Distinctive Injury Deaths: The Role of Environment, Policy and Measurement Across States

Details

• Personal Author:
  Crifasi CK ; Heins SE
• Description:
  BACKGROUND: Maps identifying the most distinctive feature of each state have become popular on social media, but may also have important public health applications. A map identifying the most distinctive injury death in each state could be a useful tool for policymakers, enabling them to identify potential gaps in prevention efforts. OBJECTIVE: To identify the most distinctive cause of injury death in each state and explore potential reasons for the geographical variation. METHODS: The Centers for Disease Control Web-based Injury Statistics Query and Reporting System was used to identify the injury death for each state with a rate which was the largest multiple of the national rate. Analyses were conducted with and without inclusion of 'indefinite' codes, which include injury causes of death of undetermined intent, unspecified person killed in a motor vehicle crash (MVC; vehicle occupant, cyclist, pedestrian, etc) or unspecified injury. RESULTS: Noteworthy patterns included seven states in Appalachia and the Southeast with high relative rates of unintentional firearm deaths (2.14-4.06 times the national average) and five states on the West Coast with high relative rates of legal intervention deaths (1.76-3.49 times the national average). Sensitivity analyses indicated that use of 'undetermined intent' classifications and the level of detail in coding MVCs vary substantially by state. CONCLUSIONS: These analyses highlight potential areas for prevention, such as promotion of safe storage laws in states with relatively high rates of unintentional firearm deaths and areas where standardisation of cause of death codes could be improved. [Description provided by NIOSH]
• Subjects:
  Accidents, Occupational Automobiles Epidemiology Mortality Occupational Health Public Health Safety Suicide
• Keywords:
  Accidents Fatalities Firearms Injuries Motor Vehicles Policy Public Health Surveillance
• ISSN:
  1353-8047
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; OSHA Region 3
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  247-252
• Volume:
  22
• Issue:
  4
• NIOSHTIC Number:
  nn:20050946
• Citation:
  Inj Prev 2016 Aug; 22(4):247-252
• Contact Point Address:
  Sara Heins, Johns Hopkins Bloomberg School of Public Health, 624 N Broadway, Room 508, Baltimore, MD 21205
• Email:
  sheins2@jhu.edu
• Federal Fiscal Year:
  2016
• Performing Organization:
  Johns Hopkins University
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Injury Prevention
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:86b093d946ce24aff2b53e78b26447b5fd9c1b8a0d70013a457962bea5ff83e2c573b74f24072c0bd87668218d36637cdb5f77d86ad85483966d1151dc5510a2
• Download URL:
  https://stacks.cdc.gov/view/cdc/211123/cdc_211123_DS1.pdf
• File Type:
  [PDF - 433.74 KB ]