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Methods for improving the quality and completeness of mortality data for American Indians and Alaska Natives

Author

Listed:
  • Espey, D.K.
  • Jim, M.A.
  • Richards, T.B.
  • Begay, C.
  • Haverkamp, D.
  • Roberts, D.

Abstract

Objectives. We describe methods used to mitigate the effect of race misclassification in mortality records and the data sets used to improve mortality estimates for American Indians and Alaska Natives (AI/ANs). Methods. We linked US National Death Index (NDI) records with Indian Health Service (IHS) registration records to identify AI/AN deaths misclassified as non-AI/AN deaths. Analyses excluded decedents of Hispanic origin and focused on Contract Health Service Delivery Area (CHSDA) counties. We compared death rates for AI/AN persons and Whites across 6 US regions. Results. IHS registration records merged to 176 137 NDI records. Misclassification of AI/AN race in mortality data ranged from 6.3% in the Southwest to 35.6% in the Southern Plains. From 1999 to 2009, the all-cause death rate in CHSDA counties for AI/AN persons varied by geographic region and was 46% greater than that for Whites. Analyses for CHSDA counties resulted in higher death rates for AI/AN persons than in all counties combined. Conclusions. Improving race classification among AI/AN decedents strengthens AI/ANmortality data, and analyzing deaths by geographic region can aid in planning, implementation, and evaluation of efforts to reduce health disparities in this population.

Suggested Citation

  • Espey, D.K. & Jim, M.A. & Richards, T.B. & Begay, C. & Haverkamp, D. & Roberts, D., 2014. "Methods for improving the quality and completeness of mortality data for American Indians and Alaska Natives," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 286-294.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301716_8
    DOI: 10.2105/AJPH.2013.301716
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    Cited by:

    1. Carolyn A. Liebler & Renuka Bhaskar & Sonya Rastogi, 2014. "Dynamics of Race: Joining, Leaving, and Staying in the American Indian/Alaska Native Race Category between 2000 and 2010," CARRA Working Papers 2014-10, Center for Economic Studies, U.S. Census Bureau.
    2. Noreen Goldman & Theresa Andrasfay, 2022. "Life expectancy loss among Native Americans during the COVID-19 pandemic," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 47(9), pages 233-246.
    3. Katherine Leggat-Barr & Fumiya Uchikoshi & Noreen Goldman, 2021. "COVID-19 risk factors and mortality among Native Americans," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 45(39), pages 1185-1218.

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