title: Safety behaviours among Alaskan Native and American Indian people living in Alaska.
abstract: OBJECTIVE
  To examine self-reported safety behaviours among 3828 Alaskan Native and American Indian people enrolled in the Alaska Education and Research Towards Health (EARTH) Study, 2004-2006.
  
  
  METHODS
  A cross-sectional analysis of baseline data from a cohort study. A non-random sample of participants (2322 women and 1506 men) aged > or =18 years from three regions of Alaska completed questions on safety behaviours as part of a comprehensive health and lifestyle computer-assisted self-administered questionnaire.
  
  
  RESULTS
  Most participants reported never driving after drinking (94.1%) or riding with a driver who had been drinking (91.3%). Fewer (74.1%) participants reported using a seatbelt always or almost always when riding in a vehicle. Only about half (55%) always kept to the speed limit when driving or used a personal flotation device when boating (51.5%). Even fewer (20.5%) reported using a helmet when riding on off-road vehicles, including four-wheelers and snowmobiles. Factors identified among those least likely to use safety devices and practise good safety behaviours are: younger age, lower household income and education, non-married, speaking only English at home, and a self-reported health status of poor to fair (p<0.05).
  
  
  CONCLUSIONS
  Recommendations for future injury prevention efforts in this population are to increase use of personal flotation devices while boating and address the underuse of helmets with off-road vehicles. Limited prevention resources should be used to target those who engage in risky behaviours to maximise programme impact.
authors.affiliation: Alaska Native Tribal Health Consortium, Anchorage, Alaska, USA. dredwood@anmc.org
authors.forename: D G
authors.initials: DG
authors.lastname: Redwood
authors.forename: K D
authors.initials: KD
authors.lastname: Hagan
authors.forename: R D
authors.initials: RD
authors.lastname: Perkins
authors.forename: H B
authors.initials: HB
authors.lastname: Stafford
authors.forename: L J
authors.initials: LJ
authors.lastname: Orell
authors.forename: A P
authors.initials: AP
authors.lastname: Lanier
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000413:Alaska / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006801:Humans; D007198:Indians, North American / Q000523:psychology* / Q000706:statistics & numerical data; D004930:Inuit / Q000523:psychology* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D012449:Safety / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000453:epidemiology*; D055815:Young Adult