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Atlas of Injury Mortality Among American Indian and Alaska Native Children and Youth, 1989-1998 PDF Version


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I am pleased to present the Atlas of Injury Mortality among American Indian and Alaska Native Children and Youth, 1989–1998. Injury is the leading killer of American children and youth from ages 1-19 years. Each year in the United States, more than 17,000 children and youth die from preventable injuries and violence. About 70% of these deaths are caused by unintentional injury and 28% are violence related.

The burden of injury falls disproportionately on minority populations, compared to the U.S. as a whole, and this is particularly true for American Indians and Alaska Natives (also referred to as Native Americans). The Atlas examines the eight leading causes of injury death among Native American children and youth and the trends in racial disparity among Native Americans, blacks, and whites. For most causes, Native American children and youth had the highest injury mortality rates compared with rates for white children and youth. Although it is encouraging that injury mortality rates among Native Americans have declined for most causes (i.e., motor vehicle crashes, pedestrian related, drowning, fire, and suffocation), other causes have either increased (homicide, firearms) or remained unchanged (suicide) over the 10-year study period.

The Atlas should prove to be a valuable resource for tribes, Indian Health Service (IHS) public health staff, and decision makers interested in the health of Native American children and youth. The maps visually display the extent of the injury problem by region and offer a comparison with IHS and national rates.
The National Center for Injury Prevention and Control (NCIPC), the “Injury Center,” and IHS have had a long-term partnership in an effort to reduce injuries among Native Americans. Hopefully, this information will encourage local, regional, and national decision makers to form new partnerships or enhance existing ones to further reduce the burden of injury among Native American people.


Christine M. Branche, PhD
Director, Division of Unintentional Injury Prevention
National Center for Injury Prevention and Control
Centers for Disease Control and Prevention


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Content Source: National Center for Injury Prevention and Control, Division of Violence Prevention
Page last modified: May 17, 2007