Document Detail


Trauma among American Indians in an urban county.
MedLine Citation:
PMID:  8711098     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To describe severe injury among American Indians in a large metropolitan county given that most previous studies of the high Indian injury morbidity and mortality rates have been conducted primarily in rural areas. METHODS: A retrospective analysis of a hospital trauma registry was conducted for the years 1986-92 at the Harborview Medical Center, the only Level I trauma center in King County, Washington, metropolitan county with the seventh largest number of urban American Indians in the United States. RESULTS: Of 14,851 King County residents included in the registry, 593 (4%) were classified as American Indian. With King County whites as the reference, the age-standardized incidence ratio for inclusion of American Indians in the registry was 4.4 (95% confidence interval 4.1, 4.8). The standardized incidence ratios and proportional incidence ratios showed significant differences in mechanism and whether it was intentional or unintentional among Indians compared with whites. Hospitalizations for stab wounds, bites, and other blunt trauma were all significantly more frequent among Indians. Trauma admissions among Indians were disproportionately associated with assaults. A high proportion (72.3%) of American Indians tested had blood alcohol levels exceeding 0.1%. CONCLUSION: Urban American Indians experience high rates of trauma, differing from those among whites. Efforts to reduce injury in urban areas should include collaboration with representative urban American Indian organizations.
Authors:
J R Sugarman; D C Grossman
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Public health reports (Washington, D.C. : 1974)     Volume:  111     ISSN:  0033-3549     ISO Abbreviation:  Public Health Rep     Publication Date:    1996 Jul-Aug
Date Detail:
Created Date:  1996-09-10     Completed Date:  1996-09-10     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  9716844     Medline TA:  Public Health Rep     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  321-7     Citation Subset:  AIM; IM    
Affiliation:
Division of Research, Evaluation, and Epidemiology, Portland Area Indian Health Service, Seattle, WA, USA. sugarman@u.washington.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Alcoholism / complications
Child
Child, Preschool
Female
Hospitalization / statistics & numerical data
Humans
Incidence
Indians, North American*
Infant
Male
Middle Aged
Multiple Trauma / ethnology*,  etiology
Population Surveillance
Registries
Retrospective Studies
Risk Factors
Trauma Centers
Urban Health*
Washington / epidemiology
Grant Support
ID/Acronym/Agency:
R49/CC R002570/CC/CDC HHS
Comments/Corrections
Comment In:
Public Health Rep. 1996 Jul-Aug;111(4):320   [PMID:  8711097 ]

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


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