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State of Alaska

Complete Health Indicator Report of Unintentional Injury Mortality Rate (HA2020 Leading Health Indicator: 16)

Definition

Age-adjusted rate of unintentional injury deaths due to all causes per 100,000 population.

Numerator

Number of unintentional injury deaths in the resident population in the reporting period.

Denominator

Mid-year resident population for the same calendar year, adjusted to rate per 100,000.

Data Interpretation Issues

Alaska populations are from the [http://laborstats.alaska.gov/pop/popest.htm Alaska Department of Labor and Workforce Development, Research and Analysis].

Why Is This Important?

Alaska experiences one of the highest unintentional injury rates in the nation, ranking 8th among states in death rates.^1^ In 2014, unintentional injury was the 3rd leading cause of death for all Alaskans, with poisonings and motor vehicle accidents accounting for the highest number of unintentional injury deaths.^2^ Unintentional injuries disproportionately affect the younger population and are a leading cause of death among children and young adults and the leading cause of years of potential life lost in Alaska.[[br]] [[br]] ---- {{class .SmallerFont 1. U.S. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics. Accident Mortality by State: 2014. [http://www.cdc.gov/nchs/pressroom/sosmap/Accident.htm]. Updated January 19, 2016. Accessed October 4, 2016. 2. U.S. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics. National Vital Statistics System. Mortality, 2014. [https://www.cdc.gov/nchs/data/dvs/lcwk9_2014.pdf]. Accessed October 4, 2016. }}

Healthy People Objective: Reduce unintentional injury deaths

U.S. Target: 36.0 deaths per 100,000 population
State Target: Healthy Alaskans 2020 Target: 54.8 per 100,000 population

How Are We Doing?

In 2015, all Alaskans had an unintentional injury mortality rate of 57.2 per 100,000, exceeding the Healthy Alaskans 2020 goal of 54.8 per 100,000. The rate for Alaska Native people was over 125% higher at 130.4 per 100,000. Unintentional injuries (including unintentional poisonings) are the third leading cause of death in Alaska. In 2015, unintentional injuries claimed the lives of 385 Alaskans. More Alaskans died due to motor vehicle injuries than any other type of unintentional injury; 53 males and 21 females.^3^ Among the leading causes of death in Alaska, unintentional injuries ranked first in total years of potential life lost with 11,151 years lost. On average, 29 years of life were lost prematurely for each unintentional injury death.^3^ Since 2006, the crude rate for unintentional injuries has increased 12.5 percent. During this same time period, the age-adjusted rate has increased 9.6%.^3^ The northern region (Nome census area, North Slope Borough, and Northwest Arctic Borough) and southwest Alaska (Dillingham census area, Kusilvak census area, Lake and Peninsula Borough, Yukon-Koyukuk census area) exhibited high rates of unintentional injury mortality.[[br]][[br]] ---- {{class .SmallerFont 3. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2015 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2015.pdf]. Accessed February 7, 2017. }}

How Do We Compare With the U.S.?

In 2014 (the most recent year for which detailed national data are available), unintentional injury was the 4th leading cause of death in the nation, accounting for 5.6% of all mortality and an age-adjusted rate of 40.5 per 100,000. In contrast, unintentional injury was the 3rd leading cause of death in Alaska, accounting for 9.2% of all mortality and an age-adjusted rate of 54.5 per 100,000.^1^[[br]] [[br]] ---- {{class .SmallerFont 1. U.S. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics. Accident Mortality by State: 2014. [http://www.cdc.gov/nchs/pressroom/sosmap/Accident.htm]. Updated January 19, 2016. Accessed October 4, 2016. }}

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaska subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. '''Strategy 1:''' [[br]]Develop and implement a collaborative approach to reducing fatalities resulting from falls by older Alaskans. '''Evidence Base:''' [[br]]Preventing falls to older adults takes a multi-partner, multi-intervention approach. Success requires home-modification, physical activities, vision correction, review of all of medications and multifaceted interventions. While any activity engaged in on its own might show slight impact, overall success requires a collaborative, multi-pronged approach. '''Source:''' [[br]][http://www.cdc.gov/HomeandRecreationalSafety/Falls/index.html CDC: Falls - Older Adults] '''Strategy 2:''' [[br]]Form a task force to determine effective approaches to decreasing poisoning deaths and improve data collection. '''Evidence Base:''' [[br]]Unintentional poisoning deaths are increasing each year in Alaska and throughout the country. Promising practices for reducing prescription drug overdose deaths include implementing prescription drug monitoring programs, providing access to Naloxone, screening by physicians, and creating immunity laws. Other recommendations address childhood poisoning from household chemicals and carbon monoxide. However, there has not been a thorough multidisciplinary approach to poison prevention in Alaska, and there is insufficient information about the prescription drug poisoning problem in Alaska to assess how to address it. '''Sources:''' [[br]][http://www.ncsl.org/research/health/prevention-of-prescription-drug-overdose-andabuse.aspx Prevention of Prescription Drug Overdose and Abuse] [http://www.whitehouse.gov/ondcp/prescription-drug-abuse Office of National Drug Control Policy - Prescription Drug Abuse] [http://www.cdc.gov/homeandrecreationalsafety/Poisoning/laws/index.html Prescription Drug Overdose: State Laws] [http://www.cdc.gov/homeandrecreationalsafety/Poisoning/preventiontips.htm CDC Tips to Prevent Poisonings] '''Strategy 3:''' [[br]]Promote best practices for reducing transportation related deaths by improving data collection and promoting new and existing strategies. '''Evidence Base:''' [[br]]Multiple Alaskan strategic plans reference practices known to reduce some forms of transportation related deaths. However, there is less information about best practices for preventing deaths involving off highway vehicles, used both on and off roads. '''Sources:''' [[br]]Alaska Department of Transportation & Public Facilities. [http://www.dot.alaska.gov/stwdplng/shsp/shsp_plan.shtml Strategic Highway Safety Plan] Alaska Traffic Records Coordinating Committee. [http://www.dot.state.ak.us/stwdplng/hwysafety/assets/pdf/2014/ATRCC_FFY15_TR_Strategic_Plan_FINAL_012414.pdf Alaska Traffic Records Strategic Plan]. 2014. A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_16_UnintentionalInjury.pdf].

Available Services

Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion, Injury Prevention [http://www.dhss.alaska.gov/dph/Chronic/Pages/InjuryPrevention/default.aspx] Alaska Injury Prevention Center (907) 929-3939 [http://alaskainjurypreventioncenter.org] Alaska Poison Control Center (for general information) 1-800-222-1222 (emergency hotline) Use Only As Directed [http://useonlyasdirected.org/] NATIONAL WEB SITES: National Center for Injury Prevention and Control [http://www.cdc.gov/injury/] National Highway Transportation Safety Administration [http://www.nhtsa.dot.gov/] National SAFE KIDS Campaign [http://www.safekids.org/] Children's Safety Network [http://www.childrenssafetynetwork.org/] U.S. Consumer Product Safety Commission [http://www.cpsc.gov/]


Related Indicators

Relevant Population Characteristics

Alaska males are significantly more likely to experience an unintentional injury death compared to females.

Related Health Care System Factors Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Rate of unintentional injury mortality per 100,000 (age-adjusted), all Alaskans, Alaska Natives, and U.S., 1991-2020

::chart - missing::
confidence limits

Alaska ComparisonsYearRate of unintentional injury mortality per 100,000 (age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 76
All Alaskans199067.665.170.2339550,043
All Alaskans199170.968.373.5337569,054
All Alaskans199268.666.171.1351586,722
All Alaskans199355.753.557.9299596,906
All Alaskans199461.659.463.9319600,622
All Alaskans199563.160.965.4330601,581
All Alaskans199663.561.265.8324605,212
All Alaskans199749.547.551.5266609,655
All Alaskans199850.148.252.1253617,082
All Alaskans199957.555.459.6295622,000
All Alaskans200063.961.766.0340626,932
All Alaskans200161.058.963.1348632,716
All Alaskans200259.057.061.1345641,729
All Alaskans200355.253.357.2320649,466
All Alaskans200454.752.856.6318659,653
All Alaskans200550.348.552.2311667,146
All Alaskans200652.250.354.0313674,583
All Alaskans200756.654.758.6355680,169
All Alaskans200854.052.155.9331686,818
All Alaskans200953.251.355.0338697,828
All Alaskans201058.556.660.4365710,231
All Alaskans201157.155.359.0384722,818
All Alaskans201253.852.055.6366731,191
All Alaskans201352.4354735,662
All Alaskans201454.5378735,601
All Alaskans201557.2385
Alaska Native people1990147.0136.7157.411186,252
Alaska Native people1991147.3137.8156.911489,286
Alaska Native people1992140.0131.0149.112291,933
Alaska Native people1993105.397.3113.39394,176
Alaska Native people1994139.2130.1148.311996,182
Alaska Native people1995109.7101.8117.69498,058
Alaska Native people1996127.6119.2136.110599,678
Alaska Native people1997100.492.9107.990101,751
Alaska Native people199894.386.9101.679103,361
Alaska Native people1999123.4115.4131.499104,745
Alaska Native people2000120.6112.9128.3111107,929
Alaska Native people2001118.3110.7125.9111108,430
Alaska Native people2002106.599.3113.698109,873
Alaska Native people200381.775.487.983111,314
Alaska Native people200492.886.599.281112,356
Alaska Native people2005108.9101.7116.1109113,773
Alaska Native people2006101.895.3108.396114,977
Alaska Native people2007111.4104.2118.7116115,421
Alaska Native people2008103.997.1110.8101115,969
Alaska Native people2009130.5122.8138.1123117,974
Alaska Native people2010100.493.9106.9104120,433
Alaska Native people2011100.393.8106.7111122,102
Alaska Native people2012118.4111.5125.4117122,687
Alaska Native people201399.6104123,217
Alaska Native people2014110.9112123,528
Alaska Native people2015130.4141
U.S.200034.8
U.S.200135.6
U.S.200237.1
U.S.200337.7
U.S.200438.3
U.S.200539.9
U.S.200640.8
U.S.200741.1
U.S.200840.1
U.S.200938.5
U.S.201039.1
U.S.201139.4
U.S.201239.1
U.S.201339.4
U.S.201440.5
U.S.201543.2
Healthy Alaskans Goal201354.8
Healthy Alaskans Goal201454.8
Healthy Alaskans Goal201554.8
Healthy Alaskans Goal201654.8
Healthy Alaskans Goal201754.8
Healthy Alaskans Goal201854.8
Healthy Alaskans Goal201954.8
Healthy Alaskans Goal202054.8

Data Notes

Unintentional injury is defined by ICD-9 codes E800-E869, E880-E929 and ICD-10 codes V01-X59, Y85-Y86. Does not include legal intervention.   Rates are age-adjusted to the 2000 U.S. standard population.

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Alaska Health Analytics and Vital Records], Division of Public Health, Alaska Department of Health and Social Services
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)


Rate of unintentional injury mortality per 100,000 (crude rate), by age, All Alaskans, 2000-2014 (15-year average)

::chart - missing::
confidence limits

Age GroupRate of unintentional injury mortality per 100,000 (crude rate)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 10
0-425.621.929.1196766,248
5-1412.410.614.11941,563,749
15-2446.042.649.37081,539,424
25-3453.749.957.57791,449,487
35-4461.557.565.49241,503,250
45-5463.559.567.31,0151,599,382
55-6452.247.956.55691,089,174
65-7463.756.470.8300471,091
75-84128.8113.3144.2268208,089
85+340.0294.4385.521365,649

Data Notes

Unintentional injury is defined by ICD-9 codes E800-E869, E880-E929 and ICD-10 codes V01-X59, Y85-Y86. Does not include legal intervention.

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Alaska Health Analytics and Vital Records], Division of Public Health, Alaska Department of Health and Social Services


Rate of unintentional injury mortality per 100,000 (age-adjusted), by Race, Alaska, 2000-2015

::chart - missing::
confidence limits

Race: AK Native, White, AlaskaYearRate of unintentional injury mortality per 100,000 (age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 48
Alaska Native people2000120.6112.9128.3111107,929
Alaska Native people2001118.3110.7125.9111108,430
Alaska Native people2002106.599.3113.698109,873
Alaska Native people200381.775.487.983111,314
Alaska Native people200492.886.599.281112,356
Alaska Native people2005108.9101.7116.1109113,773
Alaska Native people2006101.895.3108.396114,977
Alaska Native people2007111.4104.2118.7116115,421
Alaska Native people2008103.997.1110.8101115,969
Alaska Native people2009130.5122.8138.1123117,974
Alaska Native people2010100.493.9106.9104120,433
Alaska Native people2011100.393.8106.7111122,102
Alaska Native people2012118.4111.5125.4117122,687
Alaska Native people201399.6104123,217
Alaska Native people2014110.9112123,528
Alaska Native people2015130.4141
White200053.150.955.3211460,021
White200152.850.555.0220463,075
White200253.351.055.5231468,097
White200350.848.652.9214472,059
White200449.547.451.6218478,660
White200542.440.444.4194482,786
White200645.543.547.6205487,277
White200747.945.950.0217490,232
White200848.746.750.8219493,820
White200943.541.545.4208499,690
White201053.551.455.6242507,457
White201153.2258514,166
White201244.742.746.7225517,933
White201345.6225519,200
White201447.4243517,168
White201545.5216
All Alaskans200063.961.766.0340626,932
All Alaskans200161.058.963.1348632,716
All Alaskans200259.057.061.1345641,729
All Alaskans200355.253.357.2320649,466
All Alaskans200454.752.856.6318659,653
All Alaskans200550.348.552.2311667,146
All Alaskans200652.250.354.0313674,583
All Alaskans200756.654.758.6355680,169
All Alaskans200854.052.155.9331686,818
All Alaskans200953.251.355.0338697,828
All Alaskans201058.556.660.4366710,231
All Alaskans201157.155.359.0384722,818
All Alaskans201253.852.055.6366731,191
All Alaskans201352.4354735,662
All Alaskans201454.5378735,601
All Alaskans201557.2385

Data Notes

Unintentional injury is defined by ICD-9 codes E800-E869, E880-E929 and ICD-10 codes V01-X59, Y85-Y86. Does not include legal intervention.   Age-adjusted to U.S. 2000 standard population. ** Data not available

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Alaska Health Analytics and Vital Records], Division of Public Health, Alaska Department of Health and Social Services
  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)


Rate of unintentional injury mortality per 100,000 (age-adjusted), by Alaska Economic Region, Alaska 2010-2014 (5-year average)

::chart - missing::
confidence limits

Rate of unintentional injury mortality per 100,000 (age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Anchorage - Mat-Su50.949.952.09051,955,928
Gulf Coast55.152.557.6209400,602
Interior55.553.457.6280565,714
Northern76.170.881.384135,612
Southeast46.744.449.0180399,585
Southwest106.1100.8111.5182178,062
Statewide55.254.456.01,8473,635,503
U.S.38.6623,6671,557,151,863

Data Notes

Unintentional injury is defined by ICD-9 codes E800-E869, E880-E929 and ICD-10 codes V01-X59, Y85-Y86. Does not include legal intervention.   Rates are age-adjusted to the 2000 U.S. standard population.

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Alaska Health Analytics and Vital Records], Division of Public Health, Alaska Department of Health and Social Services


Rate of unintentional injury mortality per 100,000 (age-adjusted), by boroughs and census areas, all Alaskans, 2005-2014 (10-year average)

::chart - missing::
confidence limits

Rate of unintentional injury mortality per 100,000Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 27
Aleutians East Borough**29,686
Aleutians West CA**53,476
Anchorage Municipality44.443.645.21,1772,899,623
Bethel CA91.486.096.7145171,515
Bristol Bay Borough**10,250
Denali Borough**17,804
Dillingham CA153.0140.0166.06348,610
Fairbanks North Star Borough47.646.149.0392962,915
Haines Borough**24,773
Juneau City and Borough47.244.749.8140316,649
Kenai Peninsula Borough61.959.664.3322547,681
Ketchikan Gateway Borough45.642.049.259135,545
Kodiak Island Borough45.341.549.251136,440
Kusilvak CA128.7119.2138.28375,610
Lake and Peninsula Borough160.2138.4182.12916,334
Matanuska-Susitna Borough58.356.660.1455872,422
Nome CA108.7101.2116.28996,258
North Slope Borough91.784.599.04781,978
Northwest Arctic Borough110.2101.3119.27375,461
Prince of Wales-Hyder CA53.346.560.02759,361
Sitka City and Borough52.647.457.84789,192
Skagway Municipality91.681.1102.22331,176
Southeast Fairbanks CA54.648.760.43768,017
Valdez-Cordova CA67.061.472.66097,916
Wrangell City and Borough58.751.066.33159,797
Yakutat City and Borough**6,709
Yukon-Koyukuk CA146.3134.7157.97456,849

Data Notes

Unintentional injury is defined by ICD-9 codes E800-E869, E880-E929 and ICD-10 codes V01-X59, Y85-Y86. Does not include legal intervention.   ** = Data not available due to fewer than 20 respondents in the numerator. Rates are age-adjusted to the 2000 U.S. standard population.

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Alaska Health Analytics and Vital Records], Division of Public Health, Alaska Department of Health and Social Services

References and Community Resources

'''References:''' 1. U.S. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics. Accident Mortality by State: 2014. [http://www.cdc.gov/nchs/pressroom/sosmap/Accident.htm]. Updated January 19, 2016. Accessed October 4, 2016. 2. U.S. Centers for Disease Control and Prevention (CDC). National Center for Health Statistics. National Vital Statistics System. Mortality, 2014. [https://www.cdc.gov/nchs/data/dvs/lcwk9_2014.pdf]. Accessed October 4, 2016. 3. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2015 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2015.pdf]. Accessed February 7, 2017. '''Resources:''' Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2015 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2015.pdf]. Healthy Alaskans 2020. [http://hss.state.ak.us/ha2020/default.htm]

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 02/07/2017, Published on 02/07/2017
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 26 February 2017 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Tue, 7 Feb 2017 12:35:36 AKST
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 26 February 2017 10:10:18 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Tue, 7 Feb 2017 12:35:36 AKST