title: Pedestrian and hypothermia deaths among Native Americans in New Mexico. Between bar and home.
abstract: OBJECTIVE
  To determine the nature of excess injury mortality among Native Americans in New Mexico.
  
  
  METHODS
  Retrospective review of death certificates for deaths from unintentional injuries.
  
  
  METHODS
  The state of New Mexico.
  
  
  METHODS
  New Mexico residents who died of unintentional injuries between January 1, 1980, and December 31, 1989.
  
  
  METHODS
  Cause-specific mortality rates.
  
  
  RESULTS
  Over half of the excess mortality from all unintentional injuries among Native Americans resulted from hypothermia and from pedestrian-motor vehicle crashes. New Mexico Native Americans were nearly eight times more likely to die in pedestrian--motor vehicle crashes and were 30 times more likely to die of hypothermia compared with other New Mexico residents. At death, 90% of those Native Americans tested were highly intoxicated (median blood alcohol concentrations of 0.24 and 0.18 g/dL [corrected] for pedestrian and hypothermia deaths, respectively). Despite the fact that most Native Americans in New Mexico live on reservations, most deaths occurred at off-reservation sites in border towns and on roads leading back to the reservation.
  
  
  CONCLUSIONS
  The possession and sale of alcohol is illegal on many Native American reservations. This policy forces Native Americans who want to drink to travel long distances to obtain alcohol. These data suggest that this policy is also the likely explanation for the markedly increased risk of death from hypothermia and pedestrian-motor vehicle crashes in this population.
authors.affiliation: Office of Epidemiology, New Mexico Department of Health, Santa Fe 87502.
authors.forename: M M
authors.initials: MM
authors.lastname: Gallaher
authors.forename: D W
authors.initials: DW
authors.lastname: Fleming
authors.forename: L R
authors.initials: LR
authors.lastname: Berger
authors.forename: C M
authors.initials: CM
authors.lastname: Sewell
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000435:Alcoholic Intoxication; D002423:Cause of Death; D005260:Female; D006801:Humans; D007035:Hypothermia / Q000208:ethnology / Q000401:mortality*; D007198:Indians, North American / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009516:New Mexico / Q000453:epidemiology; D012189:Retrospective Studies; D014947:Wounds and Injuries / Q000208:ethnology / Q000401:mortality*