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Causes and disparities in death rates among Urban American Indian and Alaska native populations, 1999-2009

Author

Listed:
  • Jacobs-Wingo, J.L.
  • Espey, D.K.
  • Groom, A.V.
  • Phillips, L.E.
  • Haverkamp, D.S.
  • Stanley, S.L.

Abstract

Objectives. To characterize the leading causes of death for the urban American Indian/Alaska Native (AI/AN) population and compare with urban White and rural AI/AN populations. Methods. We linked Indian Health Service patient registration records with the National Death Index to reduce racial misclassification in death certificate data. We calculated age-adjusted urban AI/AN death rates for the period 1999-2009 and compared those with corresponding urban White and rural AI/AN death rates. Results. The top-5 leading causes of death among urban AI/AN persons were heart disease, cancer, unintentional injury, diabetes, and chronic liver disease and cirrhosis. Compared with urban White persons, urban AI/AN persons experienced significantly higher death rates for all top-5 leading causes. The largest disparities were for diabetes and chronic liver disease and cirrhosis. In general, urban and rural AI/AN persons had the same leading causes of death, although urban AI/AN persons had lower death rates for most conditions. Conclusions. Urban AI/AN persons experience significant disparities in death rates compared with their White counterparts. Public health and clinical interventions should target urban AI/AN persons to address behaviors and conditions contributing to health disparities.

Suggested Citation

  • Jacobs-Wingo, J.L. & Espey, D.K. & Groom, A.V. & Phillips, L.E. & Haverkamp, D.S. & Stanley, S.L., 2016. "Causes and disparities in death rates among Urban American Indian and Alaska native populations, 1999-2009," American Journal of Public Health, American Public Health Association, vol. 106(5), pages 906-914.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2015.303033_6
    DOI: 10.2105/AJPH.2015.303033
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    Cited by:

    1. Vanessa Y. Hiratsuka & Julie A. Beans & Renee F. Robinson & Jennifer L. Shaw & Ileen Sylvester & Denise A. Dillard, 2017. "Self-Determination in Health Research: An Alaska Native Example of Tribal Ownership and Research Regulation," IJERPH, MDPI, vol. 14(11), pages 1-11, October.
    2. Whitney E. Zahnd & Cathryn Murphy & Marie Knoll & Gabriel A. Benavidez & Kelsey R. Day & Radhika Ranganathan & Parthenia Luke & Anja Zgodic & Kewei Shi & Melinda A. Merrell & Elizabeth L. Crouch & Hea, 2021. "The Intersection of Rural Residence and Minority Race/Ethnicity in Cancer Disparities in the United States," IJERPH, MDPI, vol. 18(4), pages 1-26, February.
    3. 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.

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