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United States Department of Health and Human Services
 Home > Publications and Materials > Injury

Injury
Publications and Materials

Below are selected publications and materials related to injury. Please note the year of publication may be later than the year(s) the data represent.

LINKS ON THIS PAGE
2008 Publications and Materials
2007 Publications and Materials
2006 Publications and Materials
2005 Publications and Materials
2004 Publications and Materials
2003 Publications and Materials
2002 Publications and Materials
2001 Publications and Materials

Related Links

2008 Publications and Materials

Alternative Warm-Up Program Reduces Risk of ACL Injuries for Female College Soccer Players (8/7/08)
The risk of potentially devastating tears to an important knee ligament may be reduced in female college soccer players by an alternative warm-up program that focuses on stretching, strengthening, and improving balance and movements, according to a CDC study published online this week in The American Journal of Sports Medicine.

Self-Reported Falls and Fall-Related Injuries among Persons Aged Older than 65 Years- United States, 2006 (5/11/08)
This report indicated that approximately 5.8 million persons aged over 65 years, or 15.9% of all U.S. adults in that age group, fell at least once during the preceding 3 months, and 1.8 million (31.3%) of those who fell sustained an injury that resulted in a doctor visit or restricted activity for at least 1 day. Women reported significantly more fall-related injuries than men (35.7% versus 24.6%, respectively).

The Choking Game: A Risky Youth Behavior (3/26/08)
The choking game is a dangerous activity that older children and early adolescents sometimes play to get a brief high. They either choke each other or use a noose to choke themselves. After just a short time, children can pass out, which may lead to serious injury or even death from hanging or strangulation.

2007 Publications and Materials

Fall Injury Episodes among Non-Institutionalized Older Adults- United States, 2001-2003 PDF (10/9/07)
Rates of fall injuries increased with age and were higher for women compared with men. The most common cause of fall injuries among older adults was slipping, tripping, or stumbling. Most fall injuries occurred inside or around the outside of the home.

Suicide Trends among Youths and Young Adults Aged 10-24 Years- United States, 1990-2004 (9/6/07)
In 2004, suicide was the third leading cause of death among youths and young adults aged 10-24 years in the United States. From 2003 to 2004, suicide rates rose for 10-14-year-old females, 15-19-year-old females and 15-19-year-old males. The rate of hanging/suffocation suicides among 10-14-year-old girls more than doubled between 2003 and 2004. It is important to recognize the warning signs of suicide in youth, such as talking about taking one’s life or feeling sad or hopeless about the future. A resource for helping to prevent suicide is the National Suicide Prevention Lifeline toll-free number, 1-800-273-TALK (273-8255).

Unintentional Poisoning Deaths- United States, 1999-2004 (3/5/07)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5605a1.htm
PDF
PDF
http://www.cdc.gov/mmwr/PDF/wk/mm5605.pdf
This report summarizes the results of an analysis which determined that poisoning mortality rates in the United States increased each year from 1999 to 2004, rising 62.5 percent during the 5-year period. The largest increases were among females (103.0 percent), whites (75.8 percent), persons living in the southern United States (113.6 percent), and persons aged 15-24 years (113.3 percent). The number of unintentional poisoning deaths increased from 12,186 in 1999 to 20,950 in 2004. The annual age-adjusted rate increased 62.5 percent, from 4.4 per 100,000 population in 1999 to 7.1 in 2004. The increase among females, from 2.3 to 4.7 per 100,000 population, was twice the increase among males, from 6.5 to 9.5 per 100,000 population (47.1 percent).

Easy Read Preventing Carbon Monoxide Poisoning after an Emergency (1/8/07)
http://www.bt.cdc.gov/disasters/cofacts.asp
Generators, grills, camp stoves, or other gasoline, propane, natural gas, or charcoal-burning devices should never be used inside a home, basement, garage, or camper- or even outside near an open window. Every home should have at least one working carbon monoxide detector. The detector's batteries should be checked twice a year, at the same time smoke detector batteries are checked.

Increases in Methadone-Related Deaths, 1999-2004 (1/8/07)
http://www.cdc.gov/nchs/products/pubs/pubd/hestats/methadone1999-04/methadone1999-04.htm
Poisoning deaths mentioning methadone increased from 4 percent of all poisoning deaths to 13 percent of all poisoning deaths. Most recently, all poisoning deaths increased 6 percent from 2003-2004, while those mentioning methadone increased 29 percent.

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2006 Publications and Materials

Fatalities and Injuries from Falls among Older Adults- United States, 1993-2003 and 2001-2005 (12/1/06)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5545a1.htm
PDF PDF
http://www.cdc.gov/mmwr/PDF/wk/mm5545.pdf
This study examined trends in rates of fatal falls and hospitalizations for hip fractures during 1993-2003 and in rates of nonfatal injuries resulting from falls during 2001-2005. The findings indicate that rates of fatal falls increased significantly among both men and women but were consistently higher among men. Whites had the highest fatal fall rates, but an increasing trend was observed for all races. Changes in rates for nonfatal injuries from falls were not statistically significant. Rates of nonfatal injuries from falls and particularly rates of hospitalizations for hip fractures were higher among women than men. However, hospitalization rates for hip fractures appear to be declining among women.

Easy Read Falls among Older Adults (11/29/06)http://www.cdc.gov/ncipc/duip/fallsspotlite.htm
CDC offers new tools for helping older adults and those who care for them prevent falls. Colorful and easy to read, the redesigned brochures and new posters outline key strategies for reducing older adults’ risk of falls and related injuries.

Sports-Related Injuries among High School Athletes- United States, 2005-2006 School Year (10/31/06)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5538a1.htm

Participation in high school sports resulted in an estimated 1.4 million injuries at a rate of 2.4 injuries per 1,000 athlete exposures. Football had the highest injury rate followed by wrestling, boys' and girls' soccer, and girls' basketball. 

Homicides and Suicides: National Violent Death Reporting System- United States, 2003-2004 (8/1/06)http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5526a1.htm
This report describes the analysis of violent deaths from 13 states. Homicide circumstance information revealed that most victims knew the suspects involved and that intimate partner conflicts continued to be among the most important contributing factors. Suicide circumstance information indicated that mental health disorders and intimate partner problems had important roles.

Nonfatal Injuries from Off-Road Motorcycle Riding Nonfatal Injuries from Off-Road Motorcycle Riding among Children and Teens- United States, 2001-2004 (6/30/06)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5522a1.htm
During 2001-2004, an estimated 23,800 children and teens aged <19 years were treated at U.S. emergency departments for off-road motorcycle injuries each year. Patients aged 12-15 years had the highest nonfatal injury rate (62.1 per 100,000). Patients aged <16 years accounted for 69.9% of those injured; 88.4% of those injured were males, and 97.1% were driving the motorcycle. Overall, 7.5% of those injured were hospitalized.

The Incidence and Economic Burden of Injury in the United States (4/30/06)
http://www.cdc.gov/ncipc/factsheets/Economic_Burden_of_Injury.htm
Press Release
http://www.cdc.gov/media/pressrel/r060418.htm
Fact Sheets
http://www.cdc.gov/ncipc/factsheets/Cost_of_Injury.htm
Each day, 1,301 children suffer traumatic brain injuries, 1,294 teens attempt suicide and require medical attention to prevent death, and 801 older adults sustain hip fractures, but they represent only a small portion of the people who will be injured each year in the United States. The lifetime cost of injuries occurring in a single year in the United States totals an estimated $406 billion in medical expenses and productivity losses (including lost wages, fringe benefits, and ability to perform normal household responsibilities. Nearly $80.2 billion is attributed to medical expenses, while $326 billion is estimated for lifetime productivity losses for the almost 50 million injuries that required medical treatment in 2000. These costs begin to accumulate when the injuries occur and are spread over each injured person’s expected lifetime.

Deaths: Injuries, 2002 PDF (2/30/06)
http://www.cdc.gov/nchs/data/nvsr/nvsr54/nvsr54_10.pdf
This report presents injury mortality data for 2002 using the external-cause-of-injury mortality matrix for the International Classification of Diseases, Tenth Revision (ICD–10). Data are presented by age, sex, race, Hispanic origin, and State. In addition, trend data are shown for 1999–2002 by age, sex, and mechanism and intent of injury. Selected Highlight: 161,269 resident deaths occurred in the United States as the result of injuries.

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2005 Publications and Materials

Preventing Suicide: Program Activities Guide (12/30/05)
http://www.cdc.gov/ncipc/dvp/PreventingSuicide.htm
The Preventing Suicide: Program Activities Guide describes CDC’s public health activities and research to prevent suicide and suicidal behavior. The guide outlines four categories of activities which are key to CDC’s prevention work: monitoring and researching the problem, supporting and enhancing prevention programs, providing prevention resources, and encouraging research and development.

Adverse Childhood Experiences Study (7/30/05)
http://www.cdc.gov/NCCDPHP/ACE/
The Adverse Childhood Experiences (ACE) Study is one of the largest investigations ever conducted on the links between childhood maltreatment and later-life health and well-being. As a collaboration between the CDC and Kaiser Permanente’s Health Appraisal Clinic in San Diego, Health Maintenance Organization members undergoing a comprehensive physical examination provided detailed information about their childhood experience of abuse, neglect, and family dysfunction. Over 17,000 members chose to participate. The ACE Study findings suggest that these experiences are major risk factors for the leading causes of illness and death as well as poor quality of life in the United States.

Unintentional Non-Fire-Related Carbon Monoxide Exposures- United States, 2001 - 2003 (1/30/05)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5402a2.htm
PDF (p. 36) PDF
http://www.cdc.gov/mmwr/PDF/wk/mm5402.pdf
Press Release
http://www.cdc.gov/media/pressrel/fs050120.htm
To examine fatal and nonfatal unintentional, non-fire-related carbon monoxide (CO) exposures, CDC analyzed 2001-2003 data on emergency department (ED) visits from the National Electronic Injury Surveillance System All Injury Program and 2001-2002 death certificate data from the National Vital Statistics System. During 2001-2003, an estimated 15,200 persons with confirmed or possible non--fire-related CO exposure were treated annually in hospital EDs. The nonfatal rate was similar for males and females; in contrast, the death rate for males was 2.7 times that for females. The case fatality rate (CFR) increased with age, from 0.6% for children aged <4 years to 5.5% for adults aged 55-64 years; also, the CFR for males was 2.3 times that for females.

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2004 Publications and Materials

Surveillance for Fatal and Nonfatal Injuries- United States, 2001 (9/30/04)
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5307a1.htm
PDF PDF
http://www.cdc.gov/mmwr/PDF/ss/ss5307.pdf
Each year in the United States, an estimated one in six residents requires medical treatment for an injury, and an estimated one in 10 residents visits a hospital emergency department for treatment of a nonfatal injury. Overall, fatal and nonfatal injury rates were higher for males than females and disproportionately affected younger and older persons. Includes tables and figures on leading causes of fatal/non-fatal injury by sex and age; nonfatal injuries by primary body part affected, primary diagnosis, local, age and sex; case fatality rates by sex; fatal and nonfatal injury rates by sex; and number and percentage of fatal and nonfatal injuries by sex.

Suicide and Attempted Suicide- China, 1990-2002 (6/30/04)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5322a6.htm
PDF (p. 481) PDF
http://www.cdc.gov/mmwr/PDF/wk/mm5322.pdf
This report summarizes the results of several analyses, which indicated that 58% of China's suicides were caused by ingesting pesticide, 91% of suicide victims had never visited a mental health professional, and 45% of suicide attempts were impulsive acts performed after considering suicide for <10 minutes. In the psychological autopsy study, the median age was 42 years and 49% were female. Among suicide attempters treated in 24 general hospitals in northern China, females outnumbered males by 2.5 to 1, the median age was 29 years, and two thirds of all attempters were young adults aged 15-34 years.

Suicide among Hispanics- United States, 1997—2001 (6/30/04)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5322a5.htm
PDF (p. 478) PDF
http://www.cdc.gov/mmwr/PDF/wk/mm5322.pdf
To identify demographic groups at risk for suicide and to help guide prevention efforts, CDC analyzed mortality data for 1997-2001, which indicated that, among Hispanics, the largest proportion of suicides occurred among young persons; suicide rates were higher among males; and the most common method of suicide was by firearms. For Hispanic females, rates were highest among those aged 50-54 years, followed by those aged 45-49 years and those aged 15-19 years. Persons of Mexican origin accounted for the majority of suicides, followed by persons of other/unknown Hispanic origin, Central and South Americans, Puerto Ricans, and Cubans.

Methods of Suicide Among Persons Aged 10-19 Years- United States, 1992-2001 (6/30/04)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5322a2.htm
PDF PDF
http://www.cdc.gov/mmwr/PDF/wk/mm5322.pdf
This report summarizes an analysis, which indicated a substantial decline in suicides by firearm and an increase in suicides by suffocation in persons aged 10-14 and 15-19 years. In 2001, suicide was the third leading cause of death among persons aged 10-19 years. The most common method of suicide in this age group was by firearm (49%), followed by suffocation (mostly hanging) (38%) and poisoning (7%).

Deaths: Injuries, 2001 PDF (6/30/04)
http://www.cdc.gov/nchs/data/nvsr/nvsr52/nvsr52_21acc.pdf
Among infants and children under 12 years, injury death rates for males were less than twice the rates for females. From ages 10–17 years, the death rates for males increased 8-fold and the rates for females increased 5.5-fold. Motor vehicle traffic injury was the leading mechanism of injury death for non-Hispanic white, Hispanic, American Indian or Alaska Native (AIAN), and Asian and Pacific Islander (API) males and females as well as for non-Hispanic black females. Firearm injury was the third leading mechanism for Hispanic and non-Hispanic black females, the fourth leading mechanism for AIAN and API females, and the fifth leading mechanism for non-Hispanic white females.

Unintentional and Undetermined Poisoning Deaths- 11 States, 1990-2001 (3/30/04)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5311a2.htm
PDF PDF
http://www.cdc.gov/mmwr/PDF/wk/mm5311.pdf
This report summarizes the results of an analysis of vital statistics data, which indicated that increases in state death rates from unintentional and undetermined poisonings varied, but increased by an average of 145%; a total of 89% of poisonings involved drugs and other biologic substances. Sex-specific unintentional and undetermined poisoning death rates also increased for males (average increase: 126%; range: 11%-339%) and females (average increase: 203%; range: 95%-486%). During 1990-2001, in all 11 states, the increases in unintentional and undetermined poisoning death rates were greatest for persons aged 45-54 years and persons aged 35-44 years.

Medical Expenditures Attributable to Injuries– United States, 2000 (1/20/04)
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5301a1.htm
PDF
PDF version
http://www.cdc.gov/mmwr/PDF/wk/mm5301.pdf
This report summarizes the results of data CDC analyzed on injury prevalence and costs from the 2000 Medical Expenditure Panel Survey and the National Health Accounts, which indicated that injury-attributable medical expenditures cost as much as $117 billion in 2000, approximately 10% of total U.S. medical expenditures. In 2000, a total of 16.3% of persons (44.7 million) in the United States reported requiring treatment for at least one injury. The percentage was higher for males (17.3%) than for females (15.4%). Among persons aged <45 years, a greater percentage of males reported treatment for an injury; among persons aged >45 years, a greater percentage of females reported treatment for an injury. In the United States, injuries (i.e., unintentional and intentional) are the leading cause of death among persons aged <35 years and the fourth leading cause of death among persons of all ages. This finding underscores the need for innovative and effective interventions to prevent injuries.

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2003 Publications and Materials

Public Health and Aging: Nonfatal Injuries Among Older Adults Treated in Hospital Emergency Departments - United States, 2001
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5242a4.htm
PDF (p. 1019) PDF version
http://www.cdc.gov/mmwr/PDF/wk/mm5242.pdf
To characterize nonfatal injuries among older adults, CDC analyzed data from the National Electronic Injury Surveillance System-All Injury Program. This report summarizes the results of that analysis, which indicate differences in type and mechanism of injury by sex, suggesting that prevention programs should be designed and tailored differently for men and women. During 2001, an estimated 935,556 men and 1,731,640 women aged >65 years were treated in EDs for nonfatal injuries. The overall injury rate per 100,000 persons was higher among women (8,466 per 100,000 persons) than among men (6,404). The most common (47%) location for nonfatal injuries was the home.

Public Health and Aging: Nonfatal Physical Assault-Related Injuries Among Persons Aged >60 Years Treated in Hospital Emergency Departments - United States, 2001
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5234a2.htm
PDF (p. 812)
PDF version
http://www.cdc.gov/mmwr/PDF/wk/mm5234.pdf
CDC analyzed data from the National Electronic Injury Surveillance System-All Injury Program, which indicate that approximately 33,000 persons aged >60 years in the United States were treated in hospital emergency departments (EDs) for nonfatal assault-related injuries in 2001, with injuries occurring disproportionately among persons aged 60-69 years. The majority (55.4%) of adults aged >60 years who were examined in EDs were men. Older adults were at similar risk for being assaulted at home (25.9%) compared with a public area (27.5%). The types of injuries sustained were primarily contusion/abrasion (31.9%), laceration (21.1%), and fracture (12.7%). Compared with persons aged 20-59 years, a greater proportion of older assault victims were women, had fractures and were hospitalized at the time of diagnosis; however, these differences were not statistically significant.

Injury Mortality Among American Indian and Alaska Native Children and Youth - United States, 1989-1998
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5230a2.htm
PDF PDF version
http://www.cdc.gov/mmwr/PDF/wk/mm5230.pdf
This report summarizes the results of injury mortality analyses, which indicate that although death rates for some causes (e.g. drowning and fire) have shown substantial improvement over time, rates for other causes have increased or remained unchanged (e.g., homicide and suicide, respectively). During 1989-1998, injuries and violence were associated with 3,314 deaths among AI/ANs aged <19 years residing in IHS areas. Motor-vehicle crashes were the leading cause of injury-related death, followed by suicide, homicide, drowning, and fires. Death rates for all causes were higher among AI/AN males than females; however, the difference was smaller for fire-related deaths. During 1989-1998, injury death rates declined for AI/ANs from all motor-vehicle crashes (14%), drownings (34%), and fires (49%), and for pedestrians (56%); rates increased for firearm-related death (13%) and homicide (20%) and remained unchanged for suicide. Prevention strategies should focus on the leading causes of injury-related death in each AI/AN community, such as motor-vehicle crashes, suicides, and violence.

Preventing Teen Worker Deaths, Injuries
http://www.cdc.gov/niosh/docs/2003-128/2003-128.htm
An average of 67 workers under age 18 died from work-related injuries each year during 1992–2000. In 1998, an estimated 77,000 required treatment in hospital emergency rooms. This Alert summarizes available information about work-related injuries among young workers, identifies work that is especially hazardous, and offers recommendations for prevention.

Nonfatal Dog Bite-Related Injuries Treated in Hospital Emergency Departments - United States, 2001
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5226a1.htm
PDF
PDF version
http://www.cdc.gov/mmwr/PDF/wk/mm5226.pdf
In 2001, an estimated 368,245 persons were treated in U.S. hospital emergency departments (EDs) for nonfatal dog bite-related injuries. Injury rates were highest among children aged 5-9 years. Approximately 154,625 (42.0%) dog bites occurred among children aged <14 years; the rate was significantly higher for boys (293.2 per 100,000 population) than for girls (216.7). For persons aged >15 years, the difference between the rate for males (102.9) and females (88.0) was not statistically significant. To reduce the number of dog bite-related injuries, adults and children should be educated about bite prevention, and persons with canine pets should practice responsible pet ownership.

Traumatic Brain Injury-Related Hospital Discharges
http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5204a1.htm
PDF
PDF version
http://www.cdc.gov/mmwr/PDF/ss/ss5204.pdf
Previous studies indicate that each year in the United States, approximately 1.5 million Americans sustain a traumatic brain injury (TBI). Of those injured, approximately one quarter million are hospitalized. Approximately one third of adults hospitalized with TBI still need help with daily activities 1 year after their discharge. This report summarizes surveillance data for TBI in the United States for January-December 1997. The overall age-adjusted TBI-related live hospital discharge rate was 69.7/100,000 population. The age-adjusted rate for males was approximately twice as high as for females (91.9 versus 47.7/100,000 respectively). For both sexes, the rates were highest among those aged 15-19 years and >65 years. Motor-vehicle crashes, falls, and assaults were the leading causes of injury for TBI-related discharges (27.9, 22.5, and 7.3/100,000 respectively). TBI-related discharge rates for falls were highest among those aged >65 years (82.3/100,000). An estimated 46% of injured motor-vehicle occupants, 53% of motorcyclists, and 41% of pedal cyclists reportedly were not using personal protective equipment (e.g., seat belts or helmets) at the time of their TBI. With regard to outcome assessed before discharge from the hospital, approximately 17% of persons hospitalized with TBI had moderate to severe disability.

Public Health and Aging: Nonfatal Fall-Related Traumatic Brain Injury Among Older Adults - California, 1996-1999
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5213a3.htm
PDF (p. 276) PDF version
http://www.cdc.gov/mmwr/PDF/wk/mm5213.pdf
California hospital discharge data were collected and analyzed to describe fall-related traumatic brain injury (TBI). This report summarizes the results of that analysis, which support previous findings that persons aged >65 years are at risk for hospitalization for a fall and that same-level falls are far more common among persons aged >65 years than falls from a higher level (e.g., a ladder, chair, or stair). For this report, cases were limited to first admissions. Overall, males were hospitalized more frequently (59%) than females. Although 70% of hospitalizations among those aged <65 years were among males, females accounted for 56% of hospitalizations among those aged >65 years. Defining the circumstances of fall injuries and recognizing the type of fall leading to TBI hospitalizations among older persons can help health-care providers conduct risk assessment and management of falls in this population.

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2002 Publications and Materials

Nonfatal Sports- and Recreation-Related Injuries Treated in Emergency Departments - United States, July 2000-June 2001
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5133a2.htm
PDF (p. 736) PDF version
http://www.cdc.gov/mmwr/PDF/wk/mm5133.pdf
CDC analyzed data to characterize sports- and recreation-related injuries among the U.S. population. This report summarizes the results of that analysis, which indicate that during July 2000–June 2001 an estimated 4.3 million nonfatal sports- and recreation related injuries were treated in U.S. hospital emergency departments (EDs), comprising 16% of all unintentional injury-related ED visits. For females aged 10-19 years, basketball-related injuries ranked highest. Exercise (e.g., weight lifting, aerobics, stretching, walking, jogging, and running) was the leading injury-related activity for women aged >20 years and ranked among the top four types of injuries for men aged >20 years. Among all ages, rates were higher for males than for females. The percentage of all unintentional injury-related ED visits that were sports- and recreation-related was highest for persons aged 10-14 years (51.5% for boys, 38.0% for girls), and lowest for persons aged >45 years (6.4% for men, 3.1% for women). Rates were highest among persons aged 10-14 years (75.4 for boys, 36.3 for girls), and lowest among persons aged 0-4 years (11.1 for boys, 6.8 for girls) and persons aged >45 years (4.3 for men, 2.2 for women). Each year in the United States, an estimated 30 million children and adolescents participate in organized sports, and approximately 150 million adults participate in some type of nonwork-related physical activity.

Falls among Older Americans: CDC Prevention Efforts- A Testimony of David W. Fleming Before the Subcommittee on Aging Committee on Health, Education, Labor and Pensions, June 2002
http://www.cdc.gov/washington/testimony/aging.htm
Data show that falls are the leading cause of injury death among people 65 years and older. Of all fall-related injuries, hip fractures not only cause the greatest number of injury deaths, but they also lead to the most severe health problems and reduced quality of life. Women sustain 75-80% of all hip fractures and the rate increases sharply from age 65 to 85. One out of three women will have a hip fracture by age 90. In 1999, there were over 300,000 hospital admissions for hip fractures, 77% were women.

Injury Research Agenda
http://www.cdc.gov/ncipc/pub-res/research_agenda/agenda.htm
A blueprint to prevent injuries and their resulting disabilities, deaths, and costs, CDC's Injury Research Agenda identifies CDC’s highest priorities for each area—those research issues that CDC must address to fulfill its public health responsibilities.

Nonfatal Physical Assault-Related Injuries Treated in Hospital Emergency Departments-United States, 2000
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5121a3.htm
PDF (p. 460) PDF version
http://www.cdc.gov/mmwr/PDF/wk/mm5121.pdf
This report summarizes data, which indicate that approximately 1.6 million persons were treated in U.S. emergency departments (ED) during 2000 for nonfatal physical (i.e., nonsexual) assault-related injuries. Such injuries occurred disproportionately among males, adolescents, and young adults, particularly among black males. Although sexual assaults accounted for a small proportion (females: 8%, males: 1%) of all assault-related injuries, the rate of ED visits for sexual assault-related injuries was five times higher for females (38.2 per 100,000 population) than for males (7.6). The physical assault rate was approximately 77% higher for males than for females. Males and females aged 20-24 years had the highest injury rates per 100,000 persons (1,848 and 1,122, respectively) among all age groups. Although males had higher rates of being struck or injured with a sharp instrument than females, the rate of being bitten was comparable for males and females. Although men were far more likely to be assaulted or killed than women, the ratio of nonfatal injuries to homicides was higher for females (144:1) than for males (78:1).

Nonfatal Self-Inflicted Injuries Treated in Hospital Emergency Departments - United States, 2000
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5120a3.htm
PDF (p. 436) PDF version
http://www.cdc.gov/mmwr/PDF/wk/mm5120.pdf
Telebriefing
http://www.cdc.gov/media/transcripts/t020523.htm
This report provides national, annualized, weighted estimates of nonfatal self-inflicted injuries treated in U.S. hospital emergency departments (EDs). Overall, self-inflicted injury rates were highest among adolescents and young adults, particularly females. Most (90%) self-inflicted injuries were the result of poisoning or being cut/pierced with a sharp instrument, and 60% were probable suicide attempts. During 2000, an estimated 264,108 persons were treated in EDs for nonfatal self-inflicted injuries (rate: 95.9 per 100,000 population); the rate for females (107.7) was higher than that for males (83.6). The causes of self-inflicted injuries were similar for males and females, although the proportion attributed to poisoning was higher for females (72%) than for males (55%). By age, rates were highest among adolescents aged 15-19 years and young adults aged 20-24 years (259.0 and 236.6, respectively), with the highest rate occurring among females aged 15-19 years (322.7). By race/ethnicity, rates were highest among white, non-Hispanic males (71.8) and females (93.9). The findings in this report highlight the magnitude of nonfatal self-inflicted injuries in the United States and their disproportionate impact on females and young persons.

Injury Maps
http://www.cdc.gov/ncipc/wisqars/
Injury Maps, CDC's new interactive mapping system, helps you identify and communicate the impact of injury deaths in your county, state, region, or the entire United States. The system provides the geographic distribution of injury-related mortality rates in the U.S. and allows you to use the mortality rates to form maps. You can create and print county-level and state-level maps of age-adjusted injury mortality rates for the entire U.S. and for individual states.

The Houston Case-Control Study of Nearly Lethal Suicide Attempts (Press Release)
http://www.cdc.gov/media/pressrel/r020403.htm
Supplement
http://www.cdc.gov/ncipc/pub-res/suicide_supplement/suicidesupplement.htm
Suicide claims more than 30,000 Americans each year. In 1999, suicide was the sixth leading cause of death for females 10-14 years of age and the fourth leading cause of death for females 15-34 years of age. The research described in this supplement presents compelling evidence of the need to adopt a public health approach to address the problem of suicide among adolescents and young adults. Findings from the studies illustrate that the historically narrow focus of suicide research on mental illness and depression may cause us to miss other potential contributors. The findings are published in a special supplement to the spring edition of Suicide and Life-Threatening Behavior (SLTB). SLTB is the official Journal of the American Association of Suicidology.

Emergency Medical System Responses to Suicide-Related Calls-Maine, November 1999-October 2000
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5103a3.htm
PDF (page 56)
PDF
http://www.cdc.gov/mmwr/PDF/wk/mm5103.pdf
This report describes Emergency Medical Service (EMS) suicide-related responses during November 1999-October 2000 and indicates that EMS data would be a useful component of an integrated statewide suicidal behavior surveillance system. Female rates of suicide-related EMS calls were highest among those aged 15-19 years (206.2), but were generally high among females aged 20-44 years. Male rates of suicide-related EMS calls were highest among those aged 20-24 years (170.3) and high among those aged 15-19 and 25-34 years. Age-specific rates were statistically similar for females aged 20-34 years and >55 years and for males aged 25-54 years.

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2001 Publications and Materials

Injury Fact Book 2001-2002
http://www.cdc.gov/ncipc/fact_book/
PDF PDF version
http://www.cdc.gov/ncipc/fact_book/intro919.pdf
Injuries are a leading cause of death for Americans of all ages. This fact book provides a comprehensive look at the injury problem in America and efforts underway to reduce it. The Injury Fact Book 2001-2002 offers a wealth of injury data and descriptions of CDC research and prevention programs for a full spectrum of injuries-from those related to alcohol use to those resulting from intimate partner, sexual, and youth violence. View online or order a free copy by calling 770-488-1506.

Injuries from Violent Crime, 1992-98 (BJS website)
http://www.ojp.usdoj.gov/bjs/abstract/ivc98.htm (Non-CDC site)
This report presents data from the redesigned National Crime Victimization Survey, examining injuries as a result of violent victimizations. This report was a joint effort of the CDC and the Bureau of Justice Statistics (BJS), U.S. Department of Justice. It describes the nature and severity of injuries caused by rape, robbery, and aggravated and simple assault, comparing victims' injuries by characteristics of the victim and offender including relationship, age, sex, and race/ethnicity. The report also compares the likelihood of an injury from a violent crime by characteristics of the incident such as time of day, location, victim's activity, and the presence of weapons. The percentages of victims informing police and receiving medical care are also examined by severity of injury.

Estimates of Nonfatal Injuries Treated in Hospital Emergency Departments-U.S., 2000
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5017a4.htm
PDF
PDF version
http://www.cdc.gov/mmwr/PDF/wk/mm5017.pdf
During 2000, persons with nonfatal injuries were treated in emergency departments (ED) at an estimated rate of 11,188 per 100,000 population. The nonfatal injury rate was approximately 40% higher for males than for females. Injuries to motor-vehicle occupants were the leading cause of unintentional nonfatal injury-related ED visits for females aged 15-24 years. The non-fatal injury rate for pedal cyclists was 2.9 times higher for males than for females. Of an estimated 1,973,000 violence-related nonfatal injuries, 66% were physical assaults that included being hit with an object or by another person. Sexual assault was the fourth leading cause of violence-related, nonfatal injury-related ED visits; the nonfatal rate of sexual assault for females was 4.8 times higher than that for males. Approximately 150,000 persons were treated in EDs for poisoning-related suicide attempts and the rate of intentionally self-inflicted, nonfatal poisonings for females was 1.6 times that for males.

U.S. Fall Prevention Programs for Seniors
http://www.cdc.gov/ncipc/falls/
This document describes fall prevention programs for U.S. seniors that research show are important components of effective programs: education, home assessment for environmental fall hazards, and access to home modification and/or repair services. These programs may provide models for agencies or organizations that want to develop fall prevention programs for older adults. Among people age 65 and older, falls are the leading cause of injury deaths and serious injuries. Among seniors with osteoporosis, falls can cause devastating injuries such as hip fractures; 75%-80% of hip fractures are sustained by women. Comprehensive programs from the following states are described: Arizona, California, Connecticut, Idaho, Kentucky, Maryland, New Hampshire, New York, Ohio, Pennsylvania, Utah, and Virginia. Examples of program materials from several states are also provided.

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Related Links

Injury: Women’s Health Topics A-Z
http://www.cdc.gov/women/az/injury.htm
View women’s health resources related to injury.

Violence: Women’s Health Topics A-Z
http://www.cdc.gov/women/az/violence.htm
View women’s health resources related to violence.

Falls and Hip Fractures among Older Adults
http://www.cdc.gov/ncipc/factsheets/falls.htm
Learn basic facts about falls and hip fractures among older adults.

Fact Sheets: Injury Topics
http://www.cdc.gov/ncipc/cmprfact.htm
Learn more about a variety of injury topics, including unintentional injuries, violence, and more.

Fast Stats A-Z: All Injuries Statistics
http://www.cdc.gov/nchs/fastats/injury.htm
View data and statistics on injuries.

Injury Prevention and Control
http://www.cdc.gov/ncipc/
Learn more about injury prevention and control.

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This page last reviewed August 7, 2008
URL: http://www.cdc.gov/women/pubs/injury.htm

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