Injury-Related Deaths in Aboriginal People in Canada
Submitted by Karin Johnson, NFNIIPWG

  Injury is one of the leading causes of death in Aboriginal people. The number of injury-related deaths in the Aboriginal population is approximately three to six times higher than in the Canadian population.
In both the Aboriginal and Canadian populations, deaths due to injuries are higher among males than among females. The age when these injuries occur is similar in both populations, with numbers being particularly high among those aged 15-24. The most frequent causes of fatal injury in Aboriginal people are motor vehicle accidents (MVAs) and suicides. Although injury-related deaths remains high, things have improved over time: injury deaths have decreased by 37 per cent between 1989-1993. Most of this decrease was in deaths due to MVAs and drowning; however the numbers of deaths due to suicide and homicide have stayed relatively the same.

Motor Vehicle Accidents
MVAs are one of the most common type of injury death, particularly among males, in the Aboriginal population. Risk factors for MVAs include: greater distances they have to travel for regular activities, their isolation from emergency facilities and their frequent use of riskier vehicles such as all terrain vehicles and snowmobiles, especially in the North.

Drownings
Aboriginal people experience a higher number of drowning-related deaths compared to the Canadian population. Drowning-related deaths are 15 times higher in toddlers compared to other age groups and are also higher among males. Approximately 8 out of every 10 drownings involve a male. In spite of the high number of deaths due to drowning, drowning-related deaths have decreased by 56 per cent between 1979 and 1993. Risk factors contributing to drownings include: proximity to water, especially in Northern climates where the water temperature is low and can produce death from hypothermia, the low use of floatation devices, and alcohol use.

Fire and Flames
Fire- and flame-related injuries are four to eight times higher than in the Canadian population. However, in the periods 1979-1981 and 1991-1993, deaths from fire and flames decreased by 44 per cent. Risk factors for fire and flame-related injuries include: wood frame construction, few smoke detectors and smoking habits.

Falls
Fall-related injuries are strongly associated with older age groups. In the Aboriginal population, fall-related injuries are approximately three times higher than in the Canadian population. Between 1979-1981 and 1991-1993, the deaths due to falls among people age 25 or older decreased.

Poisonings
Accidental poisoning seems to be more frequent in the Aboriginal population compared to the Canadian population. Accidental poisonings are four times higher than the average and are more common in children under the age of 4. However deaths due to accidental poisonings are increasing in older age groups.

Suicide and Homicide
Suicide is three to four times higher than in the Canadian population and accounts for roughly 25 per cent of all injury deaths in the Aboriginal population. The highest numbers of deaths due to suicides tend to be between the ages of 15 and 24 and the numbers of completed suicides are higher in males than in females. Deaths due to homicide in Aboriginal people are four to five times higher than average, with the majority of the victims being younger males.
Risk factors for suicide, violence, and assault include: community characteristics like high number of occupants per household, single-parent families, fewer elders, lower average income and education, and hunting lifestyle (access to firearms).

Aboriginal people face many risks of injuries. Although there have been some reductions in the number of deaths due to injury in the Aboriginal population, they are still high, especially compared to those of the general Canadian population. Injuries account for a large number of premature deaths in Aboriginal people. Motor vehicle accidents and drug poisoning cause many deaths, while suicide is widespread, and tends to occur at a young age. There is some hope, however, with many communities and organizations taking action to prevent injuries and reduce their accompanying burden in the Aboriginal population.

Source: Unintentional and Intentional Injury Profile for Aboriginal People in Canada, 1990-1999
Website: http://hc-sc.gc.ca/fnihb-dgspni/fnihb/chp/ipc/publications