Injury Prevention in American Indian and Alaska Native Communities
Each tribal community in Indian country is unique with its own set of traditions, languages, spiritual practices, connections to elders, and social ties. Native communities work with the support of CDC’s National Center for Injury Prevention and Control (Injury Center) to prevent injuries, the leading cause of death for American Indians and Alaska Natives between the ages of 1 and 54.
The Injury Center partners with and supports native communities, federally recognized tribes, Tribal Epidemiology Centersexternal icon, tribal organizations, and Indian Health Serviceexternal icon to improve health and wellness.
The rate of drug overdose deaths among American Indians and Alaska Natives is above the national average and recent data show this trend continuing. CDC released funds to support 11 Tribal Epidemiology Centers and 15 tribal entities. These funds will improve opioid overdose surveillance and help address the opioid crisis in tribal communities.
- Minnesota’s Department of Health reports data through an opioid dashboardexternal icon and provides technical assistance to support state opioid use surveillance – this resource is available to 11 local tribal nations.
Motor vehicle crashes are a leading cause of unintentional injury death for American Indians and Alaska Natives. Adult (aged ≥20 years) motor vehicle-related death rates for American Indians and Alaska Natives are more than twice that of non-Hispanic whites or blacks. Proven strategies to reduce motor vehicle injuries and deaths can be successfully tailored to tribal communities.
- The Injury Center provides guidelines and toolkits for tribal road safety.
- Using Core State Violence and Injury Prevention Program (Core SVIPP) funding, Arizona established a car seat technician-training program, which trains tribal members to educate parents about safe car seat installation and use.
The agency is working with American Indian and Alaska Native partners to prevent Adverse Childhood Experiences (ACEs) by promoting safe, stable, nurturing relationships and environments.
- The Injury Center, in partnership with the Association of American Indian Physicians, supported the development of ACEs resources for American Indian and Alaska Native physiciansexternal icon.
CDC is building relationships among federal, state, and tribal partners to:
- Gain a better understanding of if/how tribes are engaged in American Indian/Alaska Native suicide data collection and
- Identify potential data sources to augment suicide-related data within American Indian/Alaska Native communities.
- Office of Tribal Affairs and Strategic Alliances (OTASA):
- OTASA focuses on activities that reflect CDC’s role in helping to ensure that American Indian and Alaska Native communities receive public health services that keep them safe and healthy.
- Web-based Injury Statistics Query and Reporting System (WISQARS):
- WISQARS provides data for researchers, public health professionals, and the public to learn more about the public health and economic burden associated with unintentional and violence-related injury.
- Epidemiological Assistance:
- CDC provides epidemiological support to American Indian and Alaska Native communities at the request of a tribal leader.
- CDC and Indian Country: Working Together pdf icon
- CDC’s National Center for Chronic Disease Prevention and Health Promotion produced this 2017 CDC report featuring contributions from the Injury Center
- Child Safety and Booster Seat Use in Five Tribal Communities, 2010-2014 external icon
- Illicit Drug Use, Illicit Drug Use Disorders, and Drug Overdose Deaths in Metropolitan and Nonmetropolitan Areas — United States
- 2017 report with contributions from the Injury Center
- The Opioid Crisis: Impact on Native American Communities pdf iconexternal icon
- 2016 report from the Albuquerque Area Southwest Tribal Epidemiology Center, with contributions from the Injury Center
- Overdose Deaths Involving Opioids, Cocaine, and Psychostimulants — United States, 2015–2016
- Rural and Urban Differences in Passenger-Vehicle–Occupant Deaths and Seat Belt Use Among Adults — United States, 2014
- Suicides among American Indian/Alaska Natives — National Violent Death Reporting System, 18 States, 2003–2014
- Suicide Surveillance Strategies for AI/AN Communitiespdf iconexternal icon
- 2019 report from the Suicide Prevention Resource Center (SPRC)
- Suicide Trends among and within Urbanization Levels by Sex, Race/Ethnicity, Age Group, and Mechanism of Death—United States, 2001–2015
- Tribal Motor Vehicle Injury Prevention: Best practices guide 2016