In the United States, the American Indian and Alaska Native (AI/AN) population has the highest motor vehicle death rate, which is significantly greater than that of any other race or ethnic group. To better understand why this significant disparity exists and how to eliminate it, the authors conducted a systematic review of the published scientific literature. Included studies were published between January 1, 1990, and January 31, 2011, and identified risk factors, or implemented and tested interventions, targeting motor vehicle deaths among the AI/AN population. Only 14 papers met the study's inclusion criteria. Most of the epidemiologic studies explored alcohol use as a risk factor for deaths of both motor vehicle occupants and pedestrians; few studies addressed risk factors specifically for pedestrians. All of the intervention studies focused on mitigating risks for motor vehicle occupants. On the basis of the authors' review, injury prevention interventions that are multifaceted and involve partnerships to change policy, the environment, and individual behavior can effectively mitigate motor-vehicle-related deaths among AI/ANs. Priority should be given to implementing interventions that address pedestrian safety and to sound investment in the states with the highest AI/AN motor vehicle death rates because reducing their burden can dramatically reduce the overall disparity.

中文翻译：

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美洲印第安人和阿拉斯加土著居民中的机动车死亡。

在美国，美洲印第安人和阿拉斯加原住民（AI / AN）的机动车死亡率最高，大大高于任何其他种族或族裔群体。为了更好地理解为什么存在这种重大差异以及如何消除这种差异，作者对公开发表的科学文献进行了系统的综述。纳入的研究在1990年1月1日至2011年1月31日期间发表，针对AI / AN人群中的机动车死亡，确定了危险因素或已实施和测试的干预措施。只有14篇论文符合该研究的纳入标准。大多数流行病学研究都将饮酒作为机动车乘员和行人死亡的危险因素。很少有研究针对行人的危险因素。所有的干预研究都集中在减轻机动车乘员的风险上。根据作者的评论，伤害预防干预措施是多方面的，涉及改变政策，环境和个人行为的伙伴关系，可以有效地减轻AI / AN中与汽车相关的死亡。应优先考虑解决行人安全的干预措施，并在AI / AN机动车死亡率最高的州进行合理的投资，因为减轻负担可以大大减少总体差距。个人行为可以有效减轻AI / AN中与汽车相关的死亡。应优先考虑针对行人安全的干预措施，并在AI / AN机动车死亡率最高的州进行合理的投资，因为减轻负担可以显着减少总体差异。个人行为可以有效减轻AI / AN中与汽车相关的死亡。应优先考虑针对行人安全的干预措施，并在AI / AN机动车死亡率最高的州进行合理的投资，因为减轻负担可以显着减少总体差异。