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Trends in Mechanism and Manner of Death in US, 1999-2003

Explore 5-year mortality trends by race and Hispanic origin categories, analyze causes of death using ICD-10 codes and E.C. Matrix. Noteworthy trends identified in various racial groups.

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Trends in Mechanism and Manner of Death in US, 1999-2003

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  1. Trends in mechanism and manner of death from external causes across race and Hispanic origin categories -- U.S. 1999-2003 Arialdi M. Miniño Division of Vital Statistics / Mortality Statistics Branch Presented at the 2006 Data Users’ Conference of the National Center for Health Statistics July 10-12, 2006 Omni Shoreham Hotel Washington, DC

  2. Objectives • Explore 5-year trend in mortality from external causes • Identify noteworthy trends in specified race and Hispanic origin groups: • All races and origins • Hispanic • Non Hispanic White • Non Hispanic Black

  3. Data and Methods • Age-adjusted death rates from National Vital Statistics System (NVSS) • Kendall’s Tau correlation coefficient to identify noteworthy trends • Causes of death are coded and classified as per system of International Classification of Diseases, Tenth Revision (ICD-10) • Injury deaths limited to ICD-10 codes *U01-*U03, V01-Y36, Y85-Y87, or Y89.

  4. Data and Methods, continued • Causes of death are further grouped following parameters of the External cause-of-injury mortality matrix (E.C. Matrix). • Jointly developed by the Injury Control and Emergency Health Services section of the American Public Health Association (APHA) and the International Collaborative Effort on Injury Statistics • E.C. Matrix shows injury data by both mechanism and intent of death.

  5. intent External cause-of-injury mortality matrix mechanism

  6. 6.2% 6.2% 6.5% 6.6% 6.7%

  7. Noteworthy increasing trend Noteworthy decreasing trend Noteworthy decreasing trend

  8. Noteworthy decreasing trend

  9. Noteworthy decreasing trend

  10. Noteworthy increasing trend Noteworthy increasing trend

  11. Noteworthy decreasing trend

  12. Noteworthy decreasing trend Noteworthy decreasing trend

  13. Noteworthy increasing trend

  14. Noteworthy increasing trend Noteworthy increasing trend

  15. Noteworthy increasing trend

  16. Summary The following trends were identified as noteworthy (per race and origin category): Hispanic • decreasing unintentional injury mortality • decreasing firearm-related suicide Non Hispanic White • increasing unintentional injury mortality • increasing motorcycle-related injury mortality • decreasing unspecified role motor vehicle traffic mortality • increasing poisoning mortality • increasing mortality from falls Non Hispanic Black • decreasing unintentional injury mortality • decreasing suicide mortality • decreasing motor vehicle traffic mortality • decreasing firearm-related suicide • increasing firearm-related homicide mortality

  17. Concluding remarks More research needed to determine effect of decreases in unspecified role in MVT death upon other MVT trends identified (e.g. motorcycle-related mortality in nH white). More research needed to determine effect of decreases in certificates closed as “pending investigation” upon other trends identified (poisoning deaths comes to mind).

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