Hisnanick J J
U.S. Department of Veterans Affairs Biometrics Division (008C12), Washington, D.C. 20420.
Soc Biol. 1994 Spring-Summer;41(1-2):96-109. doi: 10.1080/19485565.1994.9988862.
Accidents, injuries, and outcomes from adverse effects have been identified as the second leading cause of death for American Indians and Alaska Natives (AI/AN). However, no studies have been done which analyze violent deaths (homicides, suicides, and other accidents) for this population with a focus on time trends. For this study, overall and gender-specific mortality rates due to violent deaths were computed for 1973-88. The results indicate that overall and gender-specific mortality rates for violent deaths in AI/AN have been decreasing on average per year: homicide, 4.3%; suicide, 2.7%; other accidents, 5.6%. Similarly, age-adjusted rates have been declining, and at faster rates than those of the U.S. general population: homicide, 4.5% vs. 1.4%; suicide, 2.5% vs. 0.6%; other accidents, 6.2% vs. 2.6%. However, the male-female ratio for homicides and other accidents has remained unchanged, and the ratio for suicide has been increasing. While the gap between age-adjusted rates have been narrowing, the age-adjusted rates for AI/AN have remained consistently above those of the U.S. general population.
事故、伤害及不良反应导致的后果已被认定为美国印第安人和阿拉斯加原住民（AI/AN）的第二大死因。然而，尚未有研究针对该人群分析暴力死亡（杀人、自杀及其他事故）情况并关注其时间趋势。在本研究中，计算了1973年至1988年因暴力死亡导致的总体死亡率及按性别划分的死亡率。结果表明，AI/AN人群暴力死亡的总体死亡率及按性别划分的死亡率平均每年都在下降：杀人，4.3%；自杀，2.7%；其他事故，5.6%。同样，年龄调整率也在下降，且下降速度比美国普通人群更快：杀人，4.5%对1.4%；自杀，2.5%对0.6%；其他事故，6.2%对2.6%。然而，杀人及其他事故的男女比例保持不变，自杀比例则在上升。虽然年龄调整率之间的差距在缩小，但AI/AN人群的年龄调整率仍一直高于美国普通人群。
