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Rates of intentionally caused and road crash deaths of US citizens abroad.
Inj Prev. 2015 Apr; 21(e1):e10-4.IP

Abstract

CONTEXT

Currently, little is known about rates of death by cause and country among US travellers. Understanding the risk by cause and country is imperative to risk communication and the development of risk reduction strategies.

METHODS

Publicly available data on non-natural deaths of US citizens abroad were gathered from January 2003 to December 2009 from the US Department of State's Department Bureau of Consular Affairs. Traveller information was gathered from the US Department of Commerce Office of Travel and Tourism for the same time period. Rates of death were calculated by dividing the number of non-natural deaths of US citizens abroad by the number of US outbound visits for each country.

RESULTS

A total of 5417 non-natural death events were retrieved between 2003 and 2009 from the US State Department. Intentionally caused death rates ranged from 21.44 per 1 000 000 visits in the Philippines to 0 per 1 000 000 visits in several countries; the majority of countries had fewer than five intentionally caused deaths per 1 000 000 visits. Rates of road traffic crashes were higher than rates of intentionally caused deaths in almost every instance. Thailand had the highest rate of deaths due to road traffic crashes (16.49 per 1 000 000), followed by Vietnam, Morocco and South Africa (15.12 per 1 000 000, 11.96 per 1 000 000 and 10.90 per 1 000 000, respectively). Motorcycle deaths account for most of the heightened risk observed in Thailand and Vietnam.

CONCLUSIONS

The leading cause of non-natural deaths in US travellers abroad was road crashes, which exceeds intentional injury as the leading cause of non-natural deaths in almost every country where US citizens travel. Southeast Asia had the highest unintentional injury death rates for US citizens abroad due to the high rates of deaths from motorcycle crashes.

Authors+Show Affiliations

Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA Krieger School, Johns Hopkins University, Baltimore, Maryland, USA.International Injury Research Unit and Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24302480

Citation

Sherry, Melissa K., et al. "Rates of Intentionally Caused and Road Crash Deaths of US Citizens Abroad." Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention, vol. 21, no. e1, 2015, pp. e10-4.
Sherry MK, Mossallam M, Mulligan M, et al. Rates of intentionally caused and road crash deaths of US citizens abroad. Inj Prev. 2015;21(e1):e10-4.
Sherry, M. K., Mossallam, M., Mulligan, M., Hyder, A. A., & Bishai, D. (2015). Rates of intentionally caused and road crash deaths of US citizens abroad. Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention, 21(e1), e10-4. https://doi.org/10.1136/injuryprev-2013-040923
Sherry MK, et al. Rates of Intentionally Caused and Road Crash Deaths of US Citizens Abroad. Inj Prev. 2015;21(e1):e10-4. PubMed PMID: 24302480.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rates of intentionally caused and road crash deaths of US citizens abroad. AU - Sherry,Melissa K, AU - Mossallam,Mahmoud, AU - Mulligan,Matthew, AU - Hyder,Adnan A, AU - Bishai,David, Y1 - 2013/12/03/ PY - 2013/12/5/entrez PY - 2013/12/5/pubmed PY - 2015/12/15/medline SP - e10 EP - 4 JF - Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention JO - Inj. Prev. VL - 21 IS - e1 N2 - CONTEXT: Currently, little is known about rates of death by cause and country among US travellers. Understanding the risk by cause and country is imperative to risk communication and the development of risk reduction strategies. METHODS: Publicly available data on non-natural deaths of US citizens abroad were gathered from January 2003 to December 2009 from the US Department of State's Department Bureau of Consular Affairs. Traveller information was gathered from the US Department of Commerce Office of Travel and Tourism for the same time period. Rates of death were calculated by dividing the number of non-natural deaths of US citizens abroad by the number of US outbound visits for each country. RESULTS: A total of 5417 non-natural death events were retrieved between 2003 and 2009 from the US State Department. Intentionally caused death rates ranged from 21.44 per 1 000 000 visits in the Philippines to 0 per 1 000 000 visits in several countries; the majority of countries had fewer than five intentionally caused deaths per 1 000 000 visits. Rates of road traffic crashes were higher than rates of intentionally caused deaths in almost every instance. Thailand had the highest rate of deaths due to road traffic crashes (16.49 per 1 000 000), followed by Vietnam, Morocco and South Africa (15.12 per 1 000 000, 11.96 per 1 000 000 and 10.90 per 1 000 000, respectively). Motorcycle deaths account for most of the heightened risk observed in Thailand and Vietnam. CONCLUSIONS: The leading cause of non-natural deaths in US travellers abroad was road crashes, which exceeds intentional injury as the leading cause of non-natural deaths in almost every country where US citizens travel. Southeast Asia had the highest unintentional injury death rates for US citizens abroad due to the high rates of deaths from motorcycle crashes. SN - 1475-5785 UR - https://www.unboundmedicine.com/medline/citation/24302480/full_citation L2 - http://ip.bmj.com/cgi/pmidlookup?view=long&pmid=24302480 DB - PRIME DP - Unbound Medicine ER -