Sewell C M, Becker T M, Wiggins C L, Key C R, Hull H F, Samet J M
West J Med. 1989 Jun;150(6):708-13.
New Mexico has extraordinarily high injury mortality rates. To better characterize the injury problem in New Mexico, we calculated proportionate injury mortality and age-adjusted and age-specific injury mortality rates for the state's 3 major ethnic groups--American Indians, Hispanics, and non-Hispanic whites. According to death certificate data collected from 1958 to 1982 and US population census figures, age-adjusted mortality rates for total external causes varied widely between the sexes and among the ethnic groups. Males in each ethnic group consistently had higher average annual age-adjusted external mortality rates than females. Injury mortality rates for American Indians of both sexes were 2 to 3 times higher than those for the other New Mexico ethnic groups. Motor vehicle crashes were the leading cause of death from injury for all 3 groups. Homicide accounted for twice the proportion of injury death in Hispanic compared with non-Hispanic white males (12.5% and 6.1%, respectively), while the proportion of males dying of suicide was highest in non-Hispanic whites. Deaths from excessive cold and exposure were leading causes of injury mortality for American Indians, but these causes were not among the leading causes of injury mortality for Hispanics or non-Hispanic whites. We conclude that the minority populations in New Mexico are at high risk for injury-related death and that the major causes of injury mortality vary substantially in the state's predominant ethnic populations.
新墨西哥州的伤害死亡率极高。为了更好地描述该州的伤害问题,我们计算了该州三大主要族裔群体——美国印第安人、西班牙裔和非西班牙裔白人的伤害死亡比例、年龄调整后的伤害死亡率以及特定年龄的伤害死亡率。根据1958年至1982年收集的死亡证明数据和美国人口普查数据,总外部原因的年龄调整死亡率在性别和族裔群体之间差异很大。每个族裔群体中的男性平均每年的年龄调整后外部死亡率始终高于女性。美国印第安人男女的伤害死亡率比新墨西哥州其他族裔群体高出2至3倍。机动车碰撞是所有这三个群体伤害死亡的主要原因。与非西班牙裔白人男性相比,西班牙裔男性中因杀人导致的伤害死亡比例高出一倍(分别为12.5%和6.1%),而非西班牙裔白人男性中死于自杀的比例最高。过度寒冷和暴露导致的死亡是美国印第安人伤害死亡的主要原因,但这些原因并非西班牙裔或非西班牙裔白人伤害死亡的主要原因。我们得出结论,新墨西哥州的少数族裔群体面临与伤害相关死亡的高风险,而且该州主要族裔群体中伤害死亡的主要原因差异很大。