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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Fatal Pediatric Motor Vehicle Crashes on U.S. Native American Indian Lands Compared to Adjacent Non-Indian Lands: Restraint Use and Injury by Driver Vehicle Roadway and Crash Characteristics
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Fatal Pediatric Motor Vehicle Crashes on U.S. Native American Indian Lands Compared to Adjacent Non-Indian Lands: Restraint Use and Injury by Driver Vehicle Roadway and Crash Characteristics

机译：与相邻的非印第安人土地相比美国印第安人印第安人土地上的致命儿科汽车碰撞：驾驶员车辆道路和碰撞特征的约束使用和伤害

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There are large disparities in American Indian pediatric motor vehicle (MV) mortality with reports that several factors may contribute. The Fatality Analysis Reporting System for 2000–2014 was used to examine restraint use for occupants aged 0–19 years involved in fatal MV crashes on Indian lands (n = 1667) and non-Indian lands in adjacent states (n = 126,080). SAS GLIMMIX logistic regression with random effects was used to generate odds ratios (OR) with 95% confidence intervals (CI). Restraint use increased in both areas over the study period with restraint use on Indian lands being just over half that of non-Indian lands for drivers (36.8% vs. 67.8%, p < 0.0001) and for pediatric passengers (33.1% vs. 59.3%, p < 0.0001). Driver restraint was the strongest predictor of passenger restraint on both Indian and non-Indian lands exerting a stronger effect in ages 13–19 than in 0–12 year olds. Valid licensed driver was a significant predictor of restraint use in ages 0–12 years. Passengers in non-cars (SUVs, vans and pickup trucks) were less likely to be restrained. Restraint use improved over the study period in both areas, but disparities failed to narrow as restraint use remains lower and driver, vehicle and crash risk factors higher for MV mortality on Indian lands.
机译：美洲印第安人小儿汽车（MV）的死亡率存在巨大差异，据报道可能有多种因素在起作用。使用2000–2014年的致命性分析报告系统检查了印度土地（n = 1667）和邻近州（n = 126,080）的非印度土地上发生致命MV撞毁的0-19岁年龄段乘员的约束使用情况。使用具有随机效应的SAS GLIMMIX logistic回归来生成具有95％置信区间（CI）的比值比（OR）。在研究期间，这两个地区的约束使用都增加了，驾驶员（36.8％对67.8％，p <0.0001）和小儿乘客（33.1％对59.3）在印度土地上的约束使用仅为非印度地区的一半以上。 ％，p ＜0.0001）。驾驶员约束是印度和非印度土地上乘客约束的最强预测因子，在13-19岁之间的影响要强于0-12岁年龄段的乘客。有效的有执照的驾驶员是0-12岁使用约束的重要预测指标。非轿车（SUV，货车和皮卡车）的乘客受到约束的可能性较小。在研究期间，这两个地区的约束使用都得到了改善，但差距仍然没有缩小，因为约束使用仍然较低，而驾驶员，车辆和撞车的危险因素在印度土地上的MV死亡率更高。

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