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Fatal injuries of US citizens abroad.
J Travel Med. 2007 Sep-Oct; 14(5):279-87.JT

Abstract

BACKGROUND

US citizens are increasingly traveling, working, and studying abroad as well as retiring abroad. The objective of this study was to describe the type and scope of injury deaths among US citizens abroad and to compare injury death proportions by region to those in the United States.

METHODS

A cross-sectional design using reports of US citizen deaths abroad for 1998, 2000, and 2002 on file at the US State Department was employed. The main outcome measures were the frequencies of injury deaths and proportional mortality ratios (PMRs) comparing deaths abroad to deaths in the United States.

RESULTS

Two thousand eleven injury deaths were reported in the 3 years, comprising 13% of all deaths. The overall age-adjusted PMR for injury fatalities abroad compared to the United States was 1.6 (95% confidence interval 1.6-1.7). The highest age-adjusted PMRs for motor vehicle crashes were found in Africa (2.7) and Southeast Asia (1.6). The proportion of drowning deaths was elevated in all regions abroad.

CONCLUSIONS

Injuries occur at a higher proportion abroad than in the United States. Motor vehicle crash and drowning fatalities are of particular concern. Improved data quality and surveillance of deaths would help government agencies create more evidence-based country advisories.

Authors+Show Affiliations

Injury Research Center, Department of Family and Community Medicine, Medical College of Wisconsin, Milwaukee, WI 53226, USA. cguse@mcw.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

17883458

Citation

Guse, Clare E., et al. "Fatal Injuries of US Citizens Abroad." Journal of Travel Medicine, vol. 14, no. 5, 2007, pp. 279-87.
Guse CE, Cortés LM, Hargarten SW, et al. Fatal injuries of US citizens abroad. J Travel Med. 2007;14(5):279-87.
Guse, C. E., Cortés, L. M., Hargarten, S. W., & Hennes, H. M. (2007). Fatal injuries of US citizens abroad. Journal of Travel Medicine, 14(5), 279-87.
Guse CE, et al. Fatal Injuries of US Citizens Abroad. J Travel Med. 2007;14(5):279-87. PubMed PMID: 17883458.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fatal injuries of US citizens abroad. AU - Guse,Clare E, AU - Cortés,Leslie M, AU - Hargarten,Stephen W, AU - Hennes,Halim M, PY - 2007/9/22/pubmed PY - 2008/1/16/medline PY - 2007/9/22/entrez SP - 279 EP - 87 JF - Journal of travel medicine JO - J Travel Med VL - 14 IS - 5 N2 - BACKGROUND: US citizens are increasingly traveling, working, and studying abroad as well as retiring abroad. The objective of this study was to describe the type and scope of injury deaths among US citizens abroad and to compare injury death proportions by region to those in the United States. METHODS: A cross-sectional design using reports of US citizen deaths abroad for 1998, 2000, and 2002 on file at the US State Department was employed. The main outcome measures were the frequencies of injury deaths and proportional mortality ratios (PMRs) comparing deaths abroad to deaths in the United States. RESULTS: Two thousand eleven injury deaths were reported in the 3 years, comprising 13% of all deaths. The overall age-adjusted PMR for injury fatalities abroad compared to the United States was 1.6 (95% confidence interval 1.6-1.7). The highest age-adjusted PMRs for motor vehicle crashes were found in Africa (2.7) and Southeast Asia (1.6). The proportion of drowning deaths was elevated in all regions abroad. CONCLUSIONS: Injuries occur at a higher proportion abroad than in the United States. Motor vehicle crash and drowning fatalities are of particular concern. Improved data quality and surveillance of deaths would help government agencies create more evidence-based country advisories. SN - 1195-1982 UR - https://www.unboundmedicine.com/medline/citation/17883458/full_citation L2 - https://academic.oup.com/jtm/article-lookup/doi/10.1111/j.1708-8305.2007.00133.x DB - PRIME DP - Unbound Medicine ER -