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Leading causes of death and all-cause mortality in American Indians and Alaska Natives

Author

Listed:
  • Espey, D.K.
  • Jim, M.A.
  • Cobb, N.
  • Bartholomew, M.
  • Becker, T.
  • Haverkamp, D.
  • Plescia, M.

Abstract

Objectives. We present regional patterns and trends in all-cause mortality and leading causes of death in American Indians and Alaska Natives (AI/ANs). Methods. US National Death Index records were linked with Indian Health Service (IHS) registration records to identify AI/AN deaths misclassified as non-AI/AN. We analyzed temporal trends for 1990 to 2009 and comparisons between non-Hispanic AI/AN and non-Hispanic White persons by geographic region for 1999 to 2009. Results focus on IHS Contract Health Service Delivery Area counties in which less race misclassification occurs. Results. From 1990 to 2009 AI/AN persons did not experience the significant decreases in all-cause mortality seen for Whites. For 1999 to 2009 the all-cause death rate in CHSDA counties for AI/AN persons was 46% more than that for Whites. Death rates for AI/AN persons varied as much as 50% among regions. Except for heart disease and cancer, subsequent ranking of specific causes of death differed considerably between AI/AN and White persons. Conclusions. AI/AN populations continue to experience much higher death rates than Whites. Patterns of mortality are strongly influenced by the high incidence of diabetes, smoking prevalence, problem drinking, and social determinants. Much of the observed excess mortality can be addressed through known public health interventions.

Suggested Citation

  • Espey, D.K. & Jim, M.A. & Cobb, N. & Bartholomew, M. & Becker, T. & Haverkamp, D. & Plescia, M., 2014. "Leading causes of death and all-cause mortality in American Indians and Alaska Natives," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 303-311.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301798_6
    DOI: 10.2105/AJPH.2013.301798
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    Cited by:

    1. Akee, Randall K. Q. & Feir, Donn. L. & Gorzig, Marina Mileo & Myers Jr, Samuel, 2022. "Native American "Deaths of Despair" and Economic Conditions," IZA Discussion Papers 15546, Institute of Labor Economics (IZA).
    2. Jaramillo, Elise Trott & Willging, Cathleen E., 2021. "Producing insecurity: Healthcare access, health insurance, and wellbeing among American Indian elders," Social Science & Medicine, Elsevier, vol. 268(C).
    3. Kiana Wilkins, 2022. "Intersectional Immunity? Examining How Race/Ethnicity and Sexual Orientation Combine to Shape Influenza Vaccination Among US Adults," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(6), pages 2585-2612, December.
    4. Marina Mileo Gorzig & D. L. Feir & Randall Akee & Samuel Myers & Marium Navid & Kai Tiede & Olivia Matzke, 2022. "Native American Age at Death in the USA," Journal of Economics, Race, and Policy, Springer, vol. 5(3), pages 194-209, September.
    5. David H Sommerfeld & Elise Trott Jaramillo & Erik Lujan & Emily Haozous & Cathleen E Willging & Deborah Carr, 2021. "Health Care Access and Utilization for American Indian Elders: A Concept-Mapping Study [Concept mapping of PMTCT implementation challenges and solutions across 6 Sub-Saharan African countries in th," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 76(1), pages 141-151.
    6. Rachel L. Denlinger-Apte & Lauren R. Pacek & Jennifer Cornacchione Ross & Maansi Bansal-Travers & Eric C. Donny & Dorothy K. Hatsukami & Dana Mowls Carroll, 2021. "Risk Perceptions of Low Nicotine Cigarettes and Alternative Nicotine Products across Priority Smoking Populations," IJERPH, MDPI, vol. 18(10), pages 1-22, May.

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