PMID: 9183469May 1, 1997Paper

Motor-vehicle crash-injury risk factors among American Indians

Accident; Analysis and Prevention
D C GrossmanJ Moran

Abstract

The rates of motor-vehicle crash mortality are highest among American Indians and Alaska Natives, compared to other ethnic groups. The aim of this study was to compare risk factors for motor-vehicle crashes and occupant injuries between rural and urban American-Indian (AI) drivers, and between rural AI and non-AI rural drivers. A statewide traffic-accident database was linked to the Indian Health Service patient-registration database to identify crashes that involved American-Indian drivers. Using a cross-sectional design, crashes occurring in a two-county region during 1989 and 1990 were studied. A total of 9329 motor-vehicle crashes involving 16,234 drivers and 6431 passengers were studied. Two percent of drivers were American Indian. Compared to American-Indian drivers in urban crashes, rural crashes involving American-Indian drivers were more likely to result in injury or death (38% vs 64% p < 0.001). The difference in risk for crashes between urban and rural non-AI drivers was not as high (42% vs 33%). Only 44 percent of rural American-Indian motor-vehicle occupants reported wearing seat belts, compared to 70 percent of urban American-Indian occupants (p < 0.05). Rates of driver alcohol impairment, as assessed by the polic...Continue Reading

References

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Citations

Apr 24, 2014·American Journal of Public Health·Charlene A WongRosalyn J Singleton
Jul 1, 1999·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·S J JohnsonD C Grossman
Sep 13, 2002·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·K J PhelanH Kalkwarf
Sep 11, 2003·Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention·D Campos-OutcaltM K Cota
Feb 16, 2006·Journal of Epidemiology and Community Health·I StirbuE F van Beeck
Apr 26, 2006·Journal of Ethnicity in Substance Abuse·Eduardo O RomanoRobert B Voas
Oct 6, 2012·Accident; Analysis and Prevention·David M Neyens, Linda Ng Boyle
Sep 13, 2011·Social Science & Medicine·Roni FactorDavid R Williams
Sep 11, 2007·American Journal of Preventive Medicine·Andrea N GarciaJack M Guralnik
Sep 15, 2007·Accident; Analysis and Prevention·Eric A GrossKathleen Mathieson
Jan 28, 2010·Journal of Forensic Sciences·Sarah L LathropKurt B Nolte
Oct 23, 2004·The Journal of Emergency Medicine·Juan SunJunichi Misumi
Feb 10, 2006·Journal of Safety Research·Eduardo RomanoScott Tippetts
Mar 24, 2005·Accident; Analysis and Prevention·Eduardo RomanoRobert Voas
Dec 15, 2016·Infant Mental Health Journal·Michelle SarcheKyle Hill
Mar 15, 2008·Maternal and Child Health Journal·Robert J LetourneauChristopher W Allen
May 24, 2007·Public Health Reports·A Robertson HarropColin Macarthur

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