| Alcohol-related injury death and alcohol availability in remote Alaska. | |
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MedLine Citation:
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PMID: 9388152 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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M G Landen; M Beller; E Funk; M Propst; J Middaugh; R L Moolenaar |
Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: JAMA : the journal of the American Medical Association Volume: 278 ISSN: 0098-7484 ISO Abbreviation: JAMA Publication Date: 1997 Dec |
Date Detail:
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Created Date: 1997-12-11 Completed Date: 1997-12-11 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7501160 Medline TA: JAMA Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1755-8 Citation Subset: AIM; IM |
Affiliation:
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Division of Field Epidemiology, Epidemiology Program Office, Centers for Disease Control and Prevention, Atlanta, Ga, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidents
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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:
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64-17-5/Ethanol |
| Comments/Corrections | |
Comment In:
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JAMA. 1997 Dec 3;278(21):1781-2
[PMID:
9388159
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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