Document Detail


Alcohol-related injury death and alcohol availability in remote Alaska.
MedLine Citation:
PMID:  9388152     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: Injury is a major public health problem in Alaska, and alcohol consumption and injury death are associated. OBJECTIVE: To determine the association between injury death, particularly alcohol-related injury death, and alcohol availability in remote Alaska. DESIGN, SETTING, AND PARTICIPANTS: Survey using death certificate data and medical examiner records to compare mortality rates for total injury and alcohol-related injury during 1990 through 1993 among Alaskans aged 15 years and older who had resided in remote villages of fewer than 1000 persons. MAIN OUTCOME MEASURES: Rate ratios of injury death among residents of wet villages (ie, those without a restrictive alcohol law) as compared with injury death among residents of dry villages (ie, those with laws that prohibited the sale and importation of alcohol). RESULTS: Of 302 injury deaths, blood alcohol concentrations (BACs) were available for 200 deaths (66.2%). Of these, 130 (65.0%) had a BAC greater than or equal to 17 mmol/L (> or =80 mg/dL) and were, therefore, classified as alcohol related. The total injury mortality rate was greater among Alaska Natives from wet villages (rate ratio [RR],1.6; 95% confidence interval [CI], 1.3-2.1), whereas this difference was not present for nonnatives (RR, 1.1; 95% CI, 0.3-3.8). For Alaska Natives, the alcohol-related injury mortality rate was greater among residents of wet villages (RR, 2.7; 95% CI, 1.9-3.8) than among residents of dry villages. The strength of this association was greatest for deaths due to motor vehicle injury, homicide, and hypothermia. CONCLUSIONS: Although insufficient data existed to adjust for the effects of all potential confounders, residence in a wet village was associated with alcohol-related injury death among Alaska Native residents of remote Alaska villages. These findings indicate that measures limiting access to alcoholic beverages in this region may decrease alcohol-related injury deaths.
Authors:
M G Landen; M Beller; E Funk; M Propst; J Middaugh; R L Moolenaar
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  JAMA : the journal of the American Medical Association     Volume:  278     ISSN:  0098-7484     ISO Abbreviation:  JAMA     Publication Date:  1997 Dec 
Date Detail:
Created Date:  1997-12-11     Completed Date:  1997-12-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7501160     Medline TA:  JAMA     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1755-8     Citation Subset:  AIM; IM    
Affiliation:
Division of Field Epidemiology, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, Ga, USA.
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MeSH Terms
Descriptor/Qualifier:
Accidents / mortality,  statistics & numerical data
Adolescent
Adult
Alaska / epidemiology
Alcohol Drinking / adverse effects*,  blood,  epidemiology*
Alcoholic Beverages / supply & distribution*,  utilization
Alcoholic Intoxication / epidemiology
Commerce
Drug and Narcotic Control*
Ethanol / blood
Female
Humans
Inuits / statistics & numerical data*
Male
Mortality / trends*
Wounds and Injuries / blood,  etiology*,  mortality
Chemical
Reg. No./Substance:
64-17-5/Ethanol
Comments/Corrections
Comment In:
JAMA. 1997 Dec 3;278(21):1781-2   [PMID:  9388159 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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