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Diabetes-related mortality among American Indians and Alaska natives, 1990û2009

Author

Listed:
  • Cho, P.
  • Geiss, L.S.
  • Burrows, N.R.
  • Roberts, D.L.
  • Bullock, A.K.
  • Toedt, M.E.

Abstract

Objectives. We assessed diabetes-related mortality for American Indians and Alaska Natives (AI/ANs) and Whites. Methods. Study populations were non-Hispanic AI/AN and White persons in Indian Health Service (IHS) Contract Health Service Delivery Area counties; Hispanics were excluded. We used 1990 to 2009 death certificate data linked to IHS patient registration records to identify AI/AN decedents aged 20 years or older. We examined disparities and trends in mortality related to diabetes as an underlying cause of death (COD) and as a multiple COD. Results. After increasing between 1990 and 1999, rates of diabetes as an underlying COD and a multiple COD subsequently decreased in both groups. However, between 2000 and 2009, age-adjusted rates of diabetes as an underlying COD and a multiple COD remained 2.5 to 3.5 times higher among AI/AN persons than among Whites for all age groups (20û44, 45û54, 55û64, 65û74, and

Suggested Citation

  • Cho, P. & Geiss, L.S. & Burrows, N.R. & Roberts, D.L. & Bullock, A.K. & Toedt, M.E., 2014. "Diabetes-related mortality among American Indians and Alaska natives, 1990û2009," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 496-503.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.301968_9
    DOI: 10.2105/AJPH.2014.301968
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    Cited by:

    1. Mira T Keddis & Amit Sharma & Muneeb Ilyas & Nan Zhang & Hasan Khamash & Scott J Leischow & Raymond L Heilman, 2018. "Transplant center assessment of the inequity in the kidney transplant process and outcomes for the Indigenous American patients," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-16, November.

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