Alaska Native Injury Atlas Hi, my name is, I’m from……….. This presentation was developed by staff from ANTHC Injury Prevention and Alaska Native EpiCenter ANTHC Injury Prevention Program and Alaska Native Epidemiology Center
What we wanted to do ID the most frequent causes of injury death and hospitalization for Alaska Native people. Compare injury rates of by age, gender, region Highlight specific injury and injury prevention topics of interest Provide a resource for grants, presentations, and reports.
Update
Data Sources Alaska Bureau of Vital Statistics Alaska State Trauma Registry Alaska Department of Labor
Staff Involved Epicenter Director 2 Epidemiologists Senior statistician Formatter me
Collaborators Behavioral Health staff Regional Injury Prevention staff State Injury Prevention partners
Process Concerns Data security Data verification Prioritization
Data Problems ICD Ecode ≠ Text cause Wrong region/community match Blending ICD9 and ICD10 data
Content Decisions Injury groupings Regional data; small numbers Cut-off/white space for every section Color consistency Suicide attempt date range
Case Identification Issues Hospitalized fatalities: under-reporting vs. over-reporting Cases with unknown parameters Region: occurrence vs. residence Rural vs. urban
Case Definitions: Poisoning Alcohol poisoning fatality counts: 2002-2006: 12 cases 2007-2011: 102 cases ICD codes discontinued 2007/2009, F1*.0: Mental & behavioral disorders due to use of … ICD10 F10.x + YEAR X45.x F10.x 2002-2006 12 215 227 2007-2011 102 101 203
Wording concerns Morbidity vs. Hospitalizations Alaska Native People Crude rate Region names
Compromises Bullets Male vs. Female Injuries by Age Footnotes!
Revisions Data presentation and consistency Kerning Color Spacing Alignment: decimals, quilts Footnotes: order, symbols Figure and table numbers
Missed National Hospitalization numbers TBI National rate on maps Domestic violence, abuse Safety gear use Transcription errors
Going Forward Better understanding of process Learning mapping software TBI Hospital discharge data? Atlas update every 5 years?
ANTHC INJURY PREVENTION PROGRAM Hillary Strayer, Senior IP Specialist hdstrayer@anthc.org Jaylene Wheeler, IP Program Coordinator jzwheeler@anthc.org Jennifer Arnold, IP Program Associate jdarnold@anthc.org This is us
Thank You