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Racial misclassification of American Indians and Alaska natives by Indian health service contract health service delivery area

Author

Listed:
  • Jim, M.A.
  • Arias, E.
  • Seneca, D.S.
  • Hoopes, M.J.
  • Jim, C.C.
  • Johnson, N.J.
  • Wiggins, C.L.

Abstract

Objectives. We evaluated the racial misclassification of American Indians and Alaska Natives (AI/ANs) in cancer incidence and all-cause mortality data by Indian Health Service (IHS) Contract Health Service Delivery Area (CHSDA). Methods. We evaluated data from 3 sources: IHS-National Vital Statistics System (NVSS), IHS-National Program of Cancer Registries (NPCR)/Surveillance, Epidemiology and End Results (SEER) program, and National Longitudinal Mortality Study (NLMS). We calculated, within each data source, the sensitivity and classification ratios by sex, IHS region, and urban-rural classification by CHSDA county. Results. Sensitivity was significantly greater in CHSDA counties (IHS-NVSS: 83.6%; IHS-NPCR/SEER: 77.6%; NLMS: 68.8%) than non-CHSDA counties (IHSNVSS: 54.8%; IHS-NPCR/SEER: 39.0%; NLMS: 28.3%). Classification ratios indicated less misclassification in CHSDA counties (IHS-NVSS: 1.20%; IHS-NPCR/SEER: 1.29%; NLMS: 1.18%) than non-CHSDA counties (IHS-NVSS: 1.82%; IHSNPCR/SEER: 2.56%; NLMS: 1.81%). Race misclassification was less in rural counties and in regions with the greatest concentrations of AI/AN persons (Alaska, Southwest, and Northern Plains). Conclusions. Limiting presentation and analysis to CHSDA counties helped mitigate the effects of race misclassification of AI/AN persons, although a portion of the population was excluded.

Suggested Citation

  • Jim, M.A. & Arias, E. & Seneca, D.S. & Hoopes, M.J. & Jim, C.C. & Johnson, N.J. & Wiggins, C.L., 2014. "Racial misclassification of American Indians and Alaska natives by Indian health service contract health service delivery area," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 295-302.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.301933_7
    DOI: 10.2105/AJPH.2014.301933
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    Cited by:

    1. Aggie J. Yellow Horse & Kimberly R. Huyser, 2022. "Indigenous data sovereignty and COVID-19 data issues for American Indian and Alaska Native Tribes and populations," Journal of Population Research, Springer, vol. 39(4), pages 527-531, December.
    2. Shin Ah Oh & Chang Liu & Joyce C. Pressley, 2017. "Fatal Pediatric Motor Vehicle Crashes on U.S. Native American Indian Lands Compared to Adjacent Non-Indian Lands: Restraint Use and Injury by Driver, Vehicle, Roadway and Crash Characteristics," IJERPH, MDPI, vol. 14(11), pages 1-15, October.
    3. 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.
    4. 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.
    5. Ken Batai & Priscilla R. Sanderson & Lori Joshweseoma & Linda Burhansstipanov & Dana Russell & Lloyd Joshweseoma & Chiu-Hsieh Hsu, 2022. "Formative Assessment to Improve Cancer Screenings in American Indian Men: Native Patient Navigator and mHealth Texting," IJERPH, MDPI, vol. 19(11), pages 1-15, May.

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