Context. - Injury is a major public health problem in Alaska, and alcohol consumption and injury death are associated.
- To determine the association between injury death, particularly alcohol-related injury death, and alcohol availability in remote Alaska.
- Survey using death certificate data and medical examiner records to compare mortality rates for total injury and alcohol-related injury during 1990 through 1993 among Alaskans aged 15 years and older who had resided in remote villages of fewer than 1000 persons.
- Rate ratios of injury death among residents of wet villages (ie, those without a restrictive alcohol law) as compared with injury death among residents of dry villages (ie, those with laws that prohibited the sale and importation of alcohol).
- Of 302 injury deaths, blood alcohol concentrations (BACs) were available for 200 deaths (66.2%). Of these, 130 (65.0%) had a BAC greater than or equal to 17 mmol/L (=80 mg/dL) and were, therefore, classified as alcohol related.
The total injury mortality rate was greater among Alaska Natives from wet villages (rate ratio [RR], 1.6 ; 95% confidence interval [Cl], 1.3-2.1), whereas this difference was not present for nonnatives (RR, 1.1 ; 95% Cl, 0.3-3.8).
For Alaska Natives, the alcohol-related injury mortality rate was greater among residents of wet villages (RR, 2.7 ; 95% Cl, 1.9-3.8) than among residents of dry villages. (...)
Mots-clés Pascal : Alcoolisme, Relation incertitude, Blessure, Complication, Evolution, Mort, Disponibilité, Alcool, Etude statistique, Homme, Toxicomanie
Mots-clés Pascal anglais : Alcoholism, Uncertainty relation, Injury, Complication, Evolution, Death, Availability, Alcohol, Statistical study, Human, Drug addiction
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0042343
Code Inist : 002B03F. Création : 17/04/1998.