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American Indian and Alaska native infant and pediatric mortality, United States, 1999-2009

Author

Listed:
  • Wong, C.A.
  • Gachupin, F.C.
  • Holman, R.C.
  • Macdorman, M.F.
  • Cheek, J.E.
  • Holve, S.
  • Singleton, R.J.

Abstract

Objectives. We described American Indian/Alaska Native (AI/AN) infant and pediatric death rates and leading causes of death. Methods. We adjusted National Vital Statistics System mortality data for AI/AN racial misclassification by linkage with Indian Health Service (IHS) registration records. We determined average annual death rates and leading causes of death for 1999 to 2009 for AI/AN versus White infants and children. We limited the analysis to IHS Contract Health Service Delivery Area counties. Results. The AI/AN infant death rate was 914 (rate ratio [RR] = 1.61; 95% confidence interval [CI] = 1.55, 1.67). Sudden infant death syndrome, unintentional injuries, and influenza or pneumonia were more common in AI/AN versus White infants. The overall AI/AN pediatric death rates were 69.6 for ages 1 to 4 years (RR = 2.56; 95% CI = 2.38, 2.75), 28.9 for ages 5 to 9 years (RR = 2.12; 95% CI = 1.92, 2.34), 37.3 for ages 10 to 14 years (RR = 2.22; 95% CI = 2.04, 2.40), and 158.4 for ages 15 to 19 years (RR = 2.71; 95% CI = 2.60, 2.82). Unintentional injuries and suicide occurred at higher rates among AI/AN youths versus White youths. Conclusions. Death rates for AI/AN infants and children were higher than for Whites, with regional disparities. Several leading causes of death in the AI/AN pediatric population are potentially preventable.

Suggested Citation

  • Wong, C.A. & Gachupin, F.C. & Holman, R.C. & Macdorman, M.F. & Cheek, J.E. & Holve, S. & Singleton, R.J., 2014. "American Indian and Alaska native infant and pediatric mortality, United States, 1999-2009," American Journal of Public Health, American Public Health Association, vol. 104, pages 320-328.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301598_5
    DOI: 10.2105/AJPH.2013.301598
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    Citations

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    Cited by:

    1. Tara Becker & Susan H. Babey & Rashida Dorsey & Ninez A. Ponce, 2021. "Data Disaggregation with American Indian/Alaska Native Population Data," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 40(1), pages 103-125, February.
    2. Rebecca Singer & Karen Zwi & Robert Menzies, 2019. "Predictors of In-Hospital Mortality in Aboriginal Children Admitted to a Tertiary Paediatric Hospital," IJERPH, MDPI, vol. 16(11), pages 1-12, May.
    3. Samuel Fishman, 2020. "An extended evaluation of the weathering hypothesis for birthweight," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 43(31), pages 929-968.

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