 3 times.…”

Section: Health Disparities Among Aian Adolescent and Adult Menmentioning

confidence: 99%

American Indian and Alaska Native Boys: Early Childhood Risk and Resilience Amidst Context and Culture

Sarche

Tafoya

Croy

et al. 2016

Infant Mental Health Journal

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American Indian and Alaska Native (AIAN) adolescent and adult men experience a range of health disparities relative to their non-AIAN counterparts and AIAN women. Given the relatively limited literature on early development in tribal contexts, however, indicators of risk during early childhood specific to AIAN boys are not well-known. The current article reviews sources of strength and challenge within AIAN communities for AIAN children in general, including cultural beliefs and practices that support development, and contextual challenges related to socioeconomic and health disparities and historical trauma affecting the AIAN population as a whole. The research literature on early development is reviewed, highlighting what this literature reveals about early gender differences. The article concludes with calls to action on behalf of AIAN boys that align with each of the five tiers of R. Frieden's (2010) Public Health Pyramid.

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“…Motor vehicle crashes are a leading cause of unintentional injury for American Indian and Alaskan Natives ages 1 to 44 [2]. Across America we also experienced an increase in Unintentional Poisoning, in which overdoses of prescription and illegal drug deaths surpassed unintentional motor vehicle deaths [3].…”

Section: Introductionmentioning

confidence: 99%

Creating a Tribal Culture of Traffic Safety

Hill¹

2017

WIT Transactions on the Built Environment

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Transportation systems and travel behavior have a high social impact on communities in terms of safety and security. Native Americans across the USA and specifically in Washington State experience vehicular fatalities at four times the rate of average American citizens. Tribes can reduce the number of fatalities and serious injuries on their reservation roads if they implement best practices to influence their communities to take control over behaviors that cause fatal accidents, such as impaired driving, speeding and not using seatbelts. Tribal sovereignty empowers tribal governments to enact traffic codes and training programs that will work for their communities. Tribes face complex problems such as multi-layered governance structures and legal frameworks, traditional cultural behavior and underreporting of data. The Washington State Traffic Safety Commission funded Eastern Washington University (EWU) in 2014-15 and 2016-17 to develop a data-driven "Tribal Traffic Safety Demonstration Project" for six Washington State native tribes. Our EWU team developed a Tribal Traffic Safety Model to represent the complex interactions amongst the tribal programs and key stakeholders. We conducted dialogues with key tribal stakeholders to identify specific issues. We collected data on fatalities and mapped their location. We shared our findings with each tribe and provided examples of best practices. Our team interviewed key tribal staff personnel to assess existing codes, tribal court and law enforcement practices and tribal behavioral health treatment programs. Effective solutions emerge from data-driven planning and combined with tribal cultural teachings provide direction for tribal governments that cannot simply come from road engineering and traffic signage. Tribes can create traffic safety teams to work across Engineering, Emergency Medical Systems, Law Enforcement and Government Policies in order to improve traffic safety. Tribes are working to reduce fatalities and serious injuries but we have not seen significant reductions in traffic fatalities yet. This is an ongoing project.

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Unintentional Injury Mortality Among American Indians and Alaska Natives in the United States, 1990–2009

Abstract: AI/AN persons had consistently higher UI death rates than did Whites. This disparity in overall rates coupled with recent increases in unintentional poisoning deaths requires that injury prevention be a major priority for improving health and preventing death among AI/AN populations.

Cited by 50 publications

References 16 publications

American Indian and Alaska Native Infant and Pediatric Mortality, United States, 1999–2009

American Indian and Alaska Native Infant and Pediatric Mortality, United States, 1999–2009

American Indian and Alaska Native Boys: Early Childhood Risk and Resilience Amidst Context and Culture

Creating a Tribal Culture of Traffic Safety

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