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Motor Vehicle Crash Mortality among Northwest AI/AN

Slide 1

Motor Vehicle Crash Mortality among Northwest American Indians & Alaska Natives

Improving Data & Enhancing Access (IDEA-NW) Project, NW Tribal EpiCenter

Megan Hoopes, MPH

ideanw@npaihb.org

Jenine Dankovchik
Luella Azule
Bridget Canniff
Erik Kakuska
Victoria Warren-Mears

Logo Northwest Portland Area Indian Health Board, Indian Leadership for Indian Health

Presented at:
Oregon Public Health Association
Corvallis, OR Oct. 8, 2012

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Background

Background

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Excess mortality among AI/ANs

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AI/AN race often misclassified on death certificates

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IDEA-NW Project

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Linkages in the Northwest

Map showing where numerous Portland area tribes reside, the largest being Colville and Yakama Nation in Washington, Warm Springs in Oregon, and Coeur d'Alene, Nez Perce, and Shoshones in Idaho.

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Methods

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Data Sources

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Analysis

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Results

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Racial misclassification

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Unintentional injury mortality, 2006-2009

Bar chart. Age adjusted rate per 100,000. Idaho: AI/AN 67.0, white 42.0, RR = 1.6. Oregon: AI/AN 63.7, white 37.7, RR = 1.7. Washington:AI/AN 95.9, white 40.3, RR = 2.4.

Slide 13

Leading causes of unintentional injury deaths, NW region, 2006-2009

Bar chart. Percentage of UI deaths. Motor vehicle crashes:AI/AN 39.4, white 26.1. Accidental poisoning: AI/AN 33.4, white 26.0. Falls: AI/AN 8.5, white 27.6. Accidental drowning:AI/AN 4.2, white 3.2. Other: AI/AN 14.5, white 17.0.

Slide 14

Motor vehicle crash mortality, 2006-2009

Bar chart. Age adjusted rate per 100,000. Idaho: AI/AN 34.5, white 16.1, RR = 2.1. Oregon: AI/AN 20.9, white 10.6, RR = 2.0. Washington: AI/AN 32.8, white 9.4, RR = 3.5.

Slide 15

MVC mortality by sex, 2006-2009

Bar chart. Age adjusted rate per 100,000. Idaho: AI/AN male 40.1, AI/AN female 28.9, white male 22.4, white female 9.8. Oregon: AI/AN male 24.1, AI/AN female 17.4, white male 15.2, white female 6.2. Washington: AI/AN male 40.6, AI/AN female 25.0, white male 13.9, white female 4.9.

Slide 16

AI/AN MVC mortality by age, 2006-2009

Bar chart. Percentage of MVC deaths. Idaho: Under 8 years 5.4, 8 to 16 years 10.8, 17 to 25 years 45.9, 26 to 54 years 29.7, 55 years and older 8.1. Oregon: Under 8 years 5.7, 8 to 16 years 5.7, 17 to 25 years 20.8, 26 to 54 years 52.8, 55 years and older 15.1. Washington: Under 8 years 2.4, 8 to 16 years 4.2, 17 to 25 years 39.8, 26 to 54 years 41.6, 55 years and older 12.0.

Slide 17

AI/AN urban vs. rural MVC mortality, 2006-2009

Bar chart. Age adjusted rate per 100,000. Idaho: Urban 27.2, rural 32.2, RR = 1.2. Oregon: Urban 15.3, rural 34.0, RR = 2.2. Washington: Urban 29.5, rural 33.5, RR = 1.1.

Slide 18

MVC mortality 20-year trend, Washington, 1990-2009

Line chart. Age adjusted rate per 100,000 for 3 year rolling averages. Line for A I A N starts at about 35 in 1990 to 92 and jumps moderately above and below best fit line, ending at about 30 in 2007 to 9. The line for whites trends smoothly downward along best fit line from about 14 in 1990 to 92 to about 9 in 2007 to 9. The line for whites is labeled A P C = negative 2.6 %.

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Discussion

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Tribal uses of data

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Partners

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Limitations & challenges

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Thank You!


Internet Citation: Motor Vehicle Crash Mortality among Northwest AI/AN. Healthcare Cost and Utilization Project (HCUP). August 2014. Agency for Healthcare Research and Quality, Rockville, MD. www.hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/or31.jsp.
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Last modified 8/6/14