Uncovering a missing demographic in XXXX registries: epidemiology of @entity130 among American Indians and Alaska Natives in Washington State.

@entity1 @entity131 @entity1278 @entity130
BACKGROUND: The objectives of this study were to evaluate racial misclassification in a statewide @entity130 registry and to describe the epidemiology of @entity130 among the Washington American Indian and Alaska Native (AI/ @entity1278 ) population. METHODS: We performed probabilistic record linkage between the Washington @entity130 Registry (2005-2009) and Northwest Tribal Registry, a dataset of known AI/ @entity1278 . AI/ @entity1278 @entity1 were compared with caucasians on @entity130 and clinical outcome factors. A multivariable model estimated odds of mortality. RESULTS: Record linkage increased ascertainment of AI/ @entity1278 cases in the @entity130 registry 71%, from 1777 to 3039 cases. Compared with caucasians, AI/ @entity1278 @entity130 @entity1 were younger (mean age=36 vs 47   years, p<0.001) and more commonly male (66.5% vs 61.2%, p<0.001). AI/ @entity1278 experienced more intentional injuries (suicide or homicide: 20.1% vs 6.7%, p<0.001), a higher proportion of severe @entity131 (20.7% vs 16.8%, p=0.004) and were less likely than caucasians to use safety equipment such as seat belts/airbags (53.9% vs 76.7%, p<0.001). ISSs were similar (ISS >15: 21.4% vs 20.5%, p=0.63), and no difference was observed in mortality after adjustment for covariates (p=0.58). CONCLUSIONS: Linkage to a state @entity130 registry improved data quality by correcting racial misclassification, allowing for a comprehensive description of injury patterns for the AI/ @entity1278 population. AI/ @entity1278 sustained more severe injuries with similar postinjury outcomes to caucasians. Future efforts should focus on primary prevention for this population, including increased use of seat belts and @entity1 safety seats and reduction of interpersonal violence and suicide.
