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This is an analysis of all unnatural deaths (ICD-9, E47–E55) that occurred between 1990 and 1994 in A-Lein, Taiwan. Unnatural deaths for this period totalled 134, or 89.66 per 100 000 per year. The crude accidental mortality rate (E47–E53) and road traffic accident (RTA) mortality rate (E54) is many times larger than in other industrialized countries: 2.1–5.1 times and 2.4–7.7 times, respectively. These figures are even higher for males. The reported suicide rate in A-Lein is approximately equal to that in the UK, but less than other industrialized countries. The actual suicide mortality rate in A-Lein as computed in this survey was 1.8 times higher than reported, which was 2.4 times that of Taiwan as a whole and 2.1 times Great Britain; 30.9 per cent of male and 75 per cent of female unnatural deaths excluding RTAs were suicides (ICD-9 E48–E55). RTA deaths were 3.2 times higher among males than among females (P < 0.05) and 26.8 per cent were associated with alcohol consumption. Only 21.4 per cent of killed motorcyclists wore helmets and only 8.3 per cent of killed car drivers used seat belts. Unnatural deaths excluding RTAs were mostly among people of low socio-economic status aged 50–60 years with less than a college education. Of these, 75 per cent occurred at home or at work. The most common cause of non-traffic unnatural death excluding RTAs was suicide, and the second most common was drowning. In conclusion, it was found that high unnatural death rates in A-Lein are related to low socio-economic level, sex (males), drinking, inadequate safety protection while working and driving, and inadequate law enforcement.
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- Health and Vital Statistics. Executive Yuan of the Republic of China, Taipei1992 2nd Ed.
- Health and Vital Statistics. Executive Yuan of the Republic of China, Taipei1993 2nd Ed.
- World Health Statistics Annual. WHO, Geneva1993 2nd Ed.
- United States Health and Prevention Profile 1991. US DHHS, Bethesda, MD1991: 161-163 (Publication No. (PHS) 92-1232) 2nd Ed.
- Traffic-related mortality in industrialized and less developed countries.Bull WHO. 1995; 73: 175
- Motor vehicle deaths: a rural epidemic.J Trauma. 1993; 35: 717
- Healthy People 2000: National Health Promotion and Disease Prevention Objectives. US DHHS, Bethesda, MD1991: 271-293 (Publication No. (PHS) 91-50212) 2nd Ed.
- Injury hazards in the construction industry.J Occupational Med. 1994; 36: 137
- Age and fatal work-related falls.Hum Factors. 1993; 35: 731
- Alcohol and Health, from the Secretary of Health and Human Services 1990. US DHHS, Bethesda, MD1990: 168-170 (DHHS Publication No. (ADM) 90-1656) 2nd Ed.
- Risk factors for injurious falls leading to hospitalization or death in a cohort of 19,500 adults.Am J Epidemiol. 1993; 138: 384
- Alcohol and other drug use in occupational fatalities.J Occup Med. 1991; 33: 496
- Alcohol Disabilities Primer — A Guide to Physical and Psychosocial Disabilities Caused by Alcohol Use. CRC, Boca Raton, FL1993 2nd Ed.
- Healthy People 2000: National Health Promotion and Disease Prevention Objectives. US DHHS, Bethesda, MD1991: 163-184 (Publication No. (PHS) 91-50212) 2nd Ed.
- Actual causes of death in the United States.JAMA. 1993; : 270
- Alcohol and fatal injuries among US adults.JAMA. 1988; 260: 2529
- The risk of dying in alcohol-related automobile crashes among habitual drunk drivers.N Engl J Med. 1994; 331: 513
- Driver fatalities in 1985–1993 cars with airbags.J Trauma. 1995; 38: 469
- Environmental and Occupational Medicine. Little, Brown, Boston1992: 657-665 2nd Ed.
- Restraint effectiveness, availability and use in fatal crashes: implications to injury control.J Trauma. 1995; 38: 538
- Motorcycle fatalities in New Mexico: the association of helmet nonuse with alcohol intoxication.Ann Emerg Med. 1992; 21: 279
Insurance Law of the Republic of China. No. 109 (in Chinese)
- Medical examiner data in injury surveillance: a comparison with death certificates.Am J Epidemiol. 1994; 139: 637
- Socioeconomic differentials in health: a review and redirection.Socio Psych Quart. 1990; 53: 81
- Fatal occupational injury rates: Quebec, 1981 through 1988.Am J Public Health. 1993; 83: 1563
- Suicide in Alcoholism. Oxford University Press, New York1992: 1-30 3rd Ed.
- Alcohol involvement in fatal traffic crashes in the United States: 1979–1990.Addiction. 1994; 89: 227
- Lower legal blood alcohol limits for young drivers.Public Health Rep. 1994; 109: 738
- Promoting designated drivers: the Harvard alcohol project.Am J Prev Med. 1994; 10: 11
- Deaths from motor vehicle crashes: patterns of injury in restrained and unrestrained victims.J Trauma. 1994; 37: 404
- Fatal injuries in motorcycle riders according to helmet use.J Trauma. 1995; 38: 242
Accepted: October 29, 1996
© 1997 Published by Elsevier Inc.