Approaches to Injury Prevention in North Dakota

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Approaches to Injury Prevention in North Dakota

• Terry L Dwelle MD MPTHM
• State Health Officer

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ND Leading Causes of Death
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Real Causes of Death
JAMA Mar 10, 2004
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Heart and Cancer deaths associated with age
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Injury death associated with age
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Linkages
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Alcohol associated with Injury

• 2008, Sept 26th 36/72 (50) motor vehicle
  fatalities
• 2005 44 fatal pedestrian accidents
• 50 murders, suicides and accidental deaths
  nationally
• 36 alcohol use by abuser in domestic violence
• Past 30 days rode in a car with someone drinking
• Grades 7-8 (34.9)
• Grades 9-12 (31.5)

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Factors Contributing to Premature Death before
Age 75
Environment 20
Human Biology 19
Health Care System 10
Behavior / Lifestyle 51
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Other factors

• No seat belt use - 55 fatalities
• Cell phone use
• Loud music

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Changing High Risk Behaviors

• MMWR June, 2001 Editorial
• Attributes
• High level leadership support
• Had a good plan
• Adequate resources committed
• Community engagement

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Policy Issues to Consider in ND

• Obtain hospital and ER data for non-fatal
  injuries
• Primary seat belt law
• Increase age for child booster seats
• ATV laws for children
• Bike and motorcycle helmet laws

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Layers of Culture
Behaviors and Artifacts
Institutions
Values
Ideology Cosmology Worldview
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Traditional Public Health and Social Marketing?
Behaviors
Social Marketing We dont care what a person
thinks, feels or, believes. We just want a
change in the target behavior.
Instituions
Values
Ideology Cosmology Worldview
Community Engagement (cultural
communications) Changes in the beliefs, feelings
and thinking of individuals are essential in
permanent changes of high risk behaviors
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Community Impact on Individuals
Faith Based
School
Workplace
HC
Town
Other Organizations
HC
HC
HC
HC
Individual
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Adult Worldview - Time
Past
Present
Future
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US Youth, Latin and Filipino views
Present
Past
Future
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Community Engagement Trainer of Trainers Curricula

• Basic Concepts of Community Engagement 15 hours
• Facilitation skills course 15 hours
• Standard Community Engagement Trainer of Trainer
  courses 1, 2, 3 115 hours
• Worksite wellness Trainer of Trainers course 35
  hours

Melissa Olson, Director of Healthy North Dakota,
phone [phone], email mjolson_at_nd.gov