title: Fatal motor vehicle traffic accidents among Native Americans.
abstract: 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.
authors.affiliation: Division of Epidemiology, New York State Department of Health, Albany 12237-0683.
authors.forename: M C
authors.initials: MC
authors.lastname: Mahoney
mesh_terms: D000063:Accidents, Traffic / Q000401:mortality*; D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000208:ethnology; D005260:Female; D006266:Health Education / Q000379:methods; D006801:Humans; D007198:Indians, North American; D008297:Male; D009518:New York / Q000453:epidemiology; D012424:Rural Population; D012737:Sex Factors