Mortality from Unspecified Unintentional Injury among Individuals Aged 65 Years and Older by U.S. State, 1999-2013

Xunjie Cheng; Yue Wu; Jie Yao; David C Schwebel; Guoqing Hu

doi:10.3390/ijerph13080763

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Mortality from Unspecified Unintentional Injury among Individuals Aged 65 Years and Older by U.S. State, 1999-2013

Journal article

Open access

Peer reviewed

Mortality from Unspecified Unintentional Injury among Individuals Aged 65 Years and Older by U.S. State, 1999-2013

Xunjie Cheng, Yue Wu, Jie Yao, David C Schwebel and Guoqing Hu

International journal of environmental research and public health, Vol.13(8), pp.763-1

08/01/2016

DOI: 10.3390/ijerph13080763

PMCID: PMC4997449

PMID: 27472356

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Abstract

Recent changes in unspecified unintentional injury mortality for the elderly by U.S. state remain unreported. This study aims to examine U.S. state variations in mortality from unspecified unintentional injury among Americans aged 65+, 1999-2013; Using mortality rates from the U.S. CDC's Web-based Injury Statistics Query and Reporting System (WISQARS™), we examined unspecified unintentional injury mortality for older adults aged 65+ from 1999 to 2013 by state. Specifically, the proportion of unintentional injury deaths with unspecified external cause in the data was considered. Linear regression examined the statistical significance of changes in proportion of unspecified unintentional injury from 1999 to 2013; Of the 36 U.S. states with stable mortality rates, over 8-fold differences were observed for both the mortality rates and the proportions of unspecified unintentional injury for Americans aged 65+ during 1999-2013. Twenty-nine of the 36 states showed reductions in the proportion of unspecified unintentional injury cause, with Oklahoma (-89%), Massachusetts (-86%) and Oregon (-81%) displaying the largest changes. As unspecified unintentional injury mortality decreased, mortality from falls in 28 states and poisoning in 3 states increased significantly. Mortality from suffocation in 15 states, motor vehicle traffic crashes in 12 states, and fire/burn in 8 states also decreased; The proportion of unintentional injuries among older adults with unspecified cause decreased significantly for many states in the United States from 1999 to 2013. The reduced proportion of unspecified injury has implications for research and practice. It should be considered in state-level trend analysis during 1999-2013. It also suggests comparisons between states for specific injury mortality should be conducted with caution, as large differences in unspecified injury mortality across states and over time could create bias for specified injury mortality comparisons.

Aged

Centers for Disease Control and Prevention (U.S.)

Female

Humans

Linear Models

Male

United States - epidemiology

Wounds and Injuries - epidemiology

Wounds and Injuries - etiology

Wounds and Injuries - mortality

Details

Title: Subtitle: Mortality from Unspecified Unintentional Injury among Individuals Aged 65 Years and Older by U.S. State, 1999-2013
Creators: Xunjie Cheng - Central South University
Yue Wu - Central South University
Jie Yao - Harbin Institute of Technology
David C Schwebel - University of Alabama at Birmingham
Guoqing Hu - Central South University
Resource Type: Journal article
Publication Details: International journal of environmental research and public health, Vol.13(8), pp.763-1
DOI: 10.3390/ijerph13080763
PMID: 27472356
PMCID: PMC4997449
NLM abbreviation: Int J Environ Res Public Health
ISSN: 1660-4601
eISSN: 1660-4601
Language: English
Date published: 08/01/2016
Academic Unit: Research Administration
Record Identifier: 9984949193502771

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