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Alcohol-attributable mortality among American Indians and Alaska Natives in the United States, 1999-2009

TitleAlcohol-attributable mortality among American Indians and Alaska Natives in the United States, 1999-2009
Publication TypeJournal Article
Year of Publication2014
AuthorsLanden, M, Roeber, J, Naimi, T, Nielsen, L, Sewell, M
JournalAm J Public HealthAm J Public Health
Volume104 Suppl 3
PaginationS343-9
Date PublishedJun
ISBN Number1541-0048 (Electronic)<br/>0090-0036 (Linking)
Accession Number24754661
KeywordsAdult, Aged, Aged, 80 and Over, Alaska/epidemiology/ethnology, Alcohol Drinking/ ethnology/ mortality, Cause of Death, Death Certificates, European Continental Ancestry Group/statistics & numerical data, Female, Humans, Indians, North American/ statistics & numerical data, Inuits/ statistics & numerical data, Male, Middle Aged, Risk Factors, United States/epidemiology
AbstractOBJECTIVES: We describe the relative burden of alcohol-attributable death among American Indians/Alaska Natives (AI/ANs) in the United States. METHODS: National Death Index records were linked with Indian Health Service (IHS) registration records to identify AI/AN deaths misclassified as non-AI/AN. We calculated age-adjusted alcohol-attributable death rates from 1999 to 2009 for AI/AN and White persons by sex, age, geographic region, and leading causes; individuals of Hispanic origin were excluded. RESULTS: AI/AN persons had a substantially higher rate of alcohol-attributable death than Whites from 2005 to 2009 in IHS Contract Health Service Delivery Area counties (rate ratio = 3.3). The Northern Plains had the highest rate of AI/AN deaths (123.8/100,000), and the East had the lowest (48.9/100,000). For acute causes, the largest relative risks for AI/AN persons compared with Whites were for hypothermia (14.2) and alcohol poisoning (7.6). For chronic causes, the largest relative risks were for alcoholic psychosis (5.0) and alcoholic liver disease (4.9). CONCLUSIONS: Proven strategies that reduce alcohol consumption and make the environment safer for excessive drinkers should be further implemented in AI/AN communities.
Ethno Med: