We studied the morbidity in New Zealand using hospital discharge data
from 1980 to 1988, and found a reduced head injury (HI) rate over this
time overall, but no change in the rate among Maori males and an incr
eased rate among Maori females. In 1988 the rate was 228/100,000 with
peaks among males and females aged under 10, males aged 15-25, and bot
h sexes over 84 years old. The rate among young Maori males was higher
than in other groups until the age of 55. Motor vehicle crashes cause
d most head injuries, followed by falls, non-intentional incidents (su
ch as sporting injuries), assaults and pedal cycle accidents. Maori fe
males had a high rate of assault. Hospital stay was longest among pede
strians, and increased with increasing age due to co-morbidity. Preven
tion strategies were based on the causes of HI.