Atlas of Injuries among American Indians and Alaska Natives in California, 1991-2006
Injuries (unintentional and intentional combined) are the leading cause of death among American Indians and Alaskan Natives (AI/AN) ages 1-44. Unintentional injury alone is the leading cause of death of AI/AN ages 5-44. Intentional injuries (self-inflicted and assault) are in the top 10 leading causes of death among AI/AN. This atlas presents injury mortality and morbidity data from 1991 through 2006 for AI/AN in California. Major causes of injuries that are analyzed include: motor-vehicle injuries, assault/homicide, self-inflicted/suicide. Some injury cost data for California hospitalizations are also included.
From 1991 to 2006, injuries accounted for 2,457 (adjusted for racial misclassification) deaths of AI/AN and 12,130 hospitalizations of AI/AN in California. An analysis of these injuries revealed the following: - Compared to all races, AI/AN have a higher fatality injury rate when adjusted for underreporting. - Majority (~70%) of AI/AN fatal injuries were unintentional. - AI/AN females (~26%) were more likely to be injured through falls when compared to AI/AN males. - AI/AN males (~68%) were more likely to be injured through motor vehicle injuries when compared to AI/AN Females. - Intentional injuries (assault/homicide and self-inflicted/suicide) were most prevalent among the 35-44 age group. - Homicides/assault injuries were 11 times higher among AI/AN males when compared to female AI/AN. - Self-inflicted poisoning injuries were higher among the female (~90%) AI/AN population when compared to male AI/AN. - Injuries are the 3rd most expensive average cost per hospitalization when compared to other hospitalization causes. - During the year 2004, unintentional injuries accounted for the majority of medical treatment cost (~81%), with only (~19%) spent on intentional injuries (assault and self-inflicted). - Medical treatment cost for both fatal and non-fatal injuries among AI/AN increased 10 fold from 1991 to 2007.
Tan P. Pham and Robert Newsad. 2009. "Atlas of Injuries among American Indians and Alaska Natives in California, 1991-2006" Report for U.S. Public Health Service: Indian Health Services, California Area Office