Title: Approaches to Injury Prevention in North Dakota
1Approaches to Injury Prevention in North Dakota
- Terry L Dwelle MD MPTHM
- State Health Officer
2ND Leading Causes of Death
3Real Causes of Death
JAMA Mar 10, 2004
4Heart and Cancer deaths associated with age
5Injury death associated with age
6Linkages
7Alcohol 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)
8Factors Contributing to Premature Death before
Age 75
Environment 20
Human Biology 19
Health Care System 10
Behavior / Lifestyle 51
9Other factors
- No seat belt use - 55 fatalities
- Cell phone use
- Loud music
10Changing High Risk Behaviors
- MMWR June, 2001 Editorial
- Attributes
- High level leadership support
- Had a good plan
- Adequate resources committed
- Community engagement
11Policy 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
12Layers of Culture
Behaviors and Artifacts
Institutions
Values
Ideology Cosmology Worldview
13Traditional 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
14Community Impact on Individuals
Faith Based
School
Workplace
HC
Town
Other Organizations
HC
HC
HC
HC
Individual
15Adult Worldview - Time
Past
Present
Future
16US Youth, Latin and Filipino views
Present
Past
Future
17Community 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 701-328-2372, email mjolson_at_nd.gov