Unintentional Injury Death Rates in Rural Appalachia

1990 ◽  
Vol 30 (12) ◽  
pp. 1524-1532 ◽  
Author(s):  
PAUL A. KEARNEY ◽  
LORANN STALLONES ◽  
COLLEEN SWARTZ ◽  
DONALD E. BARKER ◽  
STEVEN B. JOHNSON
2017 ◽  
Vol 25 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Stephen W Pan ◽  
Hiu Ha Chong ◽  
Hui-Chuan Kao

IntroductionIndigenous communities in Taiwan shoulder a disproportionate burden of unintentional injury fatalities. We compare unintentional injury mortality rate trends among Taiwan’s indigenous communities and the general population from 2002 to 2013, and evaluate potential impact of a community-based injury prevention programme on indigenous unintentional injury death rates.MethodsStandardised and crude unintentional injury mortality rates were obtained from Taiwan government reports. Segmented linear regression was used to estimate and compare unintentional injury mortality rate trends before and after the intervention.ResultsBetween 2002 and 2013, unintentional injury mortality rates among Taiwan’s indigenous population significantly declined by about 4.5 deaths per 100 000 each year (p<0.0001). During that time, the unintentional injury mortality rate ratio between indigenous Taiwanese and the general population significantly decreased by approximately 1% each successive year (p=0.02). However, we were unable to detect evidence that the ‘Healthy and Safe Tribe’ programme was associated with a statistically significant decrease in the unintentional injury mortality rate trend among indigenous persons (p=0.81).ConclusionTaiwanese indigenous communities remain at significantly higher risk of unintentional injury death, though the gap may be slowly narrowing. We found no evidence that the ‘Healthy and Safe Tribe’ indigenous injury-prevention programme significantly contributed to the nationwide decline in unintentional injury mortality among indigenous Taiwanese communities from 2009 to 2013. Future interventions to address the disproportionate burden of unintentional injury fatalities among indigenous Taiwanese should consider interventions with wider coverage of the indigenous population, and complementing grass roots led community-based interventions with structural policy interventions as well.


2018 ◽  
Vol 180 ◽  
pp. 06001
Author(s):  
E. Missoni ◽  
T. J. Mlinarić ◽  
B. Božić

The goal of this paper is to investigate and demonstrate the problem of fatalities of Croatian children under the age of 13 near suburban railways. Specific attention will be payed to the manner and conditions in which they are being instructed and accustomed to use this particular means of transport. Concluding remarks indicate that children should be taught from an early age that although using the suburban railways is very effective and has numerous advantages, in can nevertheless pose a safety risk if they do not behave cautiously (especially when getting on and off the train). In this research the authors examine the traffic injury death rates among children in the Republic of Croatia aged 13 and less over a twelve-year period. From 2005 until 2016 a total of 203 children were fatally injured. The most fatalities occurred in 2006 when a total of 26 children were killed, whereupon in 2016 that figure decreased to 2. Although the number of fatally injured children is gradually decreasing, it still gives cause for concern. In addition, over a ten-year period, from 2006 until 2015, a total of 515 children were seriously injured. Most of these injuries occurred in 2006 (98 children injured), while in 2015 there were only 30 injured children. The overall rate of fatal traffic accidents in Croatia of 8.3 (2012) per 100,000 inhabitants is even now at a high level compared to other European countries.


2010 ◽  
Vol 16 (Supplement 1) ◽  
pp. A158-A159
Author(s):  
T. Tanaka ◽  
H. Ishii ◽  
Y. Uchiyama ◽  
M. Yanai ◽  
Y. Yamada

2020 ◽  
Author(s):  
Leon Robertson ◽  
Lian Zhou ◽  
Kai Chen

Abstract Background The correlation of unintentional injury mortality to rising temperatures found in several studies could result from changes in behavior that increases exposure to hazards or risk when exposed. Temperature, precipitation and air pollutants may contribute to symptoms and distractions that increase risk or avoidance behavior that reduces risk. This study examines data that allows estimates of the relation of daily maximum temperature, precipitation and ozone pollution to injury mortality risk, each corrected statistically for the correlation with the others.Methods Daily data on unintentional injury deaths and exposures to temperature, precipitation and ozone in 9 cities in Jiangsu Province, China during 2015-2017 were analyzed using Poisson regression. The regression estimates were adjusted for weekends, holidays, an anomalous difference in death rates in Nanjing, and population size.Results Non transport injury death risk increased substantially in relation to higher temperatures when temperatures were in the moderate range and even more so at temperatures 35 degrees (C) and higher. Transport deaths were related to increasing deaths when temperatures were low but the correlation reversed at higher temperatures. Deaths were lower on rainy days when temperatures were cool and moderate with the exception of non-transport injuries when temperatures were moderate. Higher ozone concentrations were associated with more deaths except when temperatures were low. Injury mortality on weekends and holidays varied in relation to temperature as well. Conclusions The variations in deaths in relation to temperature, precipitation and ozone suggest that people are behaving differently or are in different environments when specific combinations of the predictor variables are prevalent, putting them at greater or less risk. More study of the behaviors and circumstances that result in injury under those conditions is needed.


2015 ◽  
Vol 32 (14) ◽  
pp. 1078-1082 ◽  
Author(s):  
Kuan-Chin Sung ◽  
Fu-Wen Liang ◽  
Tain-Junn Cheng ◽  
Tsung-Hsueh Lu ◽  
Ichiro Kawachi

2019 ◽  
Vol 25 (6) ◽  
pp. 574-576
Author(s):  
Anne Kenney ◽  
Wendy Shields ◽  
Alexandra Hinton ◽  
Francene Larzelere ◽  
Novalene Goklish ◽  
...  

This study aims to describe the epidemiology of unintentional injury deaths among American Indian residents of the Fort Apache Indian Reservation between 2006 and 2012. Unintentional injury death data were obtained from the Arizona Department of Health Services and death rates were calculated per 100 000 people per year and age adjusted using data obtained from Indian Health Service and the age distribution of the 2010 US Census. Rate ratios were calculated using the comparison data obtained through CDC’s Web-based Injury Statistics Query and Reporting System. The overall unintentional injury mortality rate among American Indians residing on the Fort Apache Indian Reservation between 2006 and 2012 was 107.0 per 100 000. When stratified by age, White Mountain Apache Tribe (WMAT) mortality rates for all unintentional injuries exceed the US all races rate except for ages 10–14 for which there were no deaths due to unintentional injury during this period. The leading causes of unintentional injury deaths were MVCs and poisonings. Unintentional injuries are a significant public health problem in the American Indian and Alaska Native communities. Tribal-specific analyses are critical to inform targeted prevention and priority setting.


2021 ◽  
pp. 003151252110178
Author(s):  
Eva D’Hondt ◽  
Lise Buelens ◽  
Lisa M. Barnett ◽  
Kristy Howells ◽  
Arja Sääkslahti ◽  
...  

As drowning is a leading cause of unintentional injury/death in children worldwide, perceptions of their actual aquatic skills are of critical importance. Children’s self-perceptions may influence the risks they take, and parental perceptions may influence the degree of supervision deemed to be necessary for children in and around water. Accordingly, we examined the differences between young children’s actual, self-perceived and parent-perceived aquatic skills. Using a three-way repeated measures ANCOVA, we analyzed data from 134 child-parent dyads (56.0% boys; M age = 7.1, SD = 1.1 years; and 71.6% mothers). We measured self and parental perceptions of the child’s aquatic skills with the ‘Pictorial Scale of Perceived Water Competence’ (PSPWC), and we applied the exact same 17 test items of the PSPWC to assess the child’s actual aquatic skill level in the water. Controlling for years of swimming school experience, within-subject differences between the total scores on the ‘Actual Aquatic Skills Test’ (AAST) and both the child- and parent-completed PSPWC indicated lower than actual estimates of the children’s aquatic skill level. The degree of disagreement against the AAST was more pronounced in parents than in 6-7 year-old children but was similar between parents and 8-9 year-old children, with these patterns being evident regardless of the children’s sex. Our study contributes to an ongoing validation of the PSPWC and represents a key advance in assessing and comparing children’s actual and perceived aquatic skill competence, using perfectly aligned instruments. Future research and practice might explore children’s actual aquatic skills in different contexts (e.g., open water), include perspectives of non-parent caregivers and assess perceived and actual water competence across development.


PEDIATRICS ◽  
1989 ◽  
Vol 83 (2) ◽  
pp. 267-271
Author(s):  
L. Rachid Salmi ◽  
Harold B. Weiss ◽  
Peggy L. Peterson ◽  
Robert F. Spengler ◽  
Richard W. Sattin ◽  
...  

Death certificate data concerning farm-related injury deaths among children 0 to 9 years of age in Wisconsin and Illinois for the period of 1979 to 1985 were reviewed. Average annual farm-related injury death rates were 3.2 per 100,000 rural children in Wisconsin (62 deaths) and 1.5 per 100,000 in Illinois (32 deaths). Rates were three times higher among boys than girls. The occurrence of two harvest-related peaks and the absence of fatality in children less than 1 year of age suggest that presence of children on the farm when supervision is diminished is a key factor in farm-related fatalities. Moving machinery (tractors, wagons, and trucks) was the source of injury in approximately 55% of all deaths. Drowning accounted for 15% of all farm-related deaths. Two fatalities related to gravity box wagons could have easily been prevented with simple safety devices. These findings suggest a need for developing environmental interventions in farms. This will require the allocation of more resources to farm safety programs and a revision of current farm safety legislation.


PEDIATRICS ◽  
1996 ◽  
Vol 97 (6) ◽  
pp. 791-797
Author(s):  
Frederick P. Rivara ◽  
David C. Grossman

Objective. To describe the changes in injury mortality from 1978 to 1991 and determine the number of preventable deaths with currently available intervention strategies. Methods. Comparison of injury mortality data for children and adolescents 0 to 19 years in 1978 and 1991. Review of the literature to determine the effectiveness of currently available prevention strategies and application of these to deaths in 1991. Results. The injury death rate declined by 26% over the 14-year period. Death rates of unintentional injuries decreased by 39%, with declines in all categories of unintentional injuries. Homicides increased by 67% and suicides by 17%; nearly all of this increase was in deaths from firearms. If currently available prevention strategies were fully used, 6640 deaths could have been prevented, a further 31% decrease. Conclusions. Although great strides have been made in preventing deaths from trauma, the application of currently available prevention strategies could save a large number of additional lives. However, the increasing problem of intentional injury will partly counterbalance the success in unintentional injury control.


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