MMWR Morb Mortal Wkly Rep. 2009 Feb 27;58(7):161-5.
In 2005, the most recent year for which data are available, 45,520 deaths in the United States were related to motor vehicles. A Healthy People 2010 objective calls for reducing the rate of deaths related to motor vehicles to 9.2 per 100,000 population from a baseline of 15.6 in 1998. To assess progress toward the Healthy People objective and to examine characteristics of motor vehicle--related death rates, CDC analyzed data from the National Vital Statistics System (NVSS) for the period 1999--2005. This report summarizes the results of that analysis, which determined that, during 1999--2005, although annual age-adjusted motor vehicle--related death rates overall were nearly unchanged (range: 15.2--15.7 per 100,000 population), substantial differences were observed by state, U.S. Census region, sex, race, and age group. Among states, the average annual death rate ranged from 7.9 per 100,000 population in Massachusetts to 31.9 in Mississippi. Among regions, the rate ranged from 9.8 per 100,000 population in the Northeast to 19.5 in the South. The rate for men (21.7 per 100,000 population) was more than double the rate for women (9.4); the rate for American Indians/Alaska Natives (27.2) was nearly twice the rate for whites (15.7) and blacks (15.2), and the rate for persons aged 15--24 years (26.8) was 74% higher than the average annual rate overall (15.4). Additional analysis and research to determine the causes of geographic and demographic variations in motor vehicle--related deaths might result in more effective targeted interventions among the states, regions, and populations at greatest risk.
2005年是可获取数据的最近年份，美国有45,520例死亡与机动车相关。《健康人民2010》的一个目标是将与机动车相关的死亡率从1998年的基线水平每10万人15.6例降至每10万人9.2例。为评估在实现《健康人民》目标方面取得的进展并研究与机动车相关死亡率的特征，美国疾病控制与预防中心（CDC）分析了1999 - 2005年期间国家生命统计系统（NVSS）的数据。本报告总结了该分析结果，该结果确定，在1999 - 2005年期间，尽管按年龄调整后的年度机动车相关死亡率总体几乎没有变化（范围：每10万人15.2 - 15.7例），但在州、美国人口普查区域、性别、种族和年龄组方面观察到了显著差异。在各州中，年平均死亡率从马萨诸塞州的每10万人7.9例到密西西比州的31.9例不等。在各区域中，死亡率从东北部每10万人9.8例到南部的19.5例不等。男性的死亡率（每10万人21.7例）是女性死亡率（9.4例）的两倍多；美国印第安人/阿拉斯加原住民的死亡率（27.2例）几乎是白人（15.7例）和黑人（15.2例）死亡率的两倍，15 - 24岁人群的死亡率（26.8例）比总体年平均死亡率（15.4例）高74%。确定机动车相关死亡的地理和人口差异原因的进一步分析和研究可能会在风险最大的州、区域和人群中带来更有效的针对性干预措施。
