Injury and Violence
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Injury includes a wide range of health topics, from unintentional injuries, such as car crashes and falls, to intentional injuries, such as assault and suicide. The consequences of injury are not just physical. Many people who suffer an injury may also have mental health and financial problems that can last a lifetime. The good news is that many injuries are preventable. From seat belts to violence prevention programs, injury prevention saves lives.
Why it's important
Injuries are the leading cause of death among persons aged 1-44 years, resulting in more than 187,000 deaths per year in the United States. An additional 31.7 million persons suffer a non-fatal injury requiring medical attention each year.1 In addition to the immediate physical consequence, injuries impact health by contributing to:- Premature death
- Disability
- Poor mental health
- High medical costs
- Lost productivity2
What is known
Injury data cover a broad array of topics. Here are some injury-related statistics for the United States:3- Each year, injuries are responsible for:
- More than 187,000 deaths.
- More than 31.7 million emergency department visits.
- More than 2.8 million hospitalizations.
- $406 billion in medical care and lost productivity.
- Intentional injuries account for 7% of all non-fatal injuries and 33% of injury-related fatalities.
- Injuries are the leading cause of disability, regardless of age, gender, race/ethnicity, or socioeconomic status.
Who is at risk and how to reduce it
There are many factors that can affect the risk of injury and violence:- Individual characteristics, such as education, age, and sex
- Individual behaviors, such as alcohol use or risk-taking
- Physical environment, such as safe homes and roadways
- Social environment, such as relationships and community cohesion
- Societal factors, such as cultural beliefs, laws, and regulations
How it's tracked
Injuries are tracked using a range of datasets, in addition to mortality statistics. Some examples include:- National Vital Statistics System (NVSS)
- National Hospital Discharge Survey (NHDS)
- Fatality Analysis Reporting System (FARS)
- National Crime Victimization Survey (NCVS)
- Youth Risk Behavior Surveillance System (YRBS)
- National Electronic Injury Surveillance System (NEISS)
- National Violent Death Reporting System (NVDRS)
1. Centers for Disease Control and Prevention, National Center for Injury
Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS),
downloaded on 8/14/2014 from http://www.cdc.gov/injury/WISQARS/.
2. Finkelstein EA, Corso PS, Miller TR. Incidence and economic burden on injuries in the United States. New York: Oxford University Press, 2006.
2. Finkelstein EA, Corso PS, Miller TR. Incidence and economic burden on injuries in the United States. New York: Oxford University Press, 2006.
3. Centers for Disease Control and Prevention, National Center for Injury
Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS),
downloaded on 8/14/2014 from http://www.cdc.gov/injury/WISQARS/.
- Carbon monoxide deaths
- Carbon monoxide: hospitalizations and emergency department visits
- Carbon monoxide: poison control exposures
- Child emotional abuse, self-reported
- Child physical abuse, self-reported
- Child sexual abuse, self-reported
- Child injury deaths
- Depression: adult prevalence
- Domestic violence during the perinatal time period
- Drug overdose and poisoning incidents
- Fall injury (unintentional)
- Homicide
- Infant safe sleep
- Motor vehicle traffic crash deaths
- Sexual violence
- Sleep-related sudden unexpected infant death (SUID)
- Student injuries
- Suicide
- Traumatic brain injury TBI
- Unintentional injury deaths
Safety - Adults (BRFSS)
- Seat Belt Use - Crude Rates
- Seat Belt Use - Age-adjusted Rates
- Drinking and Driving - Crude Rates
- Drinking and Driving - Age-adjusted Rates
- Fallen in Past Year - Crude Rates
- Fallen in Past Year - Age-adjusted Rates
Safety - Adolescents
- Bicycle Helmet Use (YRBS)
- Seat Belt Use (YRBS)
- Seatbelt Always (PNA)
- Seatbelt Sometimes (PNA)
- Rode With a Driver Who Had Been Drinking Alcohol (YRBS)
- Drove After Drinking Alcohol (YRBS)
- Cell Phone Use While Driving, Past 30 Days (YRBS)
- Talking on Cell Phone While Driving (PNA)
- Texting While Driving, Past 30 Days (YRBS)
- Texting on Cell Phone While Driving (PNA)
- Doctor Diagnosed Concussion After Playing Sports or Other Physical Activity (YRBS)
- Symptoms of Concussion (YRBS)
- Removed From Game, Practice, or Workout Due to Suspected Concussion (YRBS)
Injury and Pregnancy (PRAMS)
- Abuse Before Pregnancy
- Abuse During Pregnancy
- Trauma-related Stress During Pregnancy
- Infant Sleep Position
Violence - Adolescents
- Carried a Weapon on School Property (YRBS)
- Felt Too Unsafe to Go to School (YRBS)
- Unsafe at School (PNA)
- Bullied at School (PNA)
- Electronic Bullying (PNA)
- Threatened or Injured With a Weapon on School Property (YRBS)
- Carried a Weapon (YRBS)
- Carried a Gun (YRBS)
- In a Physical Fight (YRBS)
- Injured in a Physical Fight (YRBS)
- Physically Hurt by a Boyfriend or Girlfriend on Purpose (YRBS)
- Dating Violence (PNA)
- Verbal or Emotional Dating Harm (YRBS)
- Forced to Have Sexual Intercourse (YRBS)
Student Injury
Adverse Childhood Experiences (ACEs) - Adults (BRFSS)
- Number of Adverse Childhood Experiences (ACE Score) - Crude Rates
- Number of Adverse Childhood Experiences (ACE Score) - Age-adjusted Rates
- Mental Illness in Household - Crude Rates
- Mental Illness in Household - Age-adjusted Rates
- Substance Abuse in Household - Crude Rates
- Substance Abuse in Household - Age-adjusted Rates
- Domestic Violence in Household - Crude Rates
- Domestic Violence in Household - Age-adjusted Rates
- Direct Physical, Emotional, or Sexual Abuse - Crude Rates
- Direct Physical, Emotional, or Sexual Abuse - Age-adjusted Rates
- Verbal Abuse - Crude Rates
- Verbal Abuse - Age-adjusted Rates
- Physical Abuse - Crude Rates
- Physical Abuse - Age-adjusted Rates
- Sexual Abuse - Crude Rates
- Sexual Abuse - Age-adjusted Rates