Mahoney M C
Division of Epidemiology, New York State Department of Health, Albany 12237-0683.
Am J Prev Med. 1991 Mar-Apr;7(2):112-6.
An atypical number of motor vehicle-related deaths has been observed among Native American populations. Little is known about why Native groups exhibit increased mortality from this cause. To better understand factors influencing these occurrences, I examined fatal motor vehicle traffic accidents between 1980 and 1986 involving persons of Native American descent in New York State, exclusive of New York City. Data were obtained from a review of death certificates and coroner reports. Fatal motor vehicle collisions among Native Americans generally occurred among men (74%), in rural areas (55%), between 9:00 p.m. and 3:00 a.m. (62%), and during weekends (78%). A sizable percentage of motor vehicle deaths resulted from collisions with pedestrians (28%). Death frequently occurred before the accident victim reached a hospital (74%). Median age at death for male victims was eight years greater than for female victims. These data suggest the need for immediate efforts focusing on primary prevention to minimize risk-taking behaviors likely to result in motor vehicle accidents. I discuss behavioral and environmental factors influencing these observations.
在美洲原住民群体中，与机动车相关的死亡人数出现了异常情况。对于为何原住民群体因这一原因死亡率上升，人们知之甚少。为了更好地理解影响这些事件的因素，我研究了1980年至1986年间纽约州（不包括纽约市）涉及美洲原住民后裔的致命机动车交通事故。数据来自对死亡证明和验尸官报告的审查。美洲原住民之间的致命机动车碰撞事故通常发生在男性（74%）、农村地区（55%）、晚上9点至凌晨3点（62%）以及周末（78%）。相当大比例的机动车死亡是由与行人碰撞导致的（28%）。死亡经常发生在事故受害者到达医院之前（74%）。男性受害者的死亡年龄中位数比女性受害者大8岁。这些数据表明需要立即致力于一级预防，以尽量减少可能导致机动车事故的冒险行为。我讨论了影响这些观察结果的行为和环境因素。
