Causes and Disparities in Death Rates Among Urban American Indian and Alaska Native Populations, 1999–2009

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Authors: Jasmine L. Jacobs-Wingo

Publication Year: 2016

Last Updated:

Journal: American Journal of Public Health

Keywords: Cancer; Data Collection; Diabetes; Health Disparities; Heart Disease; IHS; Injury and Trauma; Liver Disease; Misclassification of AI/AN; Population Information; Death Rates

 

Short Abstract: Objectives. To characterize the leading causes of death for the urban American Indian/Alaska Native (AI/AN) population and compare with urban White and rural AI/AN populations.

 

Abstract: Objectives. To characterize the leading causes of death for the urban American Indian/Alaska Native (AI/AN) population and compare with urban White and rural AI/AN populations. Methods. We linked Indian Health Service patient registration records with the National Death Index to reduce racial misclassification in death certificate data. We calculated age-adjusted urban AI/AN death rates for the period 1999–2009 and compared those with corresponding urban White and rural AI/AN death rates. Results. The top-5 leading causes of death among urban AI/AN persons were heart disease, cancer, unintentional injury, diabetes, and chronic liver disease and cirrhosis. Compared with urban White persons, urban AI/AN persons experienced significantly higher death rates for all top-5 leading causes. The largest disparities were for diabetes and chronic liver disease and cirrhosis. In general, urban and rural AI/AN persons had the same leading causes of death, although urban AI/AN persons had lower death rates for most conditions. Conclusions. Urban AI/AN persons experience significant disparities in death rates compared with their White counterparts. Public health and clinical interventions should target urban AI/AN persons to address behaviors and conditions contributing to health disparities.

 

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Source: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4985112/pdf/AJPH.2015.303033.pdf

Type of Resource: Peer-reviewed scientific article